"Durable Power of Attorney Form" - Oklahoma

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DURABLE POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS, that I, _______________________ (name),
of __________________________________________ (address), do hereby make, constitute
and appoint ______________________________________________ (partner's name) of
__________________________________________ (address), my true and lawful Attorney-
in-Fact, to act for me and in my name, place and stead, and in my behalf, and for my use and
benefit:
1.1. To exercise or perform any act, power, duty, right or obligation whatsoever that I now
have, or may hereafter acquire the legal right, power, or capacity to exercise or perform, in
connection with, arising from, or relating to any person, item, transaction, thing, business,
property, real or personal, tangible or intangible, or matter whatsoever.
1.2. To request, ask, demand, sue for, recover, collect, receive, and hold and possess all
such sums of money, debts, dues, commercial paper, checks, drafts, accounts, deposits,
legacies, bequests, devises, notes, interests, stock certificates, bonds, dividends, certificates
of deposit, annuities, pension and retirement benefits, deferred compensation, insurance
benefits and proceeds, any and all documents of title, chooses in action, personal and real
property, intangible and tangible property and property rights, and demands whatsoever,
liquidated or unliquidated, as now are, or shall hereafter become, owned by, or due, owing,
payable, or belonging to, me or in which I have or may hereafter acquire any interest, to have,
use, and take all lawful means and equitable and legal remedies, procedures, and writs in my
name for the collection and recovery thereof, and to adjust, sell, compromise, and agree for
the same, and to make, execute, and deliver for me, on my behalf, and in my name, all
endorsements, acquittances, releases, receipts, or other sufficient discharges for the same.
1.3. To maintain, repair, improve, manage, insure, rent, lease, grant, bargain, sell, exchange,
option, convey, grant easements or licenses, mortgage, encumber, hypothecate, and contract
for all of the foregoing, and in any way or manner deal with all or any part of any real or
personal property whatsoever, tangible or intangible, or any interest therein, that I now own or
may hereafter acquire, for me, in my behalf, and in my name; and to affect any or all of the
above-described transactions to any persons, firms or entities for such price or prices, and on
such terms and conditions as my Attorney-in-Fact may deem proper, and in my name to
make, execute, acknowledge and deliver a good and sufficient deed or deeds of conveyance
or other instrument or instruments necessary to effect such transactions; and to ask for,
demand, sue for, collect, recover and receive all monies which may become due and owing to
me by reason of such transaction.
1.4. To conduct, engage in, and transact any and all lawful business of whatever nature or
kind for me, on my behalf and in my name.
1.5. To receive or deposit, hold or cash all payments which I receive from Social Security,
Medicare or any other government program or agency, in addition to all other powers.
1.6 To do all acts necessary for my maintenance, health, and personal care, which my
Attorney-in-Fact may deem necessary under the circumstances.
Durable Power of Attorney — Page 1 of 4
DURABLE POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS, that I, _______________________ (name),
of __________________________________________ (address), do hereby make, constitute
and appoint ______________________________________________ (partner's name) of
__________________________________________ (address), my true and lawful Attorney-
in-Fact, to act for me and in my name, place and stead, and in my behalf, and for my use and
benefit:
1.1. To exercise or perform any act, power, duty, right or obligation whatsoever that I now
have, or may hereafter acquire the legal right, power, or capacity to exercise or perform, in
connection with, arising from, or relating to any person, item, transaction, thing, business,
property, real or personal, tangible or intangible, or matter whatsoever.
1.2. To request, ask, demand, sue for, recover, collect, receive, and hold and possess all
such sums of money, debts, dues, commercial paper, checks, drafts, accounts, deposits,
legacies, bequests, devises, notes, interests, stock certificates, bonds, dividends, certificates
of deposit, annuities, pension and retirement benefits, deferred compensation, insurance
benefits and proceeds, any and all documents of title, chooses in action, personal and real
property, intangible and tangible property and property rights, and demands whatsoever,
liquidated or unliquidated, as now are, or shall hereafter become, owned by, or due, owing,
payable, or belonging to, me or in which I have or may hereafter acquire any interest, to have,
use, and take all lawful means and equitable and legal remedies, procedures, and writs in my
name for the collection and recovery thereof, and to adjust, sell, compromise, and agree for
the same, and to make, execute, and deliver for me, on my behalf, and in my name, all
endorsements, acquittances, releases, receipts, or other sufficient discharges for the same.
1.3. To maintain, repair, improve, manage, insure, rent, lease, grant, bargain, sell, exchange,
option, convey, grant easements or licenses, mortgage, encumber, hypothecate, and contract
for all of the foregoing, and in any way or manner deal with all or any part of any real or
personal property whatsoever, tangible or intangible, or any interest therein, that I now own or
may hereafter acquire, for me, in my behalf, and in my name; and to affect any or all of the
above-described transactions to any persons, firms or entities for such price or prices, and on
such terms and conditions as my Attorney-in-Fact may deem proper, and in my name to
make, execute, acknowledge and deliver a good and sufficient deed or deeds of conveyance
or other instrument or instruments necessary to effect such transactions; and to ask for,
demand, sue for, collect, recover and receive all monies which may become due and owing to
me by reason of such transaction.
1.4. To conduct, engage in, and transact any and all lawful business of whatever nature or
kind for me, on my behalf and in my name.
1.5. To receive or deposit, hold or cash all payments which I receive from Social Security,
Medicare or any other government program or agency, in addition to all other powers.
1.6 To do all acts necessary for my maintenance, health, and personal care, which my
Attorney-in-Fact may deem necessary under the circumstances.
Durable Power of Attorney — Page 1 of 4
1.7. No person shall be required to inquire as to the circumstances of the issuance or use of
this instrument or as to the disposition of any proceeds paid to my Attorney-in-Fact based on
this instrument.
1.8. To make, receive, sign, endorse, execute, acknowledge, deliver, and possess such
applications, contracts, agreements, options, covenants, conveyances, deeds, trust deeds,
security agreements, bills of sale, leases, mortgages, assignments, insurance policies, bills of
lading, warehouse receipts, documents of title, bonds, debentures, checks, drafts, bills of
exchange, letters of credit, notes, stock certificates, proxies, warrants, commercial paper,
receipts, withdrawal receipts and deposit instruments relating to accounts of deposits in,
certificates of deposit, banks, savings and loan or other institutions, or associations, proofs of
loss, evidences of debts, releases, and satisfactions of mortgages, liens, judgments, security
agreements and other debts and obligations and such other instruments in writing of whatever
kind and nature as may be necessary or proper in the exercise of the rights and powers
herein granted.
1.9. To open any account(s) with any brokerage company with full and unlimited power and
authority to act for me and in my behalf in all matters in connection with my account(s),
however designated, and whether presently open or hereafter opened with the same force
and effect I myself might or could, and without limitation of the foregoing general authority,
specifically (a) to effect purchases and sales (including short sales), to subscribe for and to
trade in stocks, bonds, options or other securities, or limited partnership interests or
investments and trust units, whether or not in negotiable form, issued or un-issued, foreign
exchange, commodities, and contracts relating to same (including commodity futures), on
margin or otherwise, for my account and risk; (b) to deliver to you securities for my account,
and to instruct you to deliver securities from my account(s) to them or to others, and in such
name and form, including their own, as they may direct; (c) to instruct you to make payment of
monies from my account(s) with you, and to receive and direct payments therefrom payable
to them or to others; (d) to sell, assign, endorse and transfer any stocks, bonds, options or
other securities of any nature, at any time standing in my name and to execute any
documents necessary to effectuate the foregoing; (e) to receive statements of transactions
made for my account(s); to approve and confirm the same, to receive any and all notices,
calls for margin or other demands with references to my account(s); and to make any and all
agreements with you with references to my account(s); and to make any and all agreements
with you with reference thereto for me and in my behalf; (f) to sign, endorse, sell assign or
transfer any stocks, bonds, options, certificates of indebtedness or certificate which evidences
other securities of any nature at any time standing in my name and to execute any documents
necessary or proper to effectuate the foregoing.
1.10. To enter any safe deposit box, vault or other storage area leased by me alone or in
conjunction with any other person, to sign such documents as may be necessary to gain
access to same, and to examine, remove and keep the contents of same as fully as I could if I
were present.
1.11. To prepare, or cause to be prepared, tax returns and Internal Revenue Service powers
of attorney; to execute and file tax returns on my behalf and in my name; and to settle tax
disputes.
Durable Power of Attorney — Page 2 of 4
1.12. To deal with and elect options under retirement plans including, but not limited to
pension plans, profit sharing plans, individual retirement accounts, rollovers and voluntary
contributions; to fund inter vivo trusts; to borrow funds to avoid forced liquidation of assets; to
apply for and maintain life insurance; to enter into buy-sell agreements; to forgive and collect
debts; to complete charitable contributions; to make statutory elections and disclaimers; to
pay salaries of employees and independent contractors; to settle, pursue, or appeal litigation
on my behalf and in my name.
1.13. To admit me into a hospital when I need medical or physical care; to authorize medical
and related personnel to perform surgery; operations or any other treatment upon me; and to
do or authorize any other act for my benefit and physical welfare. Said Attorney-in-Fact shall,
in no way, be liable for any act or occurrence under this or any other power granted by this
Durable Power of Attorney.
1.14. I grant to said Attorney-in-Fact full power and authority to do, take, and perform all and
every act and thing whatsoever a requisite, proper, or necessary to be done, in the exercise
of any of the rights and powers herein granted, as fully to all intents and purposes as I might
or could do if personally present, with full power of substitution or revocations, hereby ratifying
and confirming all that said Attorney-in-Fact, or other substitute or substitutes, shall lawfully
do or cause to be done by virtue of this power of attorney and the rights and powers herein
granted.
1.15. This instrument is a Durable Power of Attorney and shall not be affected by disability of
the Principal, except as provided by statute. The enumeration of specific terms rights, acts or
powers herein is not intended to nor does it limit or restrict, and is not to be construed or
interpreted as limiting or restricting, the general powers herein granted to said Attorney-in-
Fact.
1.16. The rights, powers, and authority of said Attorney-in-Fact herein granted shall
commence and be in full force and effect thereafter until I, the Principal, give written notice to
said Attorney-in-Fact that this instrument is no longer in effect.
UNLESS YOU DIRECT OTHERWISE ABOVE, THIS POWER OF ATTORNEY IS
EFFECTIVE IMMEDIATELY AND WILL CONTINUE UNTIL IT IS REVOKED.
This power of attorney shall not be affected by subsequent disability or incapacity of the
principal, or lapse of time.
STRIKE THE PRECEDING SENTENCE IF YOU DO NOT WANT THIS POWER
OF ATTORNEY TO CONTINUE IF YOU BECOME DISABLED, INCAPACITATED,
OR INCOMPETENT.
I agree that any third party who receives a copy of this document may act under it.
Revocation of the power of attorney is not effective as to a third party until the third party
learns of the revocation. I agree to indemnify the third party for any claims that arise against
the third party because of reliance on this power of attorney.
Durable Power of Attorney — Page 3 of 4
Signed this _____ day of _______________, ______.
_____________________________________________
Signature
Name: ______________________________
Address: ____________________________
____________________________________
The principal is personally known to me and I believe the principal to be of sound mind. I am
eighteen (18) years of age or older. I am not related to the principal by blood or marriage, or
related to the attorney-in-fact by blood or marriage. The principal has declared to me that this
instrument is his power of attorney granting to the named attorney-in-fact the power and
authority specified herein, and that he has willingly made and executed it as his free and
voluntary act for the purposes herein expressed.
Witness #1 Printed Name: ______________________________
Witness #1 Signature: _________________________________
Witness #2 Printed Name: ______________________________
Witness #2 Signature: _________________________________
CERTIFICATE OF ACKNOWLEDGMENT OF NOTARY PUBLIC
State of Oklahoma
}
County of ____________ }
Before me, the undersigned authority, on this ____ day of _______________, ______,
personally
appeared
________________________________________
(principal),
_____________________________
(witness),
and
___________________________
(witness), whose names are subscribed to the foregoing instrument in their respective
capacities, and all of said persons being by me duly sworn, the principal declared to me and
to the said witnesses in my presence that the instrument is his or her power of attorney, and
that the principal has willingly and voluntarily made and executed it as the free act and deed
of the principal for the purposes therein expressed, and the witnesses declared to me that
they were each eighteen (18) years of age or over, and that neither of them is related to the
principal by blood or marriage, or related to the attorney-in-fact by blood or marriage.
WITNESS my hand and official seal.
________________________________
Notary Public
My commission expires:
My Commission number is:
Durable Power of Attorney — Page 4 of 4