HomeMy WebLinkAbout09-24-09~F\p c.. AAOP2EN'r..'~,`JER, ~?~HAFD
UPI
POWER OF ATTORNEY Not Applicable
(A Durable Power of Attorney)
NOTICE
THE PURPOSE OF THIS POWER OF ATTORNEY IS TO GIVE THE PERSON YOU
DESIGNATE (YOUR "AGENT") BROAD POWERS TO HANDLE YOUR PROPERTY, WHICH
MAY INCLUDE POWERS TO SELL OR OTHERWISE DISPOSE OF ANY REAL OR PER-
SONAL PROPERTY WITHOUT ADVANCE NOTICE TO YOU OR APPROVAL BY YOU.
THIS POWER OF ATTORNEY DOES NOT IMPOSE A DUTY ON YOUR AGENT TO
EXERCISE GRANTED POWERS, BUT WHEN POWERS ARE EXERCISED, YOUR AGENT
MUST USE DUE CARE TO ACT FOR YOUR BENEFIT AND IN ACCORDANCE WITH THIS
POWER OF ATTORNEY.
YOUR AGENT MAY EXERCISE THE POWERS GIVEN HERE THROUGHOUT YOUR
LIFETIME, EVEN AFTER YOU BECOME INCAPACITATED, UNLESS YOU EXPRESSLY
LIMIT THE DURATION OF THESE POWERS OR YOU REVOKE THESE POWERS OR A
COURT ACTING ON YOUR BEHALF TERMINATES YOUR AGENT'S AUTHORITY.
YOUR AGENT MUST KEEP YOUR FUNDS SEPARATE FROM YOUR AGENT'S FUNDS.
A COURT CAN TAKE AWAY THE POWERS OF YOUR AGENT IF IT FINDS YOUR
AGENT IS NOT ACTING PROPERLY.
THE POWERS AND DUTIES OF AN AGENT UNDER A POWER OF ATTORNEY ARE
EXPLAINED MORE FULLY IN 20 PA. C.S. CH.56.
IF THERE IS ANYTHING ABOUT THIS FORM THAT YOU DO NOT UNDERSTAND,
YOU SHOULD ASK A LAWYER OF YOUR OWN CHOOSING TO EXPLAIN IT TO YOU.
I HAVE READ OR HAD EXPLAINED TO ME THIS NOTICE AND I UNDERSTAND
ITS CONTENTS.
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RONALD ALLEN KOPPENHAVER
I, RONALD ALLEN KOPPENHAVER, of Lemoyne, Commonwealth of
Pennsylvania, hereby appoint my mother, LINDA KOPPENHAVER, as my true
and lawful agent to act in, manage, and conduct all my estate and all
my affairs, and for that purpose for me and in my name, place, and
stead, and for my use and benefit, and as my act and deed, to do and
execute, or to concur with persons jointly interested with myself
therein in the doing or executing of all or any of the following acts,
deeds, and things to the fullest extent possible as provided in
Chapter 56 of the Pennsylvania Probate, Estates and Fiduciaries Code
as presently in effect and as hereinafter amended or in any statutory
provisions which may hereafter be substituted therefore:
(1) To engage in real property transactions. My agent shall
have the power to sell and convey all of my real property, and any
interest or right therein.
(2 ) To engage in
(3) To engage in
(4) To engage in
(5) To enter saf
(6) To engage in
{7) To engage in
tangible personal property transactions.
stock, bond and other securities transactions.
banking and financial transactions.
deposit boxes.
insurance transactions.
retirement plan transactions.
(8) To handle interests in estates and trusts, including the
power to claim the family exemption to the same extent as I personally
could do under the provisions of Sections 3121-3126 of the Probate,
Estates and Fiduciaries Code, or any similar provisions then in
effect.
(9) To pursue claims and litigation.
(10) To receive government benefits.
(11) To pursue tax matters.
(12) To borrow money.
(13) To create a trust for my benefit.
(14) To make additions to an existing trust for my benefit.
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(15) To claim an elective share of the estate of my deceased
spouse.
(16) To disclaim any interest in property.
(17) To renounce fiduciary positions.
(18) To withdraw and receive the income or corpus of a trust.
(19) To authorize my admission to a medical, nursing, residential
or similar facility and to enter into agreements for my care.
(20) To authorize medical and surgical procedures.
(21) To receive information from any physician, health care
professional, health care provider, and medical care facility relating
to my physical and mental condition and the diagnosis, prognosis,
care, and treatment thereof upon the request of my agent. It is my
intent that my agent shall be considered a personal representative
under privacy regulations related to protected health care information
and that my agent shall be entitled to all health information in the
same manner as if I personally were making the request. This authori-
zation and direction shall also be considered a consent to the release
of such information under current and future regulations, laws and
rules, including but not limited to, the express grant of authority to
personal representatives as provided by Regulation Section 164.502 (g)
of Title 45 of the Code of Federal Regulations and the medical infor-
mation privacy law and regulations generally referred to as HIPAA.
(22) To carry on any business interest owned by me for whatever
period of time deemed proper, including the power to do any and all
things deemed necessary or appropriate, including the power to incor-
porate any unincorporated business; to vote any and all shares of
stock owned by me in any such business; to borrow and to pledge assets
owned by me as security for such borrowing; to assent to, join in, or
vote in favor of or against any merger, reorganization, voting trust
plan, or similar action, and to delegate discretionary duties with
respect thereto; to delegate all or any part of the supervision,
management and operation of the business to such person or persons as
may be selected; and to close out, liquidate, or sell the business at
such time and upon such terms as shall seem best. My agent shall not
be held to personal liability for shrinkage of income or loss of
capital value that may be incurred in the course of the operation of
the business, except loss that may result from willful misconduct.
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(23) To engage and dismiss agents, counsel, and employees.
(24) To enter into, perform, modify, extend, cancel, compromise,
enforce, or otherwise act with respect to any contract of any sort
whatsoever.
GIVING AND GRANTING unto my said agent full power and authority
to do and perform all and every act, deed, matter, and thing whatso-
ever in and about my estate, property, and affairs as fully and
effectually to all intents and purposes as I might or could do in my
own proper person if personally present, the above specially enumer-
ated powers being in aid and exemplification of the full, complete,
and general power herein granted and not in limitation or definition
thereof; and hereby ratifying all that my said agent shall lawfully do
or cause to be done by virtue of these presents.
AND I hereby declare that any act or thing lawfully done here-
under by my said agent shall be binding on myself, and my heirs, legal
and personal representatives, and assigns.
This Power of Attorney shall continue in force and may be
accepted and relied upon by anyone to whom it is presented despite my
purported revocation of it or my death, until actual written notice of
such event is received by such person. In the event of my incom-
petency or incapacity, from whatever cause, this Power of Attorney
shall not thereby be revoked but shall thereupon become irrevocable
during the period of my incompetency or incapacity, and may be
accepted and relied upon by anyone to whom it is presented despite
such incompetency or incapacity, subject only to it becoming void and
of no further effect only upon receipt by such person either of (1)
written evidence of the appointment of a guardian (or similar
fiduciary) of my estate following adjudication of incompetency or
incapacity, or (2) written notice of my death. This Power of Attorney
shall not be affected by my subsequent disability or incapacity.
In the event any court declares that I have become incompetent or
incapacitated, I hereby state I prefer that no guardian of my estate
or person be appointed so that my affairs may be conducted under this
general durable power of attorney, but if the court proceeds to
appoint a guardian of my estate or person then under the authority
granted to me in Section 5604(c)(2) of the Probate, Estates and
Fiduciaries Code I hereby nominate as such guardian of the estate or
of my person the person or persons who is or are then serving under
this general durable power of attorney.
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My agent hereby shall be entitled to reasonable compensation for
services performed hereunder as well as to reimbursement for all
reasonable costs and expenses actually incurred in carrying out any
agent's duties and responsibilities hereunder. The agent acting under
this power of attorney shall not be liable for any acts of commission
or omission performed in good faith and shall be liable only for
deliberate and intentional defalcation.
In the event of the death or inability of my mother, LINDA
KOPPENHAVER, to function as my agent under this Power of Attorney,
then I appoint my sister, SHANNON GRACE KOPPENHAVER, as my true and
lawful agent with all of the powers heretofore granted to my mother,
LINDA KOPPENHAVER, and I authorize and empower my sister, SHANNON
GRACE KOPPENHAVER, to certify to the death or inability of my mother,
LINDA KOPPENHAVER, to function hereunder and I hold harmless anyone
who relies on such certification.
IN ITNESS WHEREOF, I have hereunto set my hand this ~~ day
of 2006.
RONALD ALLEN KOPPENHAVER
COMMONWEALTH OF PENNSYLVANIA
. SS.
COUNTY OF CUMBERLAND
T
On the ~_ day of 2006, before me, the
subscriber, a Notary Public, personally appeared the above named
RONALD ALLEN KOPPENHAVER, and in due form of law acknowledged the
foregoing Power of Attorney to be his act and deed and desired the
same to be recorded as such.
Witness my hand and Notarial Seal the day and year aforesaid.
COMNIONWEALSN OF PENNSYLVANIA / ~~
NOTARIAL SEAL ~---~-~" ~
KATHLEEN KEIM, Notary Public N o t a r y
New Cumberland 13oro. Cumberland Co.
My Commission Expires Uec. S, 2006
S
is
COMMONWEALTH OF t~'~°-
y_ , SS.
COUNTY OF C.t~,r~~Wl~r~
I, LINDA KOPPENHAVER , have read the attached power of
attorney and am the person identified as the agent for the principal.
I hereby acknowledge that in the absence of a specific provision to
the contrary in the power of attorney or in 20 Pa. C.S. when I act as
agent:
I shall exercise the powers for the benefit of the principal.
I shall keep the assets of the principal separate from my assets.
I shall exercise reasonable caution and prudence.
I shall keep a full and accurate record of all actions, receipts
and disbursements on behalf of the principal.
_ ~~~
LIN KOPPENHA
-~~ -~ S.
(Date)
(Agent)
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S~~f-EOMMONWEALTH OF `~~4'J}yq'^~
SS:
COUNTY OF CWnr~-
On this, the ~~ day of ~o~-e:~- 20 before
me the undersigned officer, a Notary Public, personally appeared LINDA
KOPPENHAVER, known to me (or satisfactorily proven) to be the person
whose name is subscribed to the within instrument, and acknowledged
that she executed the same for the purposes therein contained.
IN WITNESS WHEREOF, I have hereunto set my hand and official seal
the day and year first above written.
TH
JENNIFER A. MEARKLE, Notary Public
yew Cumberland Boro. Cumberland Cc
My Commission Expires July 7,2012
Notary Public
STATEICOMMONWEALTH OF
. SS.
COUNTY OF
I, SHANNON GRACE KOPPENHAVER have read the attached
power of attorney and am the person identified as the agent for the
principal. I hereby acknowledge that in the absence of a specific
provision to the contrary in the power of attorney or in 20 Pa. C.S.
when I act as agent:
I shall exercise the powers for the benefit of the principal.
I shall keep the assets of the principal separate from my assets.
I shall exercise reasonable caution and prudence.
I shall keep a full and accurate record of all actions, receipts
and disbursements on behalf of the principal.
SHANNON GRACE KOPPENHAVER (Agent) (Date)
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STATE/COMMONWEALTH OF
. SS.
COUNTY OF
On this, the day of
20 before
me the undersigned officer, a Notary Public, personally appeared
SHANNON GRACE KOPPENHAVER, known to me (or satisfactorily proven) to
be the person whose name is subscribed to the within instrument, and
acknowledged that she executed the same for the purposes therein con-
tained.
IN WITNESS WHEREOF, I have hereunto set my hand and official seal
the day and year first above written.
Notary Public
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