DESIGNATION OF AGENT

I, [principal_name] ("Principal"), of [principal_address], reachable at [principal_phone] and [principal_email], hereby appoint:

[agent_name] ("Agent"), my [agent_relationship], of [agent_address], reachable at [agent_phone] and [agent_email],

as my true and lawful attorney-in-fact, to act in my name, place, and stead in the manner set forth in this document.

SUCCESSOR AGENT

If [agent_name] is unable or unwilling to serve as Agent, [successor_agent_name], of the address on file, shall serve as successor Agent with the same powers granted herein.

DURABILITY

THIS POWER OF ATTORNEY SHALL NOT BE AFFECTED BY THE SUBSEQUENT DISABILITY OR INCAPACITY OF THE PRINCIPAL. This is a Durable Power of Attorney and shall remain in full force and effect notwithstanding the later incapacity or mental disability of the Principal.

EFFECTIVE DATE

This Power of Attorney shall become effective immediately upon execution by the Principal.

POWERS GRANTED

Agent shall have general authority to act on behalf of the Principal in financial and legal matters, including but not limited to: banking and financial transactions, contracts, tax matters, business operations, and legal claims. This includes authority over real estate transactions, including buying, selling, leasing, and encumbering real property. This includes authority over banking and financial accounts, including deposits, withdrawals, and account management.

GIFTS

Agent is NOT authorized to make gifts of the Principal's property or assets to any person, including Agent, unless separately and expressly authorized in writing by the Principal.

COMPENSATION

Agent shall serve without compensation, but shall be entitled to reimbursement for reasonable expenses incurred in carrying out their duties under this Power of Attorney.

TERMINATION

This Power of Attorney shall terminate upon the earliest of: (a) the Principal's death; (b) the Principal's revocation of this Power of Attorney in writing; (c) the Agent's resignation, death, or incapacity, if no successor agent is named or able to serve; or (d) if applicable, a date or event specifically stated elsewhere in this document.

AGENT'S DUTIES

Agent accepts the duties of a fiduciary and agrees to act in the best interest of the Principal, to keep Agent's own property separate from Principal's property, and to keep accurate records of all transactions conducted on Principal's behalf.

This Power of Attorney does not authorize Agent to make health care decisions. A separate health care power of attorney or advance directive is required for medical decision-making authority.

GENERAL PROVISIONS

This Power of Attorney shall be governed by the laws of the State of Ohio.

Third parties may rely on this Power of Attorney and on a copy or electronic copy as they would on the original.

Principal may revoke this Power of Attorney at any time by providing written notice to the Agent and to any third parties relying on it.

AGENT'S ACCEPTANCE

AGENT'S ACCEPTANCE AND ACKNOWLEDGMENT: By signing below, [agent_name] accepts appointment as Agent and acknowledges the legal and fiduciary responsibilities of that role, including the duty to act in the Principal's best interest, to avoid conflicts of interest and self-dealing, to keep the Principal's property separate, and to maintain accurate records.

Agent Signature: ______________________________ Date: ____________

EXECUTION

This Power of Attorney is signed by the Principal in the presence of the 2 witnesses below and acknowledged before a notary public, as required under the law of Ohio.

Witness 1: ______________________________ Signature: ______________________________ Date: ____________

Witness 2: ______________________________ Signature: ______________________________ Date: ____________

NOTARY ACKNOWLEDGMENT

State of Ohio

County of ______________________________

On this ______ day of ______________, 20____, before me, the undersigned notary public, personally appeared [principal_name], proved to me on the basis of satisfactory evidence to be the person whose name is subscribed to this instrument, and acknowledged that they executed it for the purposes stated herein.

Notary Public Signature: ______________________________

[Notary Seal] My commission expires: ____________