Wisconsin Legislature: AB704,46,2

1Your agent is entitled to reasonable compensation
2unless you state otherwise in the special instructions.

AB704,44,7 3This form provides for designation of one agent. If you
4wish to name more than one agent you may name a coagent in
5the special instructions. Coagents are not required to act
6together unless you include that requirement in the special
7instructions.

AB704,44,10 8If your agent is unable or unwilling to act for you, your
9power of attorney will end unless you have named a
10successor agent. You may also name a 2nd successor agent.

AB704,44,15 11This power of attorney becomes effective immediately
12unless you state otherwise in the special instructions. This
13power of attorney does not revoke any power of attorney
14executed previously unless you so provide in the special
15instructions.

AB704,44,21 16if you revoke this power of attorney, you should notify
17your agent and any other person to whom you have given a
18copy. If your agent is your spouse or domestic partner and
19your marriage in annulled or you are divorced or legally
20separated or the domestic partnership is terminated after
21signing this document, the document is invalid.

AB704,44,24 22If you have questions about the power of attorney or the
23authority you are granting to your agent, you should seek
24legal advice before signing this form.

AB704,44,2525 DESIGNATION OF AGENT

AB704,45,1

1I .... (name of principal) name the following person as my agent:

AB704,45,22 Name of agent: ....

AB704,45,33 Agent's address: ....

AB704,45,44 Agent's telephone number: ....

AB704,45,65 DESIGNATION OF SUCCESSOR AGENT(S)
6(OPTIONAL)

AB704,45,77 If my agent is unable or unwilling to act for me, I name as my successor agent:

AB704,45,88 Name of successor agent: ....

AB704,45,99 Successor agent's address: ....

AB704,45,1010 Successor agent's telephone number: ....

AB704,45,1211 If my successor agent is unable or unwilling to act for me, I name as my 2nd
12successor agent:

AB704,45,1313 Name of 2nd successor agent: ....

AB704,45,1414 Second successor agent's address: ....

AB704,45,1515 Second successor agent's telephone number: ....

AB704,45,1616 GRANT OF GENERAL AUTHORITY

AB704,45,1917 I grant my agent and any successor agent general authority to act for me with
18respect to the following subjects as defined in the Uniform Power of Attorney for
19Finances and Property Act in chapter 244 of the Wisconsin statutes:

AB704,45,2020 INITIAL each subject you want to include in the agent's general authority.

AB704,45,2121 .... Real property

AB704,45,2222 .... Tangible personal property

AB704,45,2323 .... Stocks and bonds

AB704,45,2424 .... Commodities and options

AB704,45,2525 .... Banks and other financial institutions

AB704,46,1

1.... Operation of entity or business

AB704,46,22 .... Insurance and annuities

AB704,46,33 .... Estates, trusts, and other beneficial interests

AB704,46,44 .... Claims and litigation

AB704,46,55 .... Personal and family maintenance

AB704,46,66 .... Benefits from governmental programs or civil or military service

AB704,46,77 .... Retirement plans

AB704,46,88 .... Taxes

AB704,46,99 LIMITATION ON AGENT'S AUTHORITY

AB704,46,1210 An agent who is not my spouse or domestic partner MAY NOT use my property
11to benefit the agent or a person to whom the agent owes an obligation of support
12unless I have included that authority in the special instructions.

AB704,46,1313 SPECIAL INSTRUCTIONS (OPTIONAL)

AB704,46,1414 You may give special instructions in the following space ....

AB704,46,2020 EFFECTIVE DATE

AB704,46,2221 This power of attorney is effective immediately unless I have stated otherwise
22in the special instructions.

AB704,46,2323 NOMINATION OF GUARDIAN (OPTIONAL)

AB704,46,2524 If it becomes necessary for a court to appoint a guardian of my estate or
25guardian of my person, I nominate the following person(s) for appointment:

AB704,47,1

1Name of nominee for guardian of my estate: ....

AB704,47,22 Nominee's address: ....

AB704,47,33 Nominee's telephone number: ....

AB704,47,44 Name of nominee for guardian of my person: ....

AB704,47,55 Nominee's address: ....

AB704,47,66 Nominee's telephone number: ....

AB704,47,87 RELIANCE ON THIS POWER OF
8 ATTORNEY FOR FINANCES AND PROPERTY

AB704,47,119 Any person, including my agent, may rely upon the validity of this power of
10attorney or a copy of it unless that person knows that the power of attorney has been
11terminated or is invalid.

AB704,47,1212 SIGNATURE AND ACKNOWLEDGMENT

AB704,47,1313 Your signature .... Date ....

AB704,47,1414 Your name printed ....

AB704,47,1515 Your address ....

AB704,47,1616 Your telephone number ....

AB704,47,1717 State of ....

AB704,47,1818 County of ....

AB704,47,2019 This document was acknowledged before me on .... (date), by .... (name of
20principal).

AB704,47,2121 (Seal, if any)

AB704,47,2222 Signature of notary ....

AB704,47,2323 My commission expires: ....

AB704,47,2424 This document prepared by: ....

AB704,47,2525 IMPORTANT INFORMATION FOR AGENT

AB704,48,1

1AGENT'S DUTIES

AB704,48,7 2When you accept the authority granted under this power
3of attorney, a special legal relationship is created between
4you and the principal. This relationship imposes upon you
5legal duties that continue until you resign or the power of
6attorney is terminated or revoked. You must do all of the
7following:

AB704,48,10 8(1) Do what you know the principal reasonably expects you
9to do with the principal's property or, if you do not know the
10principal's expectations, act in the principal's best interest.

AB704,48,11 11(2) Act in good faith.

AB704,48,13 12(3) Do nothing beyond the authority granted in this power
13of attorney.

AB704,48,17 14(4) Disclose your identity as an agent whenever you act
15for the principal by writing or printing the name of the
16principal and signing your own name as "agent" in the
17following manner:

AB704,48,1818 .... (principal's name) by .... (your signature) as agent

AB704,48,20 19Unless the special instructions in this power of attorney
20state otherwise, you must also do all of the following:

AB704,48,21 21(1) Act loyally for the principal's benefit.

AB704,48,23 22(2) Avoid conflicts that would impair your ability to act in
23the principal's best interest.

AB704,48,24 24(3) Act with care, competence, and diligence.

AB704,49,2

1(4) Keep a record of all receipts, disbursements, and
2transactions made on behalf of the principal.

AB704,49,6 3(5) Cooperate with any person that has authority to make
4health-care decisions for the principal to do what you know
5the principal reasonably expects or, if you do not know the
6principal's expectations, to act in the principal's best interest.

AB704,49,9 7(6) Attempt to preserve the principal's estate plan if you
8know the plan and preserving the plan is consistent with the
9principal's best interest.

AB704,49,10 10Termination of Agent's Authority

AB704,49,15 11You must stop acting on behalf of the principal if you
12learn of any event that terminates this power of attorney or
13your authority under this power of attorney. Events that
14terminate a power of attorney or your authority to act under
15a power of attorney include all of the following:

AB704,49,16 16(1) Death of the principal.

AB704,49,18 17(2) The principal's revocation of the power of attorney or
18your authority.

AB704,49,20 19(3) The occurrence of a termination event stated in the
20power of attorney.