A Power of Attorney is an instrument whereby one party grants to another party the legal authority to act for him or her in certain instances.

The exact powers granted are enumerated in the power of attorney, as well as the limitations upon the exercise of the power.

The person giving a power of attorney does not give up the power to exercise his own powers, nor give up the power to do the things he or she has granted another to do by virtue of the power of attorney.

A Power of attorney may be revoked at any time by the person granting the power of attorney.

A bank, governmental agency, insurance company, or other entity is not required to honor a Power of Attorney. Although a Power of Attorney may be revoked at any time by the person granting the power, fully revoking it may sometimes be difficult to do. A bank, governmental agency, insurance company, or other entity that relies upon a Power of Attorney that you have executed must have actual notification that the Power of Attorney has been revoked, or it may continue to honor it. A Power of Attorney does not grant any powers to act after the death of the person granting it. It is not a substitute for probate.

Generally we can prepare a Power of Attorney for you from information you furnish in the form below.

We Prepare Two Original Powers of Attorney for Execution We Also Provide Complete instructions for the execution and use of the Power of Attorney. Our Charge for the Service is $85.00

You May Complete The Following Form to Provide All of the Information We Need To Prepare Your Power of Attorney.

If you have specific questions concerning your Power of Attorney, please E-Mail your questions. You should get a response by the next business day.

If more information is necessary we will send you an E-Mail requesting more specific information.

In Filling Out This Information Form, the parties will be referred to as Grantor and Attorney.

The Grantor is the person that is giving the Power of Attorney ( Power to Act ) and is the person that will sign it before a Notary Public.

The Attorney is the person who is granted the powers to act for an in behalf of the Grantor.

This Attorney does not need to sign the instrument.

Information About Grantor ( Person Granting Power of Attorney )

Full Name of Grantor: -

Grantor's Social Security Number -

Street Address of Grantor -

City, State & Zip Code -

Grantor's Phone Number -

Grantor's E-Mail -

County of Grantor's Residence -

Gender of the Grantor - Male Female

Information About Attorney ( Person Receiving Power of Attorney )

Full Name of Attorney: -

Relationship to Grantor ( Son, daughter, etc. ): -

Street Address of Attorney -

City, State & Zip Code -

Grantor's Phone Number -

Grantor's E-Mail -

County of Attorney's Residence -

Gender of the Attorney - Male Female

Powers To Be Granted - ( What Attorney Can Do for Grantor )
Power to Write Checks - Yes No

Power to Endorse Checks - Yes No

Power to Make Deposits - Yes No

Power to Incur Debts - Yes No

Power to Mortgage Property - Yes No

Power to Sell Personal Property - Yes No

We do not Prepare Powers of Attorney for Sale of Real Estate On Line
If You Give Power To Sell Personal Property Please Describe the Property

Power to Settle Disputed Claims Against You - Yes No

Power to Settle Disputed Claims You Have Against Others - Yes No

Power to File Tax Returns - Yes No

Power to File Claims For Insurance Benefits - Yes No

Power to Obtain Medical Information - Yes No




Please add any comments you have below:

Send Completed Forms To: Full Name - First, Middle, Last: Mailing address: Street address or P.O. Box: City: State or Province: Zip or Postal Code: County: Telephone: Fax: E-mail address:

CONFIRMATION AND PAYMENT INFORMATION

Payment May be by one of the following credit cards.

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Charge to My Credit Card - - Yes - No

Visa
Mastercard

Card Number - - -

Expiration Date MM YYYY

E-mail this form by pressing the SUBMIT button below -

OR

Complete and Sign this form and fax it to (405) 275-3627

OR

Complete and Sign this form and mail it to:

OkLegal Forms - Internet Services
McKIMMEY LAW OFFICE, P.C.
24 E. Highland
Shawnee, Oklahoma 74801

With Your Check for $85.00, or your Credit Card Number.

OR

If you wish, you may e-mail the form to us and call us with your credit card number at 405-275-3564.

Credit Card Orders Usually Sent First Class Mail to Address of Plaintiff on the same day received. Orders accompanied by check are sent upon notice by bank that check has cleared.

By returning this form by e-mail, by fax or by mail, I acknowledge and agree to the following:

I hereby certify as follows:

• That I am a resident of the State of Oklahoma, and have been for more than six months prior to this date.
  
  
• That I am a bona fide resident of the County shown to be my address herein.
  
  
• That the Grantor of the Power of Attorney is 21 years of age or over.
  
  
• That the Grantor of the Power of Attorney is mentally competent to execute the Power of Attorney.
  
  
• That McKimmey Law Office, P.C. has not provided me any legal or tax services or advice concerning this matter.
  
  

• Signature (if sending by fax or by mail)
  
  
  __________________________________

  Type your name: -

  
  

  Please tell us how you found us on the Internet, i.e., what search terms, what search engines, links, etc.

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11/9/06