20210312 - Owners Consent · EXE21/0023

FORM 3: ATTORNEY'S ACCEPTANCE

 

As attorney, you complete the section of this form that applies to you by writing
on the lines and ticking the boxes. If you are not able to tick all the boxes
truthfully, then you must not accept this appointment as attorney.

(a) Acceptance by attorney/s for personal/health matters

(First or only attorney completes this section)
16. |, Simon Michael Morrison, state that:
[J lam eighteen or over,
we lam not a current paid carer of the principal,
[4 lam nota current health-care provider for the principal,
7 | have read Form 1 of this document, giving me enduring power of attorney for
personal/health matters,
4 | understand that, by signing this document, | take on the responsibility of exercising
the power | have been given in the document,
i | also understand that | must exercise the power in accordance with the Powers of
Attorney Act 1998 and the Guardianship and Administration Act 2000.

cst cnt NOEMBER 2017

(Write your signature here. [Write the date here]

  

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