Statutory Form Power of Attorney.

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(If you have granted your agent the authority to make a gift, then as to each of the following statements, initial beside it if it is your choice.)
_____ My agent may make a gift, even if it will leave me without sufficient assets or income to provide for my care without relying on Medicaid, other public assistance or charity.
_____ My agent may make a gift to himself or herself and to any individual to whom my agent owes a legal obligation of support.
 



































Source. 2017, 178:1, eff. Jan. 1, 2018.


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