§ 18-16-2 Statutory short form power ofattorney. (a) The statutory short form power of attorney is as follows:
SHORT FORM POWER OF ATTORNEY WARNING TO PERSON EXECUTINGTHIS DOCUMENT
This is an important legal document which is authorized bythe general laws of this state. The powers granted by this document are broadand sweeping. They are defined in §§ 18-16-1 to 18-16-12, bothinclusive, of the general laws in chapter 18-16 entitled "Rhode Island ShortForm Power of Attorney Act."
The use of the short form power of attorney is strictlyvoluntary, and chapter 18-16 specifically authorizes the use of any other ordifferent form of power of attorney upon mutual agreement of the partiesconcerned.
Known All Men by These Presents, which are intended toconstitute a GENERAL POWER OF ATTORNEY pursuant to the Rhode Island Short FormPower of Attorney Act:
That I]]]]]]]]]] (insert name and address of the principal)do hereby appoint]]]]]]]]]] (insert name and address of the agent, or eachagent, if more than one is designated) my attorney(s)-in-fact TOACT]]]]]]]]]]]]]] .
(If more than one agent is designated and the principalwishes each agent alone to be able to exercise the power conferred, insert inthis blank the word "severally". Failure to make any insertion or the insertionof the word "jointly" shall require the agents to act jointly.)
First: In my name, place and stead in any way which I myselfcould do, if I were personally present, with respect to the following mattersas each of them is defined in the Rhode Island Statutory Short Form Power ofAttorney Act to the extent that I am permitted by law to act through an agent:
(STRIKE OUT AND INITIAL ON THE OPPOSITE LINE ANY ONE OR MOREOF THE SUBDIVISIONS AS TO WHICH THE PRINCIPAL DOES NOT DESIRE TO GIVE THE AGENTAUTHORITY. SUCH ELIMINATION OF ANY ONE OR MORE OF SUBDIVISIONS (A) TO (I),INCLUSIVE, SHALL AUTOMATICALLY CONSTITUTE AN ELIMINATION ALSO OF SUBDIVISION(J).
To strike out any subdivision the principal must draw a linethrough the text of that subdivision AND write his initials in the lineopposite.
INITIAL HERE
(A) real state transactions;
(B) chattel and goods transactions;
(C) bond, share and commodity transactions;
(D) banking transactions;
(E) business operating transactions;
(F) insurance transactions;
(G) (claims and litigations;
(H) benefits from military service;
(I) records, reports and statements;
(J) all other matters;
(Special provisions and limitations may be included in thestatutory short form power of attorney only if they conform to the requirementsof the Rhode Island Statutory Short Form Power of Attorney Act.)
Second: This power of attorney shall:
(A) be of indefinite duration or
(B) terminate on the following date, ]]]]]]]]]],unless otherwise terminated by revocation, destruction or other affirmativeaction.
Third: Hereby ratifying and confirming all that saidattorney(s) or substitute(s) do or cause to be done.
In witness whereof I have hereunto signed my name and affixedmy seal this ]]]]]]]] day of ]]]]]]]] 20]]]].
]]]]]]]]]]]]]]]]]] (Signature of Principal) (Seal)
(ACKNOWLEDGEMENT)
This power of attorney shall not be affected by thesubsequent incompetency of the donor.
In witness whereof I have hereunto signed my name and affixedmy seal this ]]]]]]]] day of ]]]]]]]] 20]]]].
]]]]]]]]]]]]]]]]]] (Signature of Principal) (Seal)
(ACKNOWLEDGEMENT)
(b) The execution of this statutory short form power ofattorney shall be duly acknowledged by the principal in the manner prescribedfor the acknowledgement of a conveyance of real property.
(c) No provision of this chapter shall be construed to barthe use of any other or different form of power of attorney desired by theparties concerned.
(d) Every statutory short form power of attorney shallcontain, in bold face type or a reasonable equivalent of it, the "Notice" atthe beginning of this section.
(e) A power of attorney is a "statutory short form power ofattorney," as this phrase is used in this chapter, when it is in writing, hasbeen duly acknowledged by the principal and contains the exact wording ofclause First set forth in subsection (a) of this section, except that any oneor more of subdivisions (A) to (J) of the form may be stricken out andinitialed by the principal, in which case the subdivisions stricken out andinitialed and also subdivision (J) of the form shall be deemed eliminated. Astatutory short form power of attorney may contain modifications or additionsto the types described in § 18-16-15.
(f) If more than one agent is designated by the principal,the agents, in the exercise of the powers conferred, shall act jointly unlessthe principal specifically provides in the statutory short form power ofattorney that they are to act severally.