Use this Enduring Power of Attorney (Financial) Victoria to appoint a trusted person to handle your financial affairs. This is an “enduring” power of attorney so it will continue even if something bad happens and you lose capacity. Find this (and many others!) at LegalZebra.com.au Download the rest of the template here - http://www.legalzebra.com.au/legal-forms/enduring-power-of-attorney-financial-victoria/ See related our Will Kit and Enduring Power of Attorney (Medical)

1. © Legal Zebra 2014 | Form 6265 | legalzebra.com.au
DOCUMENT SUMMARY
I appoint my attorney(s) to manage
my financial affairs. This
appointment continues even if I
lose legal capacity. It is made in
Victoria, Australia.
CONTENTS
Enduring Power of Attorney
(Financial) Victoria 1
Certificate of Witnesses 3
Acceptance by Attorney 1 4
Acceptance by Attorney 2 5
USING THIS FORM
Fill-in with Adobe’s free Reader:
www.get.adobe.com/reader/.
This form is of a general nature
only and may not be suitable for
your specific circumstances.
ENDURING POWER
OF ATTORNEY
(FINANCIAL)
VICTORIA
SAM
PLE

2. Page 1 of 5
© Legal Zebra 2014 | Form 6265 | legalzebra.com.au
Enduring Power of Attorney (Financial) Victoria
1 This document
THESE TIPS
Follow these tips to complete the
document. They will appear on
screen but not in the printed
document.
YOU ARE THE DONOR
As the person who is making this
Power of Attorney you are
referred to as the “donor”.
This Enduring Power of Attorney is made under Part XIA of the
Instruments Act 1958 Victoria. It is made as a deed on the date it is
signed by me, the donor.
My name and address
FULL LEGAL NAME OF DONOR
STREET ADDRESS OF DONOR
APPOINTING AN ATTORNEY
An Attorney has the power to
make decisions and sign
documents on your behalf. You
should only appoint someone as
your Attorney if you trust them
and they are at least 18 years
old.
Select either A, B or C:
Select A if you only want to give
power to Attorney 1 (and do not
fill in the details for Attorney 2.);
or
Select B if you want to give
power to both Attorneys 1 and 2
and require them to act together;
or
Select C if you want to give
power to both Attorneys 1 and 2
and they may act either alone or
together.
2 Appointment of Attorneys
A I appoint Attorney 1 to be my sole attorney.
B I appoint Attorneys 1 & 2 jointly to be my attorneys.
C I appoint Attorneys 1 & 2 jointly and severally to be my
attorneys.
Attorney 1
FULL LEGAL NAME OF ATTORNEY 1
STREET ADDRESS OF ATTORNEY 1
Attorney 2 (if applicable) ATTORNEY 2
Only fill in details for Attorney 2 if
you selected B or C above.
FULL LEGAL NAME OF ATTORNEY 2
STREET ADDRESS OF ATTORNEY 2

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4. ENDURING POWER OF ATTORNEY (FINANCIAL) VICTORIA | Page 3 of 5
© Legal Zebra 2014 | Form 6265 | legalzebra.com.au
Certificate of Witnesses
4 Witnesses
SPECIAL WITNESS
Witness 1 must be a person who
is authorised to witness a
statutory declaration (for example
a pharmacist, dentist, medical
practitioner, accountant, lawyer
or police officer).
This Witness should also be at
least 18 years old and not
appointed as an Attorney under
this document.
Witness 1
FULL LEGAL NAME OF WITNESS 1
STREET ADDRESS OF WITNESS 1
AUTHORITY TO WITNESS A STATUTORY DECLARATION (EG PHARMACIST)
ORDINARY WITNESS
Witness 2 should be a person
who is at least 18 years old and
not appointed as an Attorney
under this document.
Witness 2
FULL LEGAL NAME OF WITNESS 2
STREET ADDRESS OF WITNESS 2
5 Signature and certificate of witnesses
We (Witness 1 and Witness 2 below) certify:
(a) that the donor has signed this Enduring Power of Attorney
(Financial) freely and voluntarily in our presence; and
(b) that at the time of signing, the donor appeared to each of us to
have the capacity necessary to make the Enduring Power of
Attorney (Financial).
SIGNING INSTRUCTIONS
Witness 1 and Witness 2 should
sign this document after they
have witnessed you sign it.
$ $
WITNESS 1 SIGNS HERE WITNESS 2 SIGNS HERE

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6. ENDURING POWER OF ATTORNEY (FINANCIAL) VICTORIA | Page 5 of 5
© Legal Zebra 2014 | Form 6265 | legalzebra.com.au
Acceptance by Attorney 2
7 Statement of acceptance and signature of
Attorney 2
I, Attorney 2, accept appointment as an attorney under this Enduring
Power of Attorney (Financial) and undertake:
(a) to exercise the powers conferred with reasonable diligence to
protect the interests of the donor; and
(b) to avoid acting where there is any conflict of interest between the
interests of the donor and my interests; and
(c) to exercise the powers conferred in accordance with Part XIA of
the Instruments Act 1958.
ACCEPTANCE STATEMENT
Attorney 2 must confirm that he
or she is willing to accept the
position and the obligation to act
properly.
SIGNING INSTRUCTIONS
Attorney 1 should sign here.Attorney 2
FULL LEGAL NAME OF ATTORNEY 2
$ $
ATTORNEY 2 SIGNS HERE PRINT DATE SIGNED