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Michigan Durable Power of Attorney for Finances Form

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Michigan Durable Power of Attorney for Finances Form Page 2
Michigan Durable Power of Attorney for Finances Form
2
DURABLE POWER OF ATTORNEY FOR FINANCES
I, __________________________________________, am of sound mind, and I
(Print or type your full name)
voluntarily make this designation. I revoke any financial powers of attorney I have
signed in the past.
APPOINTMENT OF AGENT
I designate ___________________________________, my ________________,
(Insert name of agent) (Spouse, child, friend ... )
living at ______________________________________________________________,
to act for me as my agent, with the powers set forth in this document. If my first choice
cannot serve or cannot continue to serve, I designate ___________________________, , l
i
(Name of successor agent)
my ________________, living at __________________________________________,
(Spouse, child, friend ... )
to act for me as my agent. I have discussed this appointment with the individual or
individuals I have designated.
EFFECTIVE DATE
(You must choose one paragraph by writing your initials on the line)
____________ My agent has the powers set forth in this document immediately upon
my signing it. These powers shall not be affected by any mental or physical disability I
may have in the future.
or
____________ My agent shall only have the powers set forth in this document when it
is determined I am unable to manage my property and financial affairs effectively. That
determination shall be made by my attending physician, who shall put it in writing.
Michigan Durable Power of Attorney for Finances Form