20210312 - Owners Consent · EXE21/0023

CERTIFICATE OF WITNESS TO FORM 1

 

Your role goes beyond ensuring that the signature of the principal (the person
giving the power) is genuine. You certify that the principal appeared to
understand the matters stated in clause 6 (Statement of understanding). In the
future, you may have to provide information about the principal's capacity to
understand these matters when giving the power. If you are doubtful about the
principal's capacity, you should make appropriate inquiries, e.g. from the
principal's doctor.

It is strongly recommended that, if you are in any doubt, you make a written
record of the proceedings and of any questions you asked to determine the
principal's capacity.

To Uy cssseessssssseseesnssseee fate aA... Winey Ceaneieep TRUK), state that -
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a), lama:

justice of the peace
LE] commissioner for declarations
[-] lawyer
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notary public,

b) lam not:
an attorney for the principal

Hor arelation of the principal or of the principal's attorney/s
™@ ~~ oracurrent paid carer or current health-care provider for the principal,
Note: ‘Paid carer’ does not mean someone receiving a carer's pension or similar benefit.

(Tick one box only)

the principal signed this enduring power of attorney in my presence

in my presence, the principal instructed a person to sign this enduring power of
attorney for the principal, and that person signed it in my presence and in the
presence of the principal

OIWe

and
(d) at the time that this enduring power of attorney was signed, the principal appeared
to me to understand the matters stated in clause 6.

 

[Witness writes the date here]

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