Enduring Power of Attorney – Tasmania

Enduring Power of Attorney – Tasmania
Order Form

1Donor

2Attorney(s)

3Substitute Attorney(s)

4Functions

5Conditions & Restrictions

6Commencement

7Revocation of POA

8Payment

Donor
The Donor is the person who is appointing the attorney/attorneys under the Enduring Power of Attorney.
Full Name*
First Middle Last
Alias (if any)
Email*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Attorney(s)
The Attorney(s) are the person or persons the Donor wishes to appoint as their Attorney.
Attorney 1
Full Name*
First Middle Last
Alias (if any)
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Relationship to the Donor*
Please specify*
- Add Another Attorney
Attorney 2
Full Name*
First Middle Last
Alias (if any)
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Relationship to the Donor*
Please specify*
- Add Another Attorney
Attorney 3
Full Name*
First Middle Last
Alias (if any)
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Relationship to the Donor*
Please specify*
Attorneys to Act (if more than 1 attorney)
- Jointly, and
- I want the appointment to be terminated if one of the attorneys dies, resigns or otherwise vacates office..
- I do not want the appointment to be terminated if one of the attorneys dies, resigns or otherwise vacates office..
- Jointly and Severally

Substituted Attorney 1
Full Name
First Middle Last
Alias (if any)
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Relationship to the Donor*
Please specify*
- Add Another Substitute Attorney
Substitute Attorney 2
Full Name*
First Middle Last
Alias (if any)
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Relationship to the Donor*
Please specify*
- Add Another Substitute Attorney
Substitute Attorney 3
Full Name*
First Middle Last
Alias (if any)
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Relationship to the Donor*
Please specify*
Substitute Attorneys to Act (if more than 1 attorney)*
- Jointly
- Jointly and Severally

Conditions and Restrictions
Note: You may include conditions or restrictions on the authority of your attorney. If you do not wish to include any conditions or restrictions, please leave this section blank. We have provided some examples below. If required, you may select any of them. If you wish to impose other conditions or restrictions, please contact us.

Binding limitations or conditions you want to place on your attorney:
- That my attorney provide copies of all records and accounts to:
Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Relationship with the Donor
Please specify
- Add another individual
Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Relationship with the Donor
Please specify
- That my attorney is to consult with someone before agreeing to the sale of a property
Identify property*
Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Relationship with the Donor
Please specify
- Add another individual
Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Relationship with the Donor
Please specify

Payment
Service Fee*
Price:
inclusive of GST
Payment Option*
- Pay now
- I already have a direct debit agreement established with SuperGuardian
Credit Card*

American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name

Disclaimer: Any information that is financial product advice is provided by SuperGuardian Pty Ltd (AFSL No. 485643 ). The advice provided is general in nature and is not personal financial product advice. The advice provided has been prepared without taking into account your objectives, financial situation or needs and because of this you should, before acting on it, consider the appropriateness of it having regard to your objectives, financial situation and needs. You should carefully read and consider any product disclosure statement that is relevant to any financial product that has been discussed before making any decision about whether to acquire the financial product. Please refer to SuperGuardian FSG https://www.superguardian.com.au/pdfs/Financial-Services-Guide.pdf for contact information.

By accessing and/or using information at or through this site each user waives and releases SuperGuardian to the full extent permitted by law from any and all claims relating to the usage of the material made available through the website. In no event shall SuperGuardian be liable for any incident or consequential damages resulting from use of the material.

Donor

Attorney(s)

Attorney 1

Attorney 2

Attorney 3

Attorneys to Act (if more than 1 attorney)

Substituted Attorney 1

Substitute Attorney 2

Substitute Attorney 3

Functions

General

Specific

Conditions and Restrictions

Commencement

Revocation of Power of Attorney

Payment