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North Carolina Statutory Power of Attorney Form

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The North Carolina statutory power of attorney is a statutory form of Alaska used by the grantor to authorize the attorney-in-fact to act on his/her behalf in his/her property and other related matters.

North Carolina Statutory Power of Attorney Form Page 2
(If power of attorney is to take effect only after the incapacity or mental incompetence of
the principal, add: 'This power of attorney shall become effective after I become
incapacitated or mentally incompetent.')
(If power of attorney is to be effective to terminate or direct the administration of a
custodial trust created under the Uniform Custodial Trust Act, add: 'In the event of my
subsequent incapacity or mental incompetence, the attorney-in-fact of this power of
attorney shall have the power to terminate or to direct the administration of any custodial
trust of which I am the beneficiary.')
(If power of attorney is to be effective to determine whether a beneficiary under the
Uniform Custodial Trust Act is incapacitated or ceases to be incapacitated, add: 'The
attorney-in-fact of this power of attorney shall have the power to determine whether I am
incapacitated or whether my incapacity has ceased for the purposes of any custodial trust
of which I am the beneficiary.')
Dated___________, _______.
(Seal)
Signature __________________
STATE OF ____________________ COUNTY OF _______________
On this ______ day of___________, ______, personally appeared before me, the said
named ______________________________ to me known and known to me to be the
person described in and who executed the foregoing instrument and he (or she)
acknowledged that he (or she) executed the same and being duly sworn by me, made oath
that the statements in the foregoing instrument are true.
My Commission Expires ______________________.
__________________________ (Signature of Notary Public)
Notary Public (Official Seal)
North Carolina Statutory Power of Attorney Form
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