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Get WI F-00036 2016-2024

If your agent is your spouse or domestic partner and your marriage is annulled or you are divorced or legally separated or the domestic partnership is terminated after signing this document the document is invalid. If you have questions about the Power of Attorney or the authority you are granting to your agent you should seek legal advice before signing this form. DEPARTMENT OF HEALTH SERVICES Division of Public Health F-00036 Rev. 09/10 STATE OF WISCONSIN Effective Date September 1 2010 s. State of Wisconsin Department of Health Services This Power of Attorney for Finances form allows you to plan for future financial decision-making even if you are unable to make your own decisions. More information is available to assist you in filling out this form1. This form is not the answer for everyone. Only select someone you trust to be your agent. You may wish to consult with an attorney to explore other financial planning tools such as a Power of Attorney for Finances drafted by an attorney or special accounts or trusts. This is an important legal document. Do not sign it until you and your chosen agent understand the powers being granted* By signing this document you are not giving up any powers or rights to control your finances or property. Instead you are giving your agent in addition to yourself the authority to handle your finances and property. While it is not required that you sign this document in the presence of a notary acknowledged signatures create a lawful presumption of genuineness and will be more easily accepted by businesses and financial institutions. This document is effective immediately when executed unless you state a future date or occurrence that will activate the powers expressed in this form* you specifically state that it terminates if you become incapacitated* If you name your spouse or domestic partner as your agent and the marriage or domestic partnership is terminated annulment or divorce this document becomes invalid unless the special instructions in this document state that such an action will not terminate the authority given to the agent. If you used a former state Power of Attorney for Finances form that form is still valid* Executing a new Power of Attorney for Finances does not automatically revoke a prior document. If you wish to change this Power of Attorney for Finances in the future you must complete a new document and revoke this one. You may revoke this document at any time a suggested method is a written and dated statement expressing your intent to revoke this document. If you revoke this document you should notify your agent and any other persons or entities that have a copy. In general an agent who is not the principal s spouse or domestic partner may not use the principal s property for the benefit of the agent or a person to whom the agent owes an obligation of support. Gifting to others is also generally not allowed2. Your agent is entitled to reasonable compensation unless you state otherwise in the special instructions.

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