ALLAWDOCS PTY LTD

ACN 129 682 668

Level 5, Irwin Chambers

16 Irwin StreetEmail:

PERTH WA 6000Website:

Mail:Locked Bag 3042

Phone:1300 729 914PERTH ADELAIDE TCE WA 6832

Fax:1300 729 917

ENDURING POWER OF ATTORNEY

INSTRUCTION SHEET

PAYMENT DETAILS:

Chq Enclosed Direct Deposit (BSB: 306 089 Account No. 2441226)

Charge our Credit Card Visa Mastercard Amex

Credit Card Number: / / / Expiry Date: CCV/Amex ID:

Name of Card Holder: Amount $

Signature of Card Holder: ______

A competent adult can appoint an Attorney to make financial and/or property decisions on his or her behalf. The Attorney’s authority does not extend to life decisions. An Enduring Power of Attorney continues notwithstanding the donor subsequently losing legal capacity. The Attorney can only act on the donor’s instructions while the donor has legal capacity but must act to protect the donor’s financial and property interest if the donor loses legal capacity.

PERSON GIVINGFull Name______

POWER OF

ATTORNEYAddress______

______

Phone(H) ______..(W) ______

INSTITUTE ATTORNEYS

You can appoint a sole attorney or two attorneys either jointly (where both must act together at all times) or jointly and severally (where your attorneys can act together or individually).

If you wish to appoint a sole Attorney, just complete the details for Attorney 1.

If you wish to appoint two Attorneys please complete the details for both Attorneys and the following appointment instruction.

I wish to appoint the following Attorneys jointly / jointly and severally (delete one).

INSTITUTEFull Name______

ATTORNEY 1Address______

INSTITUTEFull Name______

ATTORNEY 2Address______

SUBSTITUTE ATTORNEYS

You can appoint a substitute attorney or attorneys to act for both sole and joint attorneys in certain circumstances. These circumstances must be simple concepts such as the death or legal incapacity of the attorney

SUBSTITUTEFull Name______

ATTORNEY 1

Address______

SUBSTITUTEFull Name______

ATTORNEY 2

Address______

Is the Enduring Power of attorney is to come into effect immediately / only during any period when a Declaration of Incapacity has been made (delete one).

SIGNED:______DATED:______

RETURN COMPLETED FORM TO:ALLAWDOCS

LOCKED BAG Y3042

PERTH WA 6832

OR FAX TO: (08) 9221 1745

1790_1 (06/04/09)