Okla. Stat. tit. 15, § 15-1003: Statutory form for power of attorney

STATUTORY FORM FOR POWER OF ATTORNEY

A. The following statutory form of power of attorney is legally

sufficient:

STATUTORY POWER OF ATTORNEY

NOTICE: THE POWERS GRANTED BY THIS DOCUMENT ARE BROAD AND SWEEPING.

THEY ARE EXPLAINED IN THE UNIFORM STATUTORY FORM POWER OF ATTORNEY

ACT. IF YOU HAVE ANY QUESTIONS ABOUT THESE POWERS, OBTAIN COMPETENT

LEGAL ADVICE. THIS DOCUMENT DOES NOT AUTHORIZE ANYONE TO MAKE

MEDICAL AND OTHER HEALTH-CARE DECISIONS FOR YOU. YOU MAY REVOKE

THIS POWER OF ATTORNEY IF YOU LATER WISH TO DO SO.

I __________________________ (insert your name and

address) appoint ____________________________ (insert the

name and address of the person appointed) as my agent

(attorney-in-fact) to act for me in any lawful way with

respect to the following initialed subjects:

TO GRANT ALL OF THE FOLLOWING POWERS, INITIAL THE LINE IN FRONT

OF (N) AND IGNORE THE LINES IN FRONT OF THE OTHER POWERS.

TO GRANT ONE OR MORE, BUT FEWER THAN ALL, OF THE FOLLOWING

POWERS, INITIAL THE LINE IN FRONT OF EACH POWER YOU ARE GRANTING.

TO WITHHOLD A POWER, DO NOT INITIAL THE LINE IN FRONT OF IT.

YOU MAY, BUT NEED NOT, CROSS OUT EACH POWER WITHHELD.

INITIAL

_______ (A) Real property transactions.

_______ (B) Tangible personal property transactions.

_______ (C) Stock and bond transactions.

_______ (D) Commodity and option transactions.

(E) Banking and other financial institution

transactions.

_______ (F) Business operating transactions.

_______ (G) Insurance and annuity transactions.

(H) Estate, trust, and other beneficiary

transactions.

(I) Claims and litigation.

_______ (J) Personal and family maintenance.

_______ (K) Benefits from Social Security, Medicare,

Medicaid, or other governmental programs,

or military service.

_______ (L) Retirement plan transactions.

_______ (M) Tax matters.

_______ (N) ALL OF THE POWERS LISTED ABOVE. YOU NEED NOT INITIAL

ANY OTHER LINES IF YOU INITIAL LINE (N).

SPECIAL INSTRUCTIONS:

ON THE FOLLOWING LINES YOU MAY GIVE SPECIAL INSTRUCTIONS LIMITING OR

EXTENDING THE POWERS GRANTED TO YOUR AGENT.

________________________________________________________

________________________________________________________

________________________________________________________

________________________________________________________

________________________________________________________

________________________________________________________

________________________________________________________

________________________________________________________

________________________________________________________

________________________________________________________

(Attach additional pages if needed.)

UNLESS YOU DIRECT OTHERWISE ABOVE, THIS POWER OF ATTORNEY IS

EFFECTIVE IMMEDIATELY AND WILL CONTINUE UNTIL IT IS REVOKED.

This power of attorney will continue to be effective even though

I become disabled, incapacitated, or incompetent.

STRIKE THE PRECEDING SENTENCE IF YOU DO NOT WANT THIS POWER OF

ATTORNEY TO CONTINUE IF YOU BECOME DISABLED, INCAPACITATED, OR

INCOMPETENT.

I agree that any third party who receives a copy of this

document may act under it. Revocation of the power of attorney is

not effective as to a third party until the third party learns of

the revocation. I agree to indemnify the third party for any claims

that arise against the third party because of reliance on this power

of attorney.

Signed this _______ day of _______________, 19__

______________________________

(Your Signature)

_______________________________

(Your Social Security Number)

State of ______________________

(County) of ___________________

This document was acknowledged before me on

_______________ (Date) by _________________________

(Name of principal)

_______________________________

(Signature of notarial officer)

(Seal, if any) _______________________________

____________________

(Your Social Security Number)

State of ______________________

(County) of ___________________

This document was acknowledged before me on

_______________ (Date) by _________________________

(Name of principal)

_______________________________

(Signature of notarial officer)

(Seal, if any) _______________________________

(Title and Rank)

My commission expires:________________

BY ACCEPTING OR ACTING UNDER THE APPOINTMENT, THE AGENT ASSUMES

THE FIDUCIARY AND OTHER LEGAL RESPONSIBILITIES OF AN AGENT.

B. A statutory power of attorney is legally sufficient under

this act, if the wording of the form complies substantially with

subsection A of this section, the form is properly completed, and

the signature of the principal is acknowledged.

C. If the line in front of (N) of the form under subsection A

of this section is initialed, an initial on the line in front of any

other power does not limit the powers granted by line (N).