This is an example of a completed Power of Attorney for Financial Decisions, to allow another person to take care of the financial matters of a person who has become mentally incapacitated, either through accident, illness or other means. The Power of Attorney gives the Agent wide latitude in dealing with the Principal's financial decisions, so that the Agent can adequately manage the Principal's affairs, without the need to have a conservatorship established. Any power which the Principal does not want to convey can be crossed out and initialed by the Principal. The Power of Attorney automatically is revoked in the event the Principal regains mental capacity.

(The page breaks shown on this Example Document are not as they normally appear.)

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