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\af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \ab\af1 \ltrch\fcs0 \b\f1\insrsid11957062\charrsid3944934 POWER OF}{\rtlch\fcs1 \ab\af1 \ltrch\fcs0 \b\f1\insrsid8603971 
 ATTORNEY FOR CARE, CUSTODY OR PROPERTY }{\rtlch\fcs1 \ab\af1 \ltrch\fcs0 \b\f1\insrsid11957062\charrsid3944934 OF MINOR CHILD}{\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid11957062\charrsid3944934 
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\par }\pard \ltrpar\qj \li0\ri0\widctlpar\wrapdefault\faauto\rin0\lin0\itap0\pararsid3944934 {\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid3944934\charrsid16583495 
\par }\pard \ltrpar\qj \li0\ri0\widctlpar\wrapdefault\faauto\rin0\lin0\itap0\pararsid11763575 {\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid11763575\charrsid16583495 {\*\xmlopen\xmlns2{\factoidname place}}{\*\xmlopen\xmlns2{\factoidname State}}Montana
{\*\xmlclose}{\*\xmlclose} Code Annotated \'a7 72-5-103 provides as follows:
\par 
\par }{\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid11763575\charrsid11763575 Delegation of powers by parent or guardian. 
\par }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid11763575 
\par }\pard \ltrpar\ql \li0\ri0\widctlpar\tx720\tx1440\tx2160\wrapdefault\faauto\rin0\lin0\itap0\pararsid11763575 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid11763575 \tab (1)\tab }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid11763575\charrsid11763575 
A parent or a guardian of a minor or incapacitated person, by a properly }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid11763575 \tab \tab \tab }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid11763575\charrsid11763575 executed
 power of attorney, may delegate to another person, for a period }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid11763575 \tab \tab \tab }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid11763575\charrsid11763575 
not exceeding 6 months, any powers regarding care, custody, or property }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid11763575 \tab \tab \tab }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid11763575\charrsid11763575 
of the minor child or ward, except the power to consent to marriage or }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid11763575 \tab \tab \tab }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid11763575\charrsid11763575 adoption of a minor ward. 
\par }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid11763575 \tab }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid11763575\charrsid11763575 (2) }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid11763575 \tab }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid11763575\charrsid11763575 
The 6-month limitation provided in subsection (1) does not apply to: 
\par }\pard \ltrpar\ql \li0\ri0\widctlpar\tx720\tx1440\tx2160\tx2880\wrapdefault\faauto\rin0\lin0\itap0\pararsid11763575 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid11763575 \tab \tab }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid16008986 (a)\tab }{\rtlch\fcs1 \af1 
\ltrch\fcs0 \f1\insrsid11763575\charrsid11763575 a member of the Montana national guard who serves for more than }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid16008986 \tab \tab \tab \tab }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid11763575\charrsid11763575 
180 continuous days on duty pursuant to Title 10 or 32 of the }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid16008986 \tab \tab \tab \tab }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid11763575\charrsid11763575 United States Code or on state active duty pursuant 
to Article VI, }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid16008986 \tab \tab \tab \tab }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid11763575\charrsid11763575 section 13, of the Montana constitution; 
\par }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid16008986 \tab \tab (b)\tab }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid11763575\charrsid11763575 a member of the active duty military forces of the {\*\xmlopen\xmlns2{\factoidname country-region}}
{\*\xmlopen\xmlns2{\factoidname place}}United States{\*\xmlclose}{\*\xmlclose}; or 
\par }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid16008986 \tab \tab }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid11763575\charrsid11763575 (c) }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid16008986 \tab }{\rtlch\fcs1 \af1 \ltrch\fcs0 
\f1\insrsid11763575\charrsid11763575 a member of the federal reserves who serves for more than 180 }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid16008986 \tab \tab \tab \tab }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid11763575\charrsid11763575 
continuous days on duty pursuant to Title 10 of the United States }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid16008986 \tab \tab \tab \tab }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid11763575\charrsid11763575 Code. 
\par }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid16008986 \tab }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid11763575\charrsid11763575 (3) }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid16008986 \tab }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid11763575\charrsid11763575 
As used in this section, "federal reserves" means the {\*\xmlopen\xmlns2{\factoidname country-region}}{\*\xmlopen\xmlns2{\factoidname place}}United States{\*\xmlclose}{\*\xmlclose} air }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid16008986 \tab \tab \tab }{
\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid11763575\charrsid11763575 force reserve, army reserve, navy reserve, marine corps reserve, or coast }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid16008986 \tab \tab \tab }{\rtlch\fcs1 \af1 \ltrch\fcs0 
\f1\insrsid11763575\charrsid11763575 guard reserve.}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid3944934\charrsid11763575 
\par }\pard \ltrpar\ql \li0\ri0\widctlpar\tx720\tx1440\tx2160\wrapdefault\faauto\rin0\lin0\itap0\pararsid11763575 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid3944934\charrsid3944934 
\par }\pard \ltrpar\ql \li0\ri0\widctlpar\wrapdefault\faauto\rin0\lin0\itap0\pararsid3944934 {\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid3944934\charrsid16583495 Pursuant to the above statute, }{\rtlch\fcs1 \af1 \ltrch\fcs0 
\b\f1\insrsid11957062\charrsid16583495 I, }{\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid3944934\charrsid16583495 _______________}{\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid11957062\charrsid16583495 __________________________, 
\par }\pard \ltrpar\ql \fi720\li0\ri0\sl360\slmult1\widctlpar\wrapdefault\faauto\rin0\lin0\itap0\pararsid3944934 {\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid11957062\charrsid16583495 \tab \tab \tab \tab \tab \tab \tab \tab }{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 
\b\i\f1\fs16\insrsid11957062\charrsid16583495 (your name)
\par }\pard \ltrpar\ql \li0\ri0\sl360\slmult1\widctlpar\wrapdefault\faauto\rin0\lin0\itap0\pararsid3944934 {\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid16583495\charrsid16583495 of}{\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid3944934\charrsid16583495  }{
\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid11957062\charrsid16583495 ___________________}{\rtlch\fcs1 \ai\af1 \ltrch\fcs0 \b\i\f1\insrsid11957062\charrsid16583495 ________________________________________________ \tab \tab \tab \tab \tab \tab }{\rtlch\fcs1 
\ai\af1\afs16 \ltrch\fcs0 \b\i\f1\fs16\insrsid11957062\charrsid16583495 (}{\rtlch\fcs1 \ai\af1\afs16 \ltrch\fcs0 \b\i\f1\fs16\insrsid16583495 your complete }{\rtlch\fcs1 \ai\af1\afs16 \ltrch\fcs0 \b\i\f1\fs16\insrsid11957062\charrsid16583495 address)}{
\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \b\f1\fs16\insrsid11957062\charrsid16583495  }{\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid11957062\charrsid16583495 
\par appoint, _____________________________________________________, who 
\par \tab \tab }{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \b\i\f1\fs16\insrsid11957062\charrsid16583495 (the name of the person whom you want to care for your child)
\par 
\par }{\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid3944934\charrsid16583495 resides at }{\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid11957062\charrsid16583495 _____________________________________________________________
\par }{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \b\i\f1\fs16\insrsid16583495 \tab \tab \tab }{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \b\i\f1\fs16\insrsid11957062\charrsid16583495 (}{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \b\i\f1\fs16\insrsid16583495 complete }{\rtlch\fcs1 
\af1\afs16 \ltrch\fcs0 \b\i\f1\fs16\insrsid11957062\charrsid16583495 address}{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \b\i\f1\fs16\insrsid16583495  of the person whom you want to care for your child}{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 
\b\i\f1\fs16\insrsid11957062\charrsid16583495 )
\par }{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \b\f1\fs16\insrsid11957062\charrsid16583495 
\par }\pard \ltrpar\ql \li0\ri0\widctlpar\wrapdefault\faauto\rin0\lin0\itap0\pararsid3944934 {\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid11957062\charrsid16583495 and whose phone number is ______________________________________ as my }{\rtlch\fcs1 \af1 
\ltrch\fcs0 \b\f1\insrsid3944934\charrsid16583495 
\par 
\par }{\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid11957062\charrsid16583495 agent (attorney-in-fact) to act }{\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid11763575\charrsid16583495 in any lawful way }{\rtlch\fcs1 \af1 \ltrch\fcs0 
\b\f1\insrsid11957062\charrsid16583495 for me }{\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid11763575\charrsid16583495 regarding the care, }{\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid16583495 
\par 
\par }{\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid11763575\charrsid16583495 custody or property of my minor child}{\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid11957062\charrsid16583495 , }{\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid16583495 _______}{\rtlch\fcs1 
\af1 \ltrch\fcs0 \b\f1\insrsid11957062\charrsid16583495 ____________________________, }{\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid16583495 
\par 
\par }{\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid11957062\charrsid16583495 age ___________, }{\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid11763575\charrsid16583495 with respect to the following initialed subjects:}{\rtlch\fcs1 \af1 \ltrch\fcs0 
\b\f1\insrsid11957062\charrsid16583495 
\par }{\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid11763575\charrsid16583495 
\par }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid16583495 
\par }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid11763575\charrsid16583495 TO GRANT ALL OF THE FOLLOWING POWERS, INITIAL THE LINE IN FRONT OF (N) AND IGNORE THE LINES IN FRONT OF THE OTHER POWERS. 
\par 
\par TO GRANT ONE OR MORE, BUT FEWER THAN ALL, OF THE FOLLOWING POWERS, INITIAL THE LINE IN FRONT OF EACH POWER YOU ARE GRANTING.
\par 
\par TO WITHHOLD A POWER, DO NOT INITIAL THE LINE IN FRONT OF IT. YOU MAY, BUT NEED NOT, CROSS OUT EACH POWER WITHHELD.
\par }{\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid11957062\charrsid16583495 
\par INITIAL:
\par 
\par }\pard \ltrpar\ql \fi-2160\li2160\ri0\widctlpar\tx-1440\wrapdefault\faauto\rin0\lin2160\itap0\pararsid3944934 {\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid11957062\charrsid16583495 _______\tab (A)\tab real property and housing transactions;
\par }\pard \ltrpar\ql \li0\ri0\widctlpar\wrapdefault\faauto\rin0\lin0\itap0\pararsid3944934 {\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid11957062\charrsid16583495 
\par }\pard \ltrpar\ql \fi-2160\li2160\ri0\widctlpar\tx-1440\wrapdefault\faauto\rin0\lin2160\itap0\pararsid3944934 {\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid11957062\charrsid16583495 _______\tab (B)\tab tangible personal property transactions;
\par }\pard \ltrpar\ql \li0\ri0\widctlpar\wrapdefault\faauto\rin0\lin0\itap0\pararsid3944934 {\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid11957062\charrsid16583495 
\par }\pard \ltrpar\ql \fi-2160\li2160\ri0\widctlpar\tx-1440\wrapdefault\faauto\rin0\lin2160\itap0\pararsid3944934 {\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid11957062\charrsid16583495 _______\tab (C)\tab stock and bond transactions;
\par }\pard \ltrpar\ql \li0\ri0\widctlpar\wrapdefault\faauto\rin0\lin0\itap0\pararsid3944934 {\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid11957062\charrsid16583495 
\par }\pard \ltrpar\ql \fi-2160\li2160\ri0\widctlpar\tx-1440\wrapdefault\faauto\rin0\lin2160\itap0\pararsid3944934 {\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid11957062\charrsid16583495 _______\tab (D)\tab commodity and option transactions;
\par }\pard \ltrpar\ql \li0\ri0\widctlpar\wrapdefault\faauto\rin0\lin0\itap0\pararsid3944934 {\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid11957062\charrsid16583495 
\par }\pard \ltrpar\ql \fi-2160\li2160\ri0\widctlpar\tx-1440\wrapdefault\faauto\rin0\lin2160\itap0\pararsid3944934 {\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid11957062\charrsid16583495 _______\tab (E)\tab banking and other financial institution transactions;

\par }\pard \ltrpar\ql \li0\ri0\widctlpar\wrapdefault\faauto\rin0\lin0\itap0\pararsid3944934 {\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid11957062\charrsid16583495 
\par }\pard \ltrpar\ql \fi-2160\li2160\ri0\widctlpar\tx-1440\wrapdefault\faauto\rin0\lin2160\itap0\pararsid3944934 {\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid11957062\charrsid16583495 _______\tab (F)\tab health care consent for the child and other health care 
}{\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid3944934\charrsid16583495 \tab }{\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid11957062\charrsid16583495 transactions;
\par }\pard \ltrpar\ql \li0\ri0\widctlpar\wrapdefault\faauto\rin0\lin0\itap0\pararsid3944934 {\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid11957062\charrsid16583495 
\par }\pard \ltrpar\ql \fi-2160\li2160\ri0\widctlpar\tx-1440\wrapdefault\faauto\rin0\lin2160\itap0\pararsid3944934 {\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid11957062\charrsid16583495 _______\tab (G)\tab insurance and annuity transactions;
\par 
\par _______\tab (H)\tab estate, trust and other beneficiary transactions;
\par }\pard \ltrpar\ql \li0\ri0\widctlpar\wrapdefault\faauto\rin0\lin0\itap0\pararsid3944934 {\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid11957062\charrsid16583495 
\par }\pard \ltrpar\ql \fi-2160\li2160\ri0\widctlpar\tx-1440\wrapdefault\faauto\rin0\lin2160\itap0\pararsid3944934 {\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid11957062\charrsid16583495 _______\tab (I)\tab claims and litigation;
\par \sect }\sectd \ltrsect\sbknone\linex0\headery1080\sectdefaultcl\sectrsid14828255\sftnbj \pard\plain \ltrpar\ql \li0\ri0\widctlpar\wrapdefault\faauto\rin0\lin0\itap0\pararsid3944934 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 
\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid11957062\charrsid16583495 
\par }\pard \ltrpar\ql \fi-2160\li2160\ri0\widctlpar\tx-1440\wrapdefault\faauto\rin0\lin2160\itap0\pararsid3944934 {\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid11957062\charrsid16583495 _______\tab (J)\tab personal and family maintenance, including decisions of 
}{\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid3944934\charrsid16583495 \tab }{\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid11957062\charrsid16583495 where the child may reside;
\par }\pard \ltrpar\ql \li0\ri0\widctlpar\wrapdefault\faauto\rin0\lin0\itap0\pararsid3944934 {\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid11957062\charrsid16583495 
\par }\pard \ltrpar\ql \fi-2160\li2160\ri0\widctlpar\tx-1440\wrapdefault\faauto\rin0\lin2160\itap0\pararsid3944934 {\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid11957062\charrsid16583495 _______\tab (K)\tab 
benefits from social security, medicare, medicaid, or other }{\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid3944934\charrsid16583495 \tab }{\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid11957062\charrsid16583495 governmental programs or from military service;

\par }\pard \ltrpar\ql \li0\ri0\widctlpar\wrapdefault\faauto\rin0\lin0\itap0\pararsid3944934 {\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid11957062\charrsid16583495 
\par }\pard \ltrpar\ql \fi-2160\li2160\ri0\widctlpar\tx-1440\wrapdefault\faauto\rin0\lin2160\itap0\pararsid3944934 {\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid11957062\charrsid16583495 _______\tab (L)\tab all transactions concerning the child}{\rtlch\fcs1 \af1 
\ltrch\fcs0 \b\f1\insrsid11957062\charrsid16583495 {\field{\*\fldinst SYMBOL 61 \\f "WP TypographicSymbols" \\s 12}{\fldrslt\f37\fs24}}}{\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid11957062\charrsid16583495 s school or education;
\par }\pard \ltrpar\ql \li0\ri0\widctlpar\wrapdefault\faauto\rin0\lin0\itap0\pararsid3944934 {\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid11957062\charrsid16583495 
\par }\pard \ltrpar\ql \fi-2160\li2160\ri0\widctlpar\tx-1440\wrapdefault\faauto\rin0\lin2160\itap0\pararsid3944934 {\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid11957062\charrsid16583495 _______\tab (M)\tab tax matters;
\par }\pard \ltrpar\ql \li0\ri0\widctlpar\wrapdefault\faauto\rin0\lin0\itap0\pararsid3944934 {\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid11957062\charrsid16583495 
\par }\pard \ltrpar\ql \fi-2160\li2160\ri0\widctlpar\tx-1440\wrapdefault\faauto\rin0\lin2160\itap0\pararsid3944934 {\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid11957062\charrsid16583495 _______\tab (N)\tab ALL OF THE POWERS LISTED ABOVE.  YOU NEED NOT \tab 
INITIAL ANY OTHER LINES IF YOU INITIAL LINE (N).
\par }\pard \ltrpar\ql \li0\ri0\widctlpar\wrapdefault\faauto\rin0\lin0\itap0\pararsid3944934 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid11957062\charrsid3944934 
\par }{\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid11957062\charrsid3944934 My agent does not have the power to consent to the marriage or adoption of my child.
\par }\pard \ltrpar\qc \li0\ri0\widctlpar\wrapdefault\faauto\rin0\lin0\itap0\pararsid16008986 {\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid16008986\charrsid16008986 SPECIAL INSTRUCTIONS: }{\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid16008986 
\par 
\par }\pard \ltrpar\ql \li0\ri0\widctlpar\wrapdefault\faauto\rin0\lin0\itap0\pararsid16008986 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid16008986\charrsid16008986 
ON THE FOLLOWING LINES, YOU MAY GIVE SPECIAL INSTRUCTIONS LIMITING OR EXTENDING THE POWERS GRANTED TO YOUR AGENT.
\par ____________________________________________________________________
\par 
\par ____________________________________________________________________
\par 
\par ____________________________________________________________________
\par 
\par ____________________________________________________________________
\par }\pard \ltrpar\qc \li0\ri0\widctlpar\wrapdefault\faauto\rin0\lin0\itap0\pararsid16008986 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid16008986\charrsid16008986 
\par }\pard \ltrpar\ql \li0\ri0\widctlpar\wrapdefault\faauto\rin0\lin0\itap0\pararsid3944934 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid16008986\charrsid16008986 UNLESS YOU DIRECT OTHERWIS
E ABOVE, THIS POWER OF ATTORNEY IS EFFECTIVE IMMEDIATELY AND WILL CONTINUE UNTIL IT IS REVOKED}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid16008986  }{\rtlch\fcs1 \af1 \ltrch\fcs0 \b\i\f1\insrsid15888457\charrsid15888457 OR}{\rtlch\fcs1 \af1 \ltrch\fcs0 
\i\f1\insrsid15888457  }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid15888457\charrsid16008986 IT WILL EXPIRE AUTOMATICALLY AFTER SIX MONTHS IN MOST CASES}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid3944934\charrsid16008986 
.  SEE THE FIRST PARAGRAPH ABOVE FOR MORE INFORMATION.
\par }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid3944934\charrsid3944934 
\par }{\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid11957062\charrsid16583495 This power of attorney revokes all previous powers of attorney signed by me.
\par }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid11957062 
\par }\pard \ltrpar\ql \li0\ri0\widctlpar\wrapdefault\faauto\rin0\lin0\itap0\pararsid16008986 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid16008986\charrsid16008986 
STRIKE THE PRECEDING SENTENCE IF YOU DO NOT WANT THIS POWER OF ATTORNEY TO REVOKE ALL PREVIOUS POWERS OF ATTORNEY SIGNED BY YOU. }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid16008986  }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid16008986\charrsid16008986 
 IF YOU DO WANT THIS POWER OF ATTORNEY TO REVOKE ALL PREVIOUS POWERS OF ATTORNEY SIGNED BY 
YOU, YOU SHOULD READ THOSE POWERS OF ATTORNEY AND SATISFY THEIR PROVISIONS CONCERNING REVOCATION. THIRD PARTIES WHO RECEIVED COPIES OF THOSE POWERS OF ATTORNEY SHOULD BE NOTIFIED.
\par }\pard \ltrpar\ql \li0\ri0\widctlpar\wrapdefault\faauto\rin0\lin0\itap0\pararsid3944934 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid16008986 
\par }{\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid16008986\charrsid16583495 I agree that any third party who receives a copy of this document may act under }{\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid16583495 
\par 
\par }{\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid16008986\charrsid16583495 it. I may revoke this power of attorney by a written document that expressly }{\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid16583495 
\par 
\par }{\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid16008986\charrsid16583495 indicates my intent to revoke. Revocation of the power of attorney is not effective }{\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid16583495 
\par 
\par }{\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid16008986\charrsid16583495 as to a third party until the third party learns of the revocation. I agree to }{\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid16583495 
\par 
\par }{\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid16008986\charrsid16583495 indemnify the third party for any claims that arise against the third party because }{\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid16583495 
\par 
\par }{\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid16008986\charrsid16583495 of reliance on this power of attorney.
\par }{\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid16583495 
\par }{\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid3944934\charrsid16583495 \tab }{\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid11957062\charrsid16583495 Signed this ______ day of ___________________, 200___.
\par 
\par 
\par }\pard \ltrpar\ql \fi4320\li0\ri0\widctlpar\wrapdefault\faauto\rin0\lin0\itap0\pararsid3944934 {\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid11957062\charrsid16583495 _________}{\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid3944934\charrsid16583495 
___________________________}{\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid11957062\charrsid16583495 
\par }{\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid10108734 Your }{\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid11957062\charrsid16583495 Signature
\par Printed name: _________________________
\par 
\par }\pard \ltrpar\ql \li0\ri0\widctlpar\wrapdefault\faauto\rin0\lin0\itap0\pararsid3944934 {\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid11957062\charrsid16583495 
\par }\pard \ltrpar\ql \fi-5040\li5040\ri0\widctlpar\tx-1440\tx2880\wrapdefault\faauto\rin0\lin5040\itap0\pararsid3944934 {\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid11957062\charrsid16583495 STATE OF {\*\xmlopen\xmlns2{\factoidname State}}
{\*\xmlopen\xmlns2{\factoidname State}}MONTANA}{\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid3944934\charrsid16583495 {\*\xmlclose}{\*\xmlclose}   \tab )
\par \tab }{\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid11957062\charrsid16583495 ):ss
\par COUNTY OF __________}{\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid3944934\charrsid16583495 \tab }{\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid11957062\charrsid16583495 )
\par }\pard \ltrpar\ql \li0\ri0\widctlpar\wrapdefault\faauto\rin0\lin0\itap0\pararsid3944934 {\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid11957062\charrsid16583495 
\par }\pard \ltrpar\ql \fi720\li0\ri0\widctlpar\wrapdefault\faauto\rin0\lin0\itap0\pararsid3944934 {\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid11957062\charrsid16583495 
This document was acknowledged before me on _____________________, _______, by _________________________________, the principal named above.
\par }\pard \ltrpar\ql \li0\ri0\widctlpar\wrapdefault\faauto\rin0\lin0\itap0\pararsid3944934 {\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid11957062\charrsid16583495 
\par 
\par }\pard \ltrpar\ql \fi3600\li0\ri0\widctlpar\wrapdefault\faauto\rin0\lin0\itap0\pararsid3944934 {\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid11957062\charrsid16583495 ___________________________________________
\par Notary Public for the State of {\*\xmlopen\xmlns2{\factoidname State}}{\*\xmlopen\xmlns2{\factoidname State}}Montana{\*\xmlclose}{\*\xmlclose}
\par Residing at ___________________________}{\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid3944934\charrsid16583495 _____}{\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid11957062\charrsid16583495 
\par }\pard \ltrpar\ql \fi-3600\li3600\ri0\widctlpar\tx-1440\wrapdefault\faauto\rin0\lin3600\itap0\pararsid3944934 {\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid3944934\charrsid16583495 (NOTARIAL SEAL)\tab My commission expires:______________________}{
\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid11957062\charrsid16583495 
\par }\pard \ltrpar\ql \li0\ri0\widctlpar\wrapdefault\faauto\rin0\lin0\itap0\pararsid3944934 {\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid15888457\charrsid16583495 
\par }\pard \ltrpar\ql \li0\ri0\widctlpar\wrapdefault\faauto\rin0\lin0\itap0\pararsid746164 {\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid746164\charrsid16583495 
\par BY SIGNING, ACCEPTING OR ACTING UNDER THIS APPOINTMENT, THE AGENT ASSUMES THE FIDUCIARY AND OTHER LEGAL RES
PONSIBILITIES OF AN AGENT.  THE AGENT WORKS EXCLUSIVELY FOR THE BENEFIT OF THE PRINCIPAL.  THE FOREMOST DUTY AS THE AGENT IS THAT OF LOYALTY TO AND PROTECTION OF THE BEST INTERESTS OF THE PRINCIPAL.  THE AGENT SHALL DIRECT ANY BENEFITS DERIVED FROM THE PO
WER OF ATTORNEY TO THE PRINCIPAL.  THE AGENT HAS A DUTY TO AVOID CONFLICTS OF INTEREST AND TO USE ORDINARY SKILL AND PRUDENCE IN THE EXERCISE OF THESE DUTIES.
\par 
\par \tab Signed this _____ day of __________________, 20___.
\par 
\par 
\par 
\par }{\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid10108734 \tab }{\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid746164\charrsid16583495 \tab \tab \tab \tab \tab _______________________________
\par \tab }{\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid10108734 \tab }{\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid746164\charrsid16583495 \tab \tab \tab \tab Signature of Agent
\par 
\par 
\par 
\par }{\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid2233653\charrsid16583495 
\par }}