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British Columbia Power of Attorney Form

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British Columbia Power of Attorney Form Page 3
British Columbia Power of Attorney Form
Page 3 of 3
Acknowledgement of Attorney: I hereby accept the above appointment.
Executed at
this
day of
,
.
If this is an enduring power of attorney, it must be executed in the presence of two witnesses, each present at the same time, except only one witness is
required if the witness is a lawyer or a member in good standing of the Society of Notaries Public of British Columbia.
If this is not an enduring power of attorney, only one witness is required.
)
Signature of witness*
Signature of witness*
)
)
)
)
Print name
Print name
)
)
)
)
Print address
Print address
)
Signature of Attorney
)
)
)
)
)
)
)
Print occupation
Print occupation
)
)
Acknowledgement of Attorney: I hereby accept the above appointment.
Executed at
this
day of
,
.
If this is an enduring power of attorney, it must be executed in the presence of two witnesses, each present at the same time, except only one witness is
required if the witness is a lawyer or a member in good standing of the Society of Notaries Public of British Columbia.
If this is not an enduring power of attorney, only one witness is required.
)
Signature of witness*
Signature of witness*
)
)
)
)
Print name
Print name
)
)
)
)
Print address
Print address
)
Signature of Attorney
)
)
)
)
)
)
)
Print occupation
Print occupation
)
)
* If this is an enduring power of attorney, the signature of a witness is the witness’ acknowledgment that the witness is not:
(a) a person named in the enduring power of attorney as an attorney;
(b) a spouse, child, parent, employee or agent of a person named in the enduring power of attorney as an attorney;
(c) a person who is not an adult;
(d) a person who does not understand the type of communication used by the adult; unless the person receives interpretive assistance to
understand that type of communication.
(“spouse” means a person who (a) is married to another person and is not living separate and apart from the other person, or (b) is living with another
person in a marriage-like relationship, including a marriage-like relationship between persons of the same gender)
British Columbia Power of Attorney Form