Enduring Power of Attorney (Financial Matters) – Queensland

Enduring Power of Attorney – Queensland
Order Form

1Donor

2Attorney(s)

3Substituted Attorney(s)

4Limitations on Powers

5Commencement

6Revocation of Power of Attorney

7Payment

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.

Note: Your attorney must be over 18 years of age, must not be your current paid carer or your current health-care provider (such as your nurse or your doctor), and (for financial matters) must not be bankrupt or insolvent.
Attorney 1
Full Name*
First Middle Last
Alias (if any)
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Telephone*
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
Telephone*
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
Telephone*
Relationship to the Donor*
Please specify*
Attorney(s) to Act*
- Jointly
- Severally
- As a majority
Note: The Powers of Attorney Act 1998 allows you to appoint successive attorney/s for a matter so that the power is given to a particular attorney only when power to a previous attorney ends. You can nominate the circumstances that a power will end (e.g. if x leaves the jurisdiction y may act). If you wish to make appointments on this basis, please complete section D below.

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
Telephone*
Relationship to the Donor
Please specify*
Substituted Attorney for
- 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
Telephone
Email
Relationship to the Donor
Please specify*
Occupation
Substituted Attorney for*

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

Limitations on Powers

Commencement

Revocation of Power of Attorney

Payment