ONTARIO CONTINUING POWER OF ATTORNEY FOR PROPERTY

This general power of attorney is made in accordance with the Substitute Decisions Act, 1992.

I, , revoke any previous continuing power of attorney for property made by me.

I appoint and jointly/

jointly and severally, to be my attorney(s) for property.

I authorize my attorney(s) for property to do on my behalf anything that I can lawfully do by an attorney and specifically anything in respect of property that I could do if capable of managing property, except make a will, subject to the law and any restrictions specified in this document.

In accordance with the Substitute Decisions Act, I declare that this power of attorney may be exercised during any subsequent legal incapacity on my part. This indicates my intention that this document will be a continuing power of attorney for property under the Substitute Decisions Act, 1992, and may be used during my incapacity to manage property.

I declare that after due consideration, I am satisfied that the authority conferred on the attorney(s) named in this power of attorney is adequate to provide for the competent and effectual management of all my estate in case I should become a patient in a psychiatric facility and be certified as not competent to manage my estate under the Mental Health Act.

Conditions and restrictions, if any:

Unless otherwise stated in this document, this continuing power of attorney will come into effect on the date it is signed and witnessed.

Unless otherwise stated in this document, I authorize my attorney(s) to take annual compensation from my property in accordance with the fee scale prescribed by regulation for the compensation of guardians of property made under section 90 of the Substitute Decisions Act, 1992.

Signature Date

We have signed this power of attorney in the presence of the person whose name appears above and in the presence of each other.

Witnessed by

(Signature) (Print name)

(Address) (Date)

Witnessed by

(Signature) (Print name)

(Address) (Date)

INSTRUCTIONS FOR THIS POWER OF ATTORNEY FORM

Note:At the top of this document, strike out or remove "jointly" if you want your attorneys to be able to act separately. Strike out or remove "jointly and severally" if you want them to be legally required to make decisions together. You do not have to name more than one person.

Note: This form is for use in Ontario only.

In order for this continuing power of attorney to be valid:

1.The donor must be at least 18 years old.

2. The donor must know what property he or she has and its approximate value.

3. The donor must be aware of his or her obligations to those people who depend on the donor financially.

4. The donor must know what his or her attorney has the authority to do.

5. The donor must know that his or her attorney must account for all the decisions the attorney makes about the property.

6. The donor must know that if he or she is capable, the power of attorney may nevertheless be cancelled.

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