DON’T SIGN A PROPERTY “PURCHASE” CONTRACT WITHOUT A REVIEW – Please read this information and see our pricing. POWERS OF ATTORNEY QUESTIONNAIRE Please enable JavaScript in your browser to complete this form.Your Full NameAddressFull Name Attorney (1)Address Email Address Act jointly?Act jointly & severally? Full Name Attorney (2)Address Email AddressAct jointly?Act jointly & severally? Full Name (Alternative Attorney (1))Address Email AddressAct jointly?Act jointly & severally? Full Name ( Alternative Attorney (2))Address Email AddressAct jointly?Act jointly & severally? Select below when the Power of Attorney is to commence?ImmediatelyUpon you losing capacityAt another specific timeProvide any specific instructions to give your power of attorney/s You place the following limits and/or conditions on the authority of your attorney/s (if applicable)Full Name (Medical treatment decision maker (1))Address Email AddressFull Name (Medical treatment decision maker)Address Email AddressSubmit
