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8.0 Power Of Attorney Confirmation
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that this is a true copy
(Third attorney, if any, completer thie section) si on .t.
12. l, , stote thot:
[Print your full name herel
I om eighteen or over,
I qm not o current poid corer of the principol,
I om not o current heolth-core provider for the prindpol,
I hove reod Part 1, giving me enduring power of attomey,
I understond that, by signtung this document, I toke on the responsibility of
exercising the power I hove been given in the document,
I olso understcrnd thot I must exetcise the power in sccordance with the Powers of
AttomE Ad 1998 ond the Guardianshtp and Adminktration Act 200A.
[Sign here]
[Write the dote here]
r8
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