SB715,27,2017 YOU SHOULD SELECT SOMEONE YOU TRUST TO SERVE AS YOUR
18AGENT. UNLESS YOU SPECIFY OTHERWISE, GENERALLY THE AGENT'S
19AUTHORITY WILL CONTINUE UNTIL YOU DIE OR REVOKE THE POWER OF
20ATTORNEY OR THE AGENT RESIGNS OR IS UNABLE TO ACT FOR YOU.
SB715,27,2221 YOUR AGENT IS ENTITLED TO REASONABLE COMPENSATION
22UNLESS YOU STATE OTHERWISE IN THE SPECIAL INSTRUCTIONS.
SB715,28,223 THIS FORM PROVIDES FOR DESIGNATION OF ONE AGENT. IF YOU
24WISH TO NAME MORE THAN ONE AGENT YOU MAY NAME A COAGENT IN
25THE SPECIAL INSTRUCTIONS. COAGENTS ARE NOT REQUIRED TO ACT

1TOGETHER UNLESS YOU INCLUDE THAT REQUIREMENT IN THE SPECIAL
2INSTRUCTIONS.
SB715,28,53 IF YOUR AGENT IS UNABLE OR UNWILLING TO ACT FOR YOU, YOUR
4POWER OF ATTORNEY WILL END UNLESS YOU HAVE NAMED A
5SUCCESSOR AGENT. YOU MAY ALSO NAME A 2ND SUCCESSOR AGENT.
SB715,28,106 THIS POWER OF ATTORNEY BECOMES EFFECTIVE IMMEDIATELY
7UNLESS YOU STATE OTHERWISE IN THE SPECIAL INSTRUCTIONS. THIS
8POWER OF ATTORNEY DOES NOT REVOKE ANY POWER OF ATTORNEY
9EXECUTED PREVIOUSLY UNLESS YOU SO PROVIDE IN THE SPECIAL
10INSTRUCTIONS.
SB715,28,1611 IF YOU REVOKE THIS POWER OF ATTORNEY, YOU SHOULD NOTIFY
12YOUR AGENT AND ANY OTHER PERSON TO WHOM YOU HAVE GIVEN A
13COPY. IF YOUR AGENT IS YOUR SPOUSE OR DOMESTIC PARTNER AND
14YOUR MARRIAGE IS ANNULLED OR YOU ARE DIVORCED OR LEGALLY
15SEPARATED OR THE DOMESTIC PARTNERSHIP IS TERMINATED AFTER
16SIGNING THIS DOCUMENT, THE DOCUMENT IS INVALID.
SB715,28,1917 IF YOU HAVE QUESTIONS ABOUT THE POWER OF ATTORNEY OR THE
18AUTHORITY YOU ARE GRANTING TO YOUR AGENT, YOU SHOULD SEEK
19LEGAL ADVICE BEFORE SIGNING THIS FORM.
SB715,28,2020 DESIGNATION OF AGENT
SB715,28,2121 I .... (name of principal) name the following person as my agent:
SB715,28,2222 Name of agent: ....
SB715,28,2323 Agent's address: ....
SB715,28,2424 Agent's telephone number: ....
SB715,28,2525 DESIGNATION OF SUCCESSOR AGENT(S) (OPTIONAL)
SB715,29,1
1If my agent is unable or unwilling to act for me, I name as my successor agent:
SB715,29,22 Name of successor agent: ....
SB715,29,33 Successor agent's address: ....
SB715,29,44 Successor agent's telephone number: ....
SB715,29,65 If my successor agent is unable or unwilling to act for me, I name as my 2nd
6successor agent:
SB715,29,77 Name of 2nd successor agent: ....
SB715,29,88 Second successor agent's address: ....
SB715,29,99 Second successor agent's telephone number: ....
SB715,29,1010 GRANT OF GENERAL AUTHORITY
SB715,29,1311 I grant my agent and any successor agent general authority to act for me with
12respect to the following subjects as defined in the Uniform Power of Attorney for
13Finances and Property Act in chapter 244 of the Wisconsin statutes:
SB715,29,1414 INITIAL each subject you want to include in the agent's general authority.
SB715,29,1515 .... Real property
SB715,29,1616 .... Tangible personal property
SB715,29,1717 .... Stocks and bonds
SB715,29,1818 .... Commodities and options
SB715,29,1919 .... Banks and other financial institutions
SB715,29,2020 .... Operation of entity or business
SB715,29,2121 .... Insurance and annuities
SB715,29,2222 .... Estates, trusts, and other beneficial interests
SB715,29,2323 .... Claims and litigation
SB715,29,2424 .... Personal and family maintenance
SB715,29,2525 .... Benefits from governmental programs or civil or military service
SB715,30,1
1.... Retirement plans
SB715,30,22 .... Taxes
SB715,30,33 LIMITATION ON AGENT'S AUTHORITY
SB715,30,64 An agent who is not my spouse or domestic partner MAY NOT use my property
5to benefit the agent or a person to whom the agent owes an obligation of support
6unless I have included that authority in the special instructions.
SB715,30,7 7ACCESS TO DIGITAL ASSETS
SB715,30,10 8If I have checked "Yes" to the following, my agent may access the content of
9electronic communications on my behalf. If I have checked "No" to the following, my
10agent may not access the content of electronic communications on my behalf.
SB715,30,11 11Access to content of electronic communications — Yes.... No....
SB715,30,13 12If I have not checked either "Yes" or "No" immediately above, my agent may not
13access the content of electronic communications on my behalf.
SB715,30,1414 SPECIAL INSTRUCTIONS (OPTIONAL)
SB715,30,1515 You may give special instructions in the following space ....
SB715,30,1616 EFFECTIVE DATE
SB715,30,1817 This power of attorney is effective immediately unless I have stated otherwise
18in the special instructions.
SB715,30,1919 NOMINATION OF GUARDIAN (OPTIONAL)
SB715,30,2120 If it becomes necessary for a court to appoint a guardian of my estate or
21guardian of my person, I nominate the following person(s) for appointment:
SB715,30,2222 Name of nominee for guardian of my estate: ....
SB715,30,2323 Nominee's address: ....
SB715,30,2424 Nominee's telephone number: ....
SB715,30,2525 Name of nominee for guardian of my person: ....
SB715,31,1
1Nominee's address: ....
SB715,31,22 Nominee's telephone number: ....
SB715,31,43 RELIANCE ON THIS POWER OF
4 ATTORNEY FOR FINANCES AND PROPERTY
SB715,31,75 Any person, including my agent, may rely upon the validity of this power of
6attorney or a copy of it unless that person knows that the power of attorney has been
7terminated or is invalid.
SB715,31,88 SIGNATURE AND ACKNOWLEDGMENT
SB715,31,99 Your signature ....   Date ....
SB715,31,1010 Your name printed ....
SB715,31,1111 Your address ....
SB715,31,1212 Your telephone number ....
SB715,31,1313 State of ....
SB715,31,1414 County of ....
SB715,31,1615 This document was acknowledged before me on .... (date), by .... (name of
16principal).
SB715,31,1717 (Seal, if any)
SB715,31,1818 Signature of notary ....
SB715,31,1919 My commission expires: ....
SB715,31,2020 This document prepared by: ....
SB715,31,2121 IMPORTANT INFORMATION FOR AGENT
SB715,31,2222 AGENT'S DUTIES
SB715,32,323 WHEN YOU ACCEPT THE AUTHORITY GRANTED UNDER THIS POWER
24OF ATTORNEY, A SPECIAL LEGAL RELATIONSHIP IS CREATED BETWEEN
25YOU AND THE PRINCIPAL. THIS RELATIONSHIP IMPOSES UPON YOU

1LEGAL DUTIES THAT CONTINUE UNTIL YOU RESIGN OR THE POWER OF
2ATTORNEY IS TERMINATED OR REVOKED. YOU MUST DO ALL OF THE
3FOLLOWING:
SB715,32,64 (1) DO WHAT YOU KNOW THE PRINCIPAL REASONABLY EXPECTS YOU
5TO DO WITH THE PRINCIPAL'S PROPERTY OR, IF YOU DO NOT KNOW THE
6PRINCIPAL'S EXPECTATIONS, ACT IN THE PRINCIPAL'S BEST INTEREST.
SB715,32,77 (2) ACT IN GOOD FAITH.
SB715,32,98 (3) DO NOTHING BEYOND THE AUTHORITY GRANTED IN THIS POWER
9OF ATTORNEY.
SB715,32,1310 (4) DISCLOSE YOUR IDENTITY AS AN AGENT WHENEVER YOU ACT
11FOR THE PRINCIPAL BY WRITING OR PRINTING THE NAME OF THE
12PRINCIPAL AND SIGNING YOUR OWN NAME AS "AGENT" IN THE
13FOLLOWING MANNER:
SB715,32,1414 .... (principal's name) by .... (your signature) as agent
SB715,32,1615 UNLESS THE SPECIAL INSTRUCTIONS IN THIS POWER OF ATTORNEY
16STATE OTHERWISE, YOU MUST ALSO DO ALL OF THE FOLLOWING:
SB715,32,1717 (1) ACT LOYALLY FOR THE PRINCIPAL'S BENEFIT.
SB715,32,1918 (2) AVOID CONFLICTS THAT WOULD IMPAIR YOUR ABILITY TO ACT IN
19THE PRINCIPAL'S BEST INTEREST.
SB715,32,2020 (3) ACT WITH CARE, COMPETENCE, AND DILIGENCE.
SB715,32,2221 (4) KEEP A RECORD OF ALL RECEIPTS, DISBURSEMENTS, AND
22TRANSACTIONS MADE ON BEHALF OF THE PRINCIPAL.
SB715,33,223 (5) COOPERATE WITH ANY PERSON THAT HAS AUTHORITY TO MAKE
24HEALTH-CARE DECISIONS FOR THE PRINCIPAL TO DO WHAT YOU KNOW

1THE PRINCIPAL REASONABLY EXPECTS OR, IF YOU DO NOT KNOW THE
2PRINCIPAL'S EXPECTATIONS, TO ACT IN THE PRINCIPAL'S BEST INTEREST.
SB715,33,53 (6) ATTEMPT TO PRESERVE THE PRINCIPAL'S ESTATE PLAN IF YOU
4KNOW THE PLAN AND PRESERVING THE PLAN IS CONSISTENT WITH THE
5PRINCIPAL'S BEST INTEREST.
SB715,33,66 TERMINATION OF AGENT'S AUTHORITY
SB715,33,117 YOU MUST STOP ACTING ON BEHALF OF THE PRINCIPAL IF YOU
8LEARN OF ANY EVENT THAT TERMINATES THIS POWER OF ATTORNEY OR
9YOUR AUTHORITY UNDER THIS POWER OF ATTORNEY. EVENTS THAT
10TERMINATE A POWER OF ATTORNEY OR YOUR AUTHORITY TO ACT UNDER
11A POWER OF ATTORNEY INCLUDE ALL OF THE FOLLOWING:
SB715,33,1212 (1) DEATH OF THE PRINCIPAL.
SB715,33,1413 (2) THE PRINCIPAL'S REVOCATION OF THE POWER OF ATTORNEY OR
14YOUR AUTHORITY.
SB715,33,1615 (3) THE OCCURRENCE OF A TERMINATION EVENT STATED IN THE
16POWER OF ATTORNEY.
Loading...
Loading...