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_____________________ (printed name of witness) Address: _____________________ _____________________ _____________________ in writing by me. Executed as a deed By: _____________________ (printed name of donor) Donor Signature: _____________________ In the presence of: Witness Signature: _____________________ Full Name: t the attorney can do ­ e.g. cancel my mobile phone connection with Orange) The authority of the above named attorney shall cease on the expiry of ____ months from today's date or earlier if revoked may be necessary or desirable in connection with ________________________________________________________________ ________________________________________________________________ (enter details of wha of _________________________________ (enter address of attorney)] to be my true and lawful attorney with full power in my name and on my behalf to do, sign or execute all acts, documents or deeds as f ___________ (month) _______ (year) by me, __________________ (name of donor) of __________________________________________ (full address) I APPOINT ________________________ (enter name of attorney) USE OF THESE MATERIALS. The use of these materials is subject to the "Terms and Conditions" found at findlegalforms.com. SPECIFIC POWER OF ATTORNEY THIS POWER OF ATTORNEY is made this _______ day oDATE OR PROFITS; OR BUSINESS INTERRUPTION) HOWEVER USED AND ON ANY THEORY OF LIABILITY, WHETHER IN CONTRACT, STRICT LIABILITY, OR TORT (INCLUDING NEGLIGENCE OR OTHERWISE) ARISING IN ANY WAY OUT OF THE, BE RESPONSIBLE OR LIABLE FOR ANY DIRECT, INDIRECT, INCIDENTAL, SPECIAL, EXEMPLARY, OR CONSEQUENTIAL DAMAGES (INCLUDING, BUT NOT LIMITED TO, PROCUREMENT OF SUBSTITUTE GOODS OR SERVICES; LOSS OF USE, ATERIALS FOR YOUR PARTICULAR NEEDS. THE MATERIALS ARE USED AT YOUR OWN RISK. IN NO EVENT WILL: I) FLF, ITS AGENTS, PARTNERS, OR AFFILIATES; OR II) THE PROVIDERS, AUTHORS OR PUBLISHERS OF ITS MATERIALSionship is created by use of these materials. THESE MATERIALS ARE PROVIDED "AS-IS." FLF DOES NOT GIVE ANY EXPRESS OR IMPLIED WARRANTIES OF MERCHANTABILITY, SUITABILITY OR COMPLETENESS FOR ANY OF THE Mubstitute for legal advice. Only an attorney / solicitor can provide legal advice. An attorney/solicitor should be consulted for all serious legal matters. No Attorney-Client / Solicitor-Client relatndependent third party (ie not the person who will be the Attorney). DISCLAIMER: FindLegalForms, Inc. ("FLF") is not a law firm and does not provide legal advice. The use of these materials is not a srevocation. A copy of the Deed of Revocation should be sent to each Attorney. Please look at our website to purchase the Deed of Revocation. The Power must be signed by the Donor and witnessed by an iis important to note that when using a Deed of Revocation it is necessary to inform the Attorney(s) of the revocation as the Attorney's authority does not cease until he or she receives notice of the ch the authority of the Attorney under the power will cease. In the event the Donor wishes for the power to cease before this end date then use the Deed of Revocation document to revoke the Power. It what powers the Attorney has to deal with your affairs. Please try and be as detailed as possible. Finally please ensure that you insert the number of months (or a specific date if you want) under whi sees fit. The Power of Attorney is really self explanatory. You will need to enter the full names and addresses of the Donor and the Attorney where indicated. You will also need to insert details of ile phone contract). The point is the Attorney's powers are limited. This is to be compared with our General Power of Attorney which gives the Attorney power to deal with all the Donor's affairs as he state that the Attorney's powers are limited to dealing on your behalf in relation to a dispute you are having with the Council. Or quite simply to sign a specific document on your behalf (e.g. a mob an Ordinary Power of Attorney to be registered. This Power of Attorney has been drafted to allow you to limit the Attorney's discretion to deal with your affairs as you see fit. For example you couldend either at a specified time or upon the request of the Donor at any time using a Deed of Revocation and will automatically be revoked if the Donor loses mental capacity. There is no requirement forin cases where the Donor is going abroad or is unable to act for some other reason and wishes someone else to have the authority to act on his or her behalf. A Specific Power of Attorney will usually s) (known as the Attorney) the power to take decisions with regard to specific financial and/or personal affairs of the Donor. A Specific Power of Attorney is usually created for a set period of time COMMENTARY SPECIFIC POWER OF ATTORNEY A Specific Power of Attorney is a very powerful legal document. It is a legal document that allows a person (known as the Donor) to give another person (or person