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GENERAL POWER OF ATTORNEY
made on:
________
in accordance with section 10 of the Powers of Attorney Act (Northern Ireland) 1971
1. Jurisdiction
2. Creation of power
This general power of attorney is made on ________ by me, ________, of ________.
3. Appointment and powers
I appoint:
________
of ________
4. Duration
This power of attorney shall remain in force until its expiration on ________.
THIS DOCUMENT HAS BEEN DULY EXECUTED AND DELIVERED AS A DEED AND SHALL TAKE EFFECT ON: ________
Executed and delivered as a deed today by ________
SIGNATURE OF DONOR:
.......................................
In the presence of:
________
SIGNATURE OF WITNESS:
.......................................
WITNESS ADDRESS: ________
WITNESS OCCUPATION: ________
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