ACKNOWLEDGMENT OF BY ACCEPTING OR ACTING UNDER THE APPOINTMENT, THE AGENT ASSUMES THE FIDUCIARY AND OTHER LEGAL RESPONSIBILITIES OF AN AGENT. [Typed or Printed Name of Agent] [Signature of Agent] PREPARATION STATEMENT This document was prepared by the following individual: [Typed or Printed Name] [Signature]
ACKNOWLEDGMENT OF BY ACCEPTING OR ACTING UNDER THE APPOINTMENT, THE AGENT ASSUMES THE FIDUCIARY AND OTHER LEGAL RESPONSIBILITIES OF AN AGENT. [Typed or Printed Name of Agent] [Signature of Agent] PREPARATION STATEMENT This document was prepared by the following individual: [Typed or Printed Name] [Signature]
ohio-durable-power-of-attorney-form.docx