Power of Attorney

General Durable Power of Attorney

I, the
undersigned

(Full legal
name) ______________________________

(Identity /
Social Security number) ______________________________ residing at

(Address)
____________________________________

            
____________________________________

appoint

(Full legal
name) ________________________________

(Identity /
Social Security number) ______________________________ residing at

(Address)
____________________________________

            
____________________________________

as my
Attorney-in-Fact (Agent) with the power of delegation and substitution.

If my Agent
is unable or unwilling to serve for any reason, I designate

(Full legal
name) ________________________________

(Identity /
Social Security number) ______________________________ residing at

(Address)
____________________________________

            
____________________________________

as substitute
Agent.

1. I hereby
revoke any and all previous powers of attorney signed by me except for my Power
of Attorney for Health Care which shall remain in force.

2. This
document shall be construed and interpreted as a general durable power of
attorney and my Agent shall have full authority to act on my behalf in relation
to all my property and affairs.

OR

2. This
document shall be construed and interpreted as a durable power of attorney and
my Agent shall have full authority to act on my behalf in relation to my
property and affairs, save for the following conditions and restrictions:

 
2.1. _____________________

 
2.2. _____________________

3. I
furthermore grant my Agent the authority to:

 
3.1. Make gifts within gift tax limits except to himself.

 
3.2. Execute, amend or revoke any trust agreement.

 
3.3. Exercise the right to make a disclaimer on my behalf.

4. I
indemnify and hold harmless my Agent from any loss that results from an error
made in good faith save for willful misconduct or the willful failure to act in
good faith.

5. I
indemnify any third party from any claims which may arise against the third party
because of reliance on this power of attorney.

6. My Agent
shall provide accurate records on a monthly basis of all transactions completed
on my behalf and shall provide accounting records on a six-monthly basis.

 
6.1. If I am unable to review the records and accounting, they must be
submitted to:

(Full legal
name) ________________________________

(Identity /
Social Security number) ______________________________ residing at

(Address)
____________________________________

               ____________________________________

7. My Agent
shall be entitled to compensation for his services at a rate as set out by law
and for reimbursement of all reasonable expenses in his duties as my Agent.

8. This is a
Durable Power of Attorney. Even if I should become disabled or incompetent, it
shall remain effective until my death. This Power of Attorney may be revoked by
me at any time by providing written notice to my Agent and interested third
parties.

Executed this
______ day of __________________20 ____

at ______________________________________

Signature:
________________________________

in the
presence of the undersigned witnesses:

Witness 1.  

Name:
______________________

Address:
_____________________________________________

Signature:
________________________

Witness 2.  

Name:
______________________

Address:
_____________________________________________

Signature:
________________________

Acknowledgement

This document
was acknowledged before me on this ______day of ____________________20__ by
________________________(Principal's Full legal name)

Signature of
Notary Public ______________________

Full legal
Name ______________________________

My commission
expires ________________________

State of
________________________

County of
______________________