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Web The Meaning Of Authority Over Subjects Listed On This Form Is Explained In The North Carolina Uniform Power Of Attorney Act.

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Web this form provides for designation of one agent, a successor agent, and a second successor agent. Web this power includes, but is not limited to, the power to execute, seal and deliver any instrument; Web power of attorney (please type or print.) 1 taxpayer information (taxpayer(s) must sign and date this form on page 2, line 7.) part 1. Let us help you next!

I, __________________, Being Of Sound Mind, Hereby Appoint The Following Person(S) To Serve As My Health Care Agent(S) To Act For Me.

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