Power of Attorney Instruction Sheet

POWER OF ATTORNEY INSTRUCTION SHEET

 

Address

Country

Relationship Status

Have you previously made an EPOA?

YesNo

Have you previously made a Will?

YesNo

Do you wish to appoint more than one attorney?

YesNo

Full Address of Attorney

Country

Is your attorney your paid carer or healthcare provider?

YesNo

Is your attorney bankrupt or taking advantage of the laws of bankruptcy?

YesNo

Do you want your attorney to make decisions for:

Financial MattersPersonal / Health MattersFinancial Matters & Personal / Health Matters

Do you wish to set any specific terms for your wishes?

YesNo

Do you require your EPOA to be registered?

YesNo

 

Instructions

 

I acknowledge that I have been offered an Estate Planning Service by Hatzis Lawyers and have chosen not to take advantage of same but rather have instructed Hatzis Lawyers to draw my Power of Attorney strictly as per my wishes and directions contained herein.

 

I/We require Legal Advice and Assistance and I/we hereby authorise and request you to act on my/our behalf as solicitors in this matter and I/we hereby undertake to be responsible for your proper fees in relation thereto as advised by you. In respect of any moneys that you may hold in your Trust Account on my/our behalf,

 

I/we authorise you to utilise such moneys for your professional costs, statutory duties and charges and other proper outlays expended on my/our behalf in this matter or any other matter in which instructions may have been given by me to you.

 

TERMS OF TRADING

 

I/We acknowledge and agree to the firm's terms of trading as follows:-

 

Payment of all costs and outlays for the preparation of your Power of Attorney is required at your appointment when you sign your Power of Attorney. Payment of any other fees and charges applicable are required within 7 days from the date of account unless prior arrangements in writing are made; Accounts are sent monthly or at various stages unless agreed otherwise; No work will be carried out after 30 days if any account is unpaid; All outlays are to be paid upon request throughout my matter; No carrying of accounts without prior approval in writing from the firm; No work will be commenced without my written authority.

 

Tick the box below to Accept and Press the Submit Button to submit this form.

 

By checking this box I hereby accept the terms and conditions listed above.

 

 

Verification

 

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Please feel free to call our law firm on 1300 HATZIS (1300 428 947) or email info@hatzis.com.au for any enquiries.

Contact Us

Phone

1300 Hatzis


Fax

07 3344 2081


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