Appendix Form #11

AuthorJerold I. Horn
ProfessionLawyer
Pages799-802
799
Appendix Form #11
[Power of Attorney for property management. Principal is married. Designed (i) to facili-
tate funding of revocable trust and (ii) to facilitate short-term management according to
the power of attorney itself. Accommodates making of annual-exclusion gifts. variables1
and 2 are alternatives. Include Variable 3 to install incapacity as a precondition to exer-
cise of powers.]
Power of Attorney
I, JOHN X. STEVENS, of Peoria, Illinois, appoint my wife, JANE H. STEVENS,
or, if she is unable or unwilling to serve,
1 [my daughter, AMY B. STEVENS, or, if she]
2 [my son, JOHN K. STEVENS, and my daughter, AMY B. STEVENS,
a [each to act solely by himself or herself, or jointly with the other]
b [or, if either of them is unable or unwilling to serve, the other of them]
, or, if each of my children]
is unable or unwilling to serve, such one or more persons as the Trustee of the
Trust, serving according to Section 7.03 of the Trust, selects, to be my attorney-in-
fact (the “Attorney”). I empower the Attorney for me and in my name to execute,
acknowledge and deliver any writing and to do each and every other act that I per-
sonally could do in connection with the management of all of my estate, including
(without limitation) the transfer of assets (to such extent, if any, as the Attorney
shall deem advisable) to the Trustee. “Trustee” shall mean the Trustee of the Trust.
“Trust” shall mean my Declaration of Trust dated November 1, 2017.
I intend hereby to confer upon the Attorney the most comprehensive powers
possible for me to give in connection with the foregoing.
3 [Anything to the contrary notwithstanding, no power of the Attorney shall be
exercisable or exercised except upon my incapacity.]
Without excluding any other method of determining my capacity, I shall be
deemed incapacitated if a personal physician of mine certies that I am unable
to transact ordinary business, and the Attorney may rely on that certication.
If the Attorney has received written notice that I am incapacitated and I subse-
quently act to revoke this instrument and the Attorney in good faith questions
my ability at that time to transact ordinary business, the Attorney may decline
to honor my purported act of revocation unless and until the Attorney is satis-
ed, or a court determines, that I am capable of transacting ordinary business.

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