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  • 1

    Background information

    A general power of attorney is a legal document that allows you (the "principal" ) to nominate one or more persons (referred to as "attorneys" ) to act on your behalf. A general power of attorney gives the attorney the authority, if you choose, to manage your legal and financial affairs, including buying and selling real estate, shares and other assets for you, operating your bank accounts, and spending money on your behalf.

    A general power of attorney ceases if you lose your mental capacity after its execution. If you wish the power of attorney to continue if you lose your mental capacity, use the Enduring Power of Attorney prescribed form. An attorney under a general power of attorney cannot make decisions about your lifestyle or health. These decisions can only be made by a guardian (whether an enduring guardian appointed by you or a guardian appointed by the Civil and Administrative Tribunal or the Supreme Court).

    You may set whatever limitations or conditions on your attorney that you choose. An attorney must always act in your best interest. If your attorney does not follow your directions or does not act in your best interest, you should revoke the power of attorney. You or someone on your behalf should inform the attorney of the revocation, preferably in writing. The attorney must then immediately cease to act as your attorney. If anyone else, such as a bank, has been advised about the power of attorney, that person or entity should also be informed of the revocation.

    The Important information set out at the end of this form includes notes to assist in completing this form and more fully explains the role and responsibilities of an attorney.

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  • 2
    Principal -The person who appoints the attorney is known as the principal.
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  • 3
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  • 4
    Please Select
    • Please Select
    • Afghanistan
    • Albania
    • Algeria
    • American Samoa
    • Andorra
    • Angola
    • Anguilla
    • Antigua and Barbuda
    • Argentina
    • Armenia
    • Aruba
    • Australia
    • Austria
    • Azerbaijan
    • The Bahamas
    • Bahrain
    • Bangladesh
    • Barbados
    • Belarus
    • Belgium
    • Belize
    • Benin
    • Bermuda
    • Bhutan
    • Bolivia
    • Bosnia and Herzegovina
    • Botswana
    • Brazil
    • Brunei
    • Bulgaria
    • Burkina Faso
    • Burundi
    • Cambodia
    • Cameroon
    • Canada
    • Cape Verde
    • Cayman Islands
    • Central African Republic
    • Chad
    • Chile
    • China
    • Christmas Island
    • Cocos (Keeling) Islands
    • Colombia
    • Comoros
    • Congo
    • Cook Islands
    • Costa Rica
    • Cote d'Ivoire
    • Croatia
    • Cuba
    • Curaçao
    • Cyprus
    • Czech Republic
    • Democratic Republic of the Congo
    • Denmark
    • Djibouti
    • Dominica
    • Dominican Republic
    • Ecuador
    • Egypt
    • El Salvador
    • Equatorial Guinea
    • Eritrea
    • Estonia
    • Ethiopia
    • Falkland Islands
    • Faroe Islands
    • Fiji
    • Finland
    • France
    • French Polynesia
    • Gabon
    • The Gambia
    • Georgia
    • Germany
    • Ghana
    • Gibraltar
    • Greece
    • Greenland
    • Grenada
    • Guadeloupe
    • Guam
    • Guatemala
    • Guernsey
    • Guinea
    • Guinea-Bissau
    • Guyana
    • Haiti
    • Honduras
    • Hong Kong
    • Hungary
    • Iceland
    • India
    • Indonesia
    • Iran
    • Iraq
    • Ireland
    • Israel
    • Italy
    • Jamaica
    • Japan
    • Jersey
    • Jordan
    • Kazakhstan
    • Kenya
    • Kiribati
    • North Korea
    • South Korea
    • Kosovo
    • Kuwait
    • Kyrgyzstan
    • Laos
    • Latvia
    • Lebanon
    • Lesotho
    • Liberia
    • Libya
    • Liechtenstein
    • Lithuania
    • Luxembourg
    • Macau
    • Macedonia
    • Madagascar
    • Malawi
    • Malaysia
    • Maldives
    • Mali
    • Malta
    • Marshall Islands
    • Martinique
    • Mauritania
    • Mauritius
    • Mayotte
    • Mexico
    • Micronesia
    • Moldova
    • Monaco
    • Mongolia
    • Montenegro
    • Montserrat
    • Morocco
    • Mozambique
    • Myanmar
    • Nagorno-Karabakh
    • Namibia
    • Nauru
    • Nepal
    • Netherlands
    • Netherlands Antilles
    • New Caledonia
    • New Zealand
    • Nicaragua
    • Niger
    • Nigeria
    • Niue
    • Norfolk Island
    • Turkish Republic of Northern Cyprus
    • Northern Mariana
    • Norway
    • Oman
    • Pakistan
    • Palau
    • Palestine
    • Panama
    • Papua New Guinea
    • Paraguay
    • Peru
    • Philippines
    • Pitcairn Islands
    • Poland
    • Portugal
    • Puerto Rico
    • Qatar
    • Republic of the Congo
    • Romania
    • Russia
    • Rwanda
    • Saint Barthelemy
    • Saint Helena
    • Saint Kitts and Nevis
    • Saint Lucia
    • Saint Martin
    • Saint Pierre and Miquelon
    • Saint Vincent and the Grenadines
    • Samoa
    • San Marino
    • Sao Tome and Principe
    • Saudi Arabia
    • Senegal
    • Serbia
    • Seychelles
    • Sierra Leone
    • Singapore
    • Slovakia
    • Slovenia
    • Solomon Islands
    • Somalia
    • Somaliland
    • South Africa
    • South Ossetia
    • South Sudan
    • Spain
    • Sri Lanka
    • Sudan
    • Suriname
    • Svalbard
    • eSwatini
    • Sweden
    • Switzerland
    • Syria
    • Taiwan
    • Tajikistan
    • Tanzania
    • Thailand
    • Timor-Leste
    • Togo
    • Tokelau
    • Tonga
    • Transnistria Pridnestrovie
    • Trinidad and Tobago
    • Tristan da Cunha
    • Tunisia
    • Turkey
    • Turkmenistan
    • Turks and Caicos Islands
    • Tuvalu
    • Uganda
    • Ukraine
    • United Arab Emirates
    • United Kingdom
    • United States
    • Uruguay
    • Uzbekistan
    • Vanuatu
    • Vatican City
    • Venezuela
    • Vietnam
    • British Virgin Islands
    • Isle of Man
    • US Virgin Islands
    • Wallis and Futuna
    • Western Sahara
    • Yemen
    • Zambia
    • Zimbabwe
    • Other
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  • 5
    Answer 'no' for a single attorney.
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  • 6
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  • 7

    1. Appointment of attorney by the Principal


    I, {principalsName},
    of address at {principalsAddress}
    (“Principal”)

    appoint

    {attorneysName92[1]}

    of

    {attorneysName92[2]}

    to be my attorney ('Attorney').

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  • 8
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  • 9

    1. Appointment of attorney by the Principal


    I, {principalsName},
    of address at {principalsAddress}
    (“Principal”)

    appoint

    {attorneysName92[1]}

    of

    {attorneysName92[2]}

    and also appoint

    {secondAttorneys93[1]}

    of

    {secondAttorneys93[2]}

    to be my attorneys ('Attorneys').

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  • 10
    (Click the option that applies)
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  • 11
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  • 12
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  • 13

    Nomination of substitute attorney/s (optional)
    [If your attorney/s vacates office, you have the option to nominate someone else to take their place.]

    If my attorney/s vacate/s office, I {principalsName} of {principalsAddress} appoint:
    {substituteAttorneys89} of {substituteAttorneys90},
    to be my substitute attorney/s. 
    (“Substitute attorney/s”).

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  • 14

    Nomination of substitute attorney/s (optional)

    [If your attorney/s vacates office, you have the option to nominate someone else to take their place.]

    If my attorney/s vacate/s office, I {principalsName} of {principalsAddress}

    appoint:

    {detailsOf[1]}

    of

    {detailsOf[2]},

    to be my substitute attorney/s.
    (“Substitute attorney/s”).

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  • 15
    [If your attorney/s vacates office, you have the option to nominate someone else to take their place.] Only complete this section if more than one substitute attorney is appointed. My substitute attorney/s are to be appointed:
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  • 16

    My attorney/s may exercise the authority conferred on my attorney/s by Part 2 of the Powers of Attorney Act 2003 to do anything on my behalf I may lawfully authorise an attorney to do.

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  • 17
    You may also choose to allow your attorney to use your money and assets to pay for those things listed here in (a)-(c). [Only tick those boxes which you wish to apply.]
    1 of 3
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  • 18
    I place the following limits and/or conditions on the authority of my attorney/s:
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    quoteCreated with Sketch.
    Ok
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  • 19
    THIS POWER OF ATTORNEY OPERATES: (Tick the option that applies)
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  • 20

    Attorney responsibilities


    Your attorney must do the following:

    a)              Keep your money and property separate from the attorney’s money and property.

    b)              Keep reasonable accounts and records of your money and property.

    c)              Not benefit from being an attorney, unless expressly authorised by you.

    d)              Always act in your best interests.

    e)              Always act honestly in all matters concerning your legal and financial affairs.

    Failure to do so may incur civil and/or criminal penalties.

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  • 21
    -
    Pick a Date
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  • 22
    Powered by Jotform SignClear
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  • 23
    -
    Pick a Date
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  • 24
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  • 25
    Powered by Jotform SignClear
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  • 26

    Your signature to make the appointment

     

     

    {principalsSignature}

    {principalsName}

    {date}

     

     

    {witnessSignature}

    {nameOf}

    {date71}

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