LASTING POWER OF ATTORNEY DEED

PURSUANT TO THE MENTAL CAPACITY ACT 2005

JURISDICTION: England and Wales, United Kingdom
DATE OF DEED: November 2, 2026

1. THE DONOR

I, [DONOR FULL NAME (YOU)], residing at [DONOR ADDRESS] (the "Donor"), appoint:
[APPOINTED ATTORNEY FULL NAME] (my [ATTORNEY RELATIONSHIP TO DONOR]) as my Attorney.

2. POWERS GRANTED

I authorise my Attorney to make decisions on my behalf concerning my:
[LPA CATEGORY].

This includes both: (1) Property and financial affairs (operating bank accounts, managing investments, paying bills, pensions, and property transactions); and (2) Health and welfare (daily routines, medical treatments, care arrangements, and life-sustaining treatment decisions when I lack mental capacity).

3. STATUTORY DUTIES & CODE OF PRACTICE

My Attorney must at all times act in my best interests and in accordance with the Mental Capacity Act 2005 and its statutory Code of Practice.

SIGNATURES & ATTESTATION

DONOR:
Signature: _____________________________________
Printed Name: [DONOR FULL NAME (YOU)]
Date: ________________________

ATTORNEY:
Signature: _____________________________________
Printed Name: [APPOINTED ATTORNEY FULL NAME]
Date: ________________________