THIS TYPE POWER OF ATTORNEY is made this 30 October 2025 by PARTY_1_NAME, Identification number: DONOR_ID of PARTY_1_ADDRESS_SINGLE_LINE.
I hereby revoke any previous power of attorney for financial affairs and appoint PARTY_2_NAME, Identification number: of PARTY_2_ADDRESS_SINGLE_LINE and PARTY_3_NAME, Identification number: ATT2_ID of PARTY_3_ADDRESS_SINGLE_LINE (the "Attorneys") as my true and lawful attorneys to act JOINTLY on my behalf
| ☐ to collect any income due to me; |
| ☐ to collect any capital due to me; |
| ☐ to sell any of my movable property; |
| ☐ to sell, lease or surrender my home or any of my immovable property; |
| ☐ to spend any of my income; |
| ☐ to spend any of my capital; |
| ☐ to exercise any of my powers as a trustee. |
This Power is valid upon execution. The Attorney shall act with my consent when I still have mental capacity. I intend this power of attorney to continue even if I become mentally incapable.
This Power is governed by and shall be construed in accordance with the laws of JURISDICTION_COUNTRY.
In witness whereof I have hereunto set my hand and seal.
| SIGNED, SEALED and DELIVERED | ) |
| by | ) |
| in the presence of: | ) |
| [specify the name(s) of the 2 directors / witnesses] | ) |
| Name, address and signature of witnesses - |
| Signature: |
| Name: |
| Address: |
| Signature: |
| Name: |
| Address: |
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