Enduring Power of Attorney – New South Wales

Enduring Power of Attorney – New South Wales
Order Form

1Donor

2Attorney(s)

3Substitute Attorney(s)

4Additional Powers

5Conditions/Limitations

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*
Attorney(s) to Act
- Jointly
- 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*
Substitute Attorneys to Act*
- Jointly
- Jointly and Severally

Additional Powers (Optional)
NOTE: Your attorney may exercise the authority conferred on him/her by the Powers of Attorney Act to do anything on your behalf you may lawfully authorise an attorney to do.

If required, you may also allow your attorney any of the following additional powers:

Additional Powers
An Attorney cannot make any gift of your money or property unless the power of attorney form specifically allows the attorney to do so. If permitted, your Attorney/s may however be able to use your money to make certain types of gifts, such as gifts to a relative or close friend of yours of a seasonal nature (for example, birthday, Christmas or other religious occasion) or because of a special event (for example, birth or marriage) without any express provision. Also permitted will be donations of the kind that the principal made or might reasonably be expected to make (for example, to a favourite charity). The value of the gift or donation however, must be reasonable having regard to your financial circumstances and the size of your estate.
- I authorise my attorney to give reasonable gifts
An Attorney cannot make any gift of your money or property unless the power of attorney form specifically allows the attorney to do so. If permitted, your Attorney/s may however be able to use your money to make certain types of gifts, such as gifts to a relative or close friend of yours of a seasonal nature (for example, birthday, Christmas or other religious occasion) or because of a special event (for example, birth or marriage) without any express provision. Also permitted will be donations of the kind that the principal made or might reasonably be expected to make (for example, to a favourite charity). The value of the gift or donation however, must be reasonable having regard to your financial circumstances and the size of your estate.
As with gifts, an Attorney cannot use your money for the Attorney’s benefit, or the benefit of any other person, unless the power of attorney form specifically allows the Attorney to do so. This means if you wish to allow the Attorney to use your money for housing, food, education, transportation and medical care of the Attorney or a person nominated in the power of attorney (for example, your children) you must expressly state so. As with gifts, the amount of the benefit must be reasonable having regard to your financial circumstances and the size of your estate.
- I authorise my attorney to confer benefits on the attorney to meet the attorney’s reasonable living and medical expenses
As with gifts, an Attorney cannot use your money for the Attorney’s benefit, or the benefit of any other person, unless the power of attorney form specifically allows the Attorney to do so. This means if you wish to allow the Attorney to use your money for housing, food, education, transportation and medical care of the Attorney or a person nominated in the power of attorney (for example, your children) you must expressly state so. As with gifts, the amount of the benefit must be reasonable having regard to your financial circumstances and the size of your estate.
- I authorise my attorney to confer benefits on the following persons to meet their reasonable living and medical expenses
Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Date of birth*
DD slash MM slash YYYY
- Add another individual
Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Date of birth*
DD slash MM slash YYYY

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

Substituted Attorney 1

Substitute Attorney 2

Additional Powers (Optional)

Additional Powers

Conditions & Limitations

Commencement

Revocation of Power of Attorney

Payment