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WASHINGTON <br /> LIMITED POWER OF ATTORNEY FORM <br /> I. NOTICE - This legal document grants you (Hereinafter referred to as the <br /> "Principal") the right to transfer limited financial powers to someone else <br /> (Hereinafter referred to as the "Attorney-in-Fact"), limited financial powers <br /> are described as: any specific financial act legal under law. The Principal's <br /> transfer of limited financial powers to the Attorney-in-Fact are granted upon <br /> authorization of this agreement, and ONLY remains in effect until the <br /> completion of said act, unless the Principal becomes incapacitated <br /> (incapacitation is described in Paragraph II). This agreement does not authorize <br /> the Attorney-in-Fact to make medical decisions for the Principal. The Principal <br /> continues to retain every right to all their financial decision making power and <br /> may revoke this Limited Power of Attorney Form at anytime. The Principal <br /> may include restrictions or requests pertaining to the financial decision making <br /> power of the Attorney-in-Fact. It is the intent of the Attorney-in-Fact to act in <br /> the Principal's wishes put forth, or, to make financial decisions that fit the <br /> Principal's best interest. All parties authorizing this agreement must be at least <br /> 1-8 years of age and acting under no false pressures or outside influences. Upon <br /> authorization of this Limited Power of Attorney Form, it will revoke any <br /> previously valid Limited Power of Attorney Form. <br /> II. INCAPACITATION - The powers granted to the Attorney-in-Fact by the <br /> Principal in this Limited Power of Attorney Form DO NOT stay in effect upon <br /> incapacitation by the Principal, incapacitation is describes as: A medical <br /> physician stating verbally or in writing that the Principal can no longer make <br /> decisions for them self. <br /> III. REVOCATION - The Principal has the right to revoke this Limited Power of <br /> Attorney Form at anytime. Any revocation will be effective if the Principal: <br /> A. Authorizes a new Limited Power of Attorney Form. <br /> B. Authorizes a Power of Attorney Revocation Form. <br /> IV. WITNESS £t NOTARY - This document is not valid as a Limited Power of <br /> Attorney unless it is acknowledged before a notary public or is signed by at <br /> least two adult witnesses who are present when the Principal signs or <br /> acknowledges the Principal's signature. It is recommended to have this <br /> Limited Power of Attorney Form notarized. <br />