Western Australian Current Acts

GUARDIANSHIP AND ADMINISTRATION ACT 1990 - SCHEDULE 3

[s. 104]

        [Heading inserted: No. 19 of 2010 s. 18(6).]

Form 1

ENDURING POWER OF ATTORNEY

	This Enduring Power of Attorney is made on the ................... day of ............................. 20..........., by A.B. of ........................ under section 104 of the Guardianship and Administration Act 1990 .
	1. I APPOINT C.D. of .............................................................. (or C.D. of ......................... and E.F. of ............................ jointly) (or C.D. of ........................ and E.F. of ............................ jointly and severally) to be my attorney(s).
	1a. I APPOINT G.H. of ................................................................         (or G.H. of ............................... and I.J. of ........................ jointly)         (or G.H. of ............................... and I.J. of ........................ jointly         and severally) to be my attorney(s) in substitution of C.D. (or C.D.         and/or E.F.) on (or during) the occurrence of the following events         or circumstances — ........................................................................................................ ........................................................................................................ 2. I AUTHORISE my attorney(s) to do on my behalf anything that I can lawfully do by an attorney.
	3. The authority of my attorney(s) is subject to the following conditions or restrictions —
	....................................................................................................... .......................................................................................................
	4. I DECLARE that this power of attorney * —
* One of these paragraphs must be deleted.	(a)         will continue in force notwithstanding my subsequent legal incapacity; or (b)         will be in force only during any period when a declaration by the State Administrative Tribunal that I do not have legal capacity is in force under section 106 of the Guardianship and Administration Act 1990 .
	SIGNED AS A DEED by: .............................................................
	WITNESSED by:
	...........................................         ........................................... (Signature of Witness)                 (Signature of Witness)
	...........................................         ........................................... (Name of Witness)                 (Name of Witness)
	...........................................         ........................................... (Address of Witness)                 (Address of Witness)

[Form 1 amended: No. 70 of 2000 s. 20(1); No. 55 of 2004 s. 465.]

Form 2

ACCEPTANCE OF ENDURING POWER OF ATTORNEY

	I/We .............................., the person(s) appointed to be attorney under paragraph 1 or 1a of the instrument on which this acceptance is endorsed [or to which this acceptance is annexed] accept the appointment, and acknowledge —
	(a)         that the power of attorney is an enduring power of attorney and * —
* One of these sub-paragraphs must be deleted		(i)         will continue in force notwithstanding the subsequent legal incapacity of the donor;                   (ii)         will be in force only during any period when a declaration by the State Administrative Tribunal that the donor does not have legal capacity is in force under section 106 of the Guardianship and Administration Act 1990 ;         and
	(b)         that I/we will, by accepting this power of attorney, be subject to the provisions of Part 9 of the Guardianship and Administration Act 1990 .
	Signed: ...................................................................... (Attorney appointed under paragraph 1 of the Enduring Power of Attorney) or ...................................................................... (Attorney appointed under paragraph 1a of the Enduring Power of Attorney)

[Form 2 amended: No. 70 of 2000 s. 20(2); No. 55 of 2004 s. 465.]

[Schedule 4 omitted under the Reprints Act 1984 s. 7(4)(e).]