20210312 - Owners Consent · EXE21/0023

6. STATEMENT OF UNDERSTANDING

(1) | fully understand that, by signing Form 1 of this document, | give power to the
attorney/s mentioned in clause 1 to make decisions on my behalf about
personal/health matters.

(2) understand that | may specify or limit the attorney/s power, and instruct the
attorney/s about the exercise of the power.

(3) | understand that this gives the attorney/s power to do, for me, anything | could
lawfully do myself in relation to these matters (except for special personal/health
matters), subject to any terms mentioned in this form.

(4) | understand that, because of the Act, the power given to my attorney/s in clause 1

begins only when (if ever) | become incapable of understanding the nature and
foreseeing the effects of such decisions, or of communicating those decisions.

(5) | understand that | may change or revoke this enduring power of attorney at any time
so long as my power to make such a decision is not impaired - in other words, so long

as |am capable of making another enduring power of attorney.

[Principal signs here]

or

 
  

If you are signing for principal: sr Lil

[Witness ae) Ye

(a) lam atleast eighteen years old

(b) |am nota witness for this enduring power
of attorney or an attorney for the principal.

yy

[Witness writes the date here]

   

[Write the date here]