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Connecticut Statutory Short Form Power of Attorney
Notice: The powers granted by this document are broad and sweeping.
They are defined in Connecticut Statutory Short Form Power of
Attorney Act, sections 1-42 to 1-56, inclusive, of the
general statutes, which expressly permits the use of any other or
different form of power of attorney desired by the parties concerned.
The grantor of any power of attorney or the attorney-in-fact may make
application to a court of probate for an accounting as provided in
subsection (b) of section 45a-175.
(Special provisions and limitations may be included in the statutory short form power of attorney only if they conform to the requirements of the Connecticut Statutory Short Form Power of Attorney Act.)
Second: With full and unqualified authority to delegate any or all of the foregoing powers to any person or persons whom my attorney(s)-in-fact shall select;
Third: Hereby ratifying and confirming all that said attorney(s) or substitute(s) do or cause to be done.
In Witness Whereof I have hereunto signed my name and affixed my seal this ______ day of ___________________, 20_____.
(Signature of Principal)
State of _________________________
County of _______________________
On this the ______ day of ___________________, 20_____, before me, _____________________________________, the undersigned officer, personally appeared _____________________________________, known to me (or satisfactorily proven) to be the person whose name _____________________________________ subscribed to the within instrument and acknowledged that _________ (he/she) executed the same for the purposes therein contained.
In witness whereof I hereunto set my hand.
(Signature of Notary Public or Other Authorized Officer) (Seal)
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