Get Started With Our Power Of Attorney Form

If you would like to prepare a power of attorney.

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1. Client Information
2. Attorney's Information
3. Representative's Information
4. Additional Information

Please complete this questionnaire before our meeting.
If you are unsure about any question, simply leave it blank and we will discuss it together.

CLIENT 1

CLIENT 2 (if applicable)

1. Client Information
2. Attorney's Information
3. Representative's Information
4. Additional Information

CLIENT 1

Who would you like to appoint as your attorney?

Attorney Full Name*
Relationship To You*
Street Address*

Would you like to appoint an Alternate Attorney?*

Alernate Attorney Full Name
Relationship To You
Street Address

CLIENT 2

Who would you like to appoint as your attorney?

Attorney Full Name
Relationship To You
Street Address

Would you like to appoint an Alternate Attorney?

Alernate Attorney Full Name
Relationship To You
Street Address
1. Client Information
2. Attorney's Information
3. Representative's Information
4. Additional Information

CLIENT 1

Who would you like to appoint as your Representative?

Representative Full Name*
Relationship To You*
Street Address*

Would you like to appoint an Alternate Representative?*

Alernate Representative Full Name
Relationship To You
Street Address

CLIENT 2

Who would you like to appoint as your Representative?

Representative Full Name
Relationship To You
Street Address

Would you like to appoint an Alternate Representative?

Alernate Representative Full Name
Relationship To You
Street Address
1. Client Information
2. Attorney's Information
3. Representative's Information
4. Additional Information

Please provide details if applicable:

Why are you preparing these documents at this time?*
Is there anyone you specifically do NOT want appointed as your Attorney or Representative?*
Do you expect any family member or other person to disagree with your choices?*
Are there any family circumstances or concerns you would like to discuss with us?*
Is there anything else you would like us to know before our meeting?*
Thank you! Your submission has been received!

If available, please bring copies of:
- Existing Power of Attorney
- Existing Representation Agreement
- Existing Advance Directive
- Marriage Agreement, Prenuptial Agreement or Cohabitation Agreement
- Separation Agreement
- Any other documents you would like us to review

Thank you. We will review your answers together during our meeting and discuss the options available to you before any documents are prepared.
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Working with the Willoughby Community

Our Langley notary office is just minutes from Willoughby, offering easy access for residents in the area. We also provide flexible appointments at our Aldergrove notary office to accommodate your schedule.

Langley Notary Office:

(9am to 5pm & after 5pm by appointment only)

We are located in building B and free parking is available between buildings A and B, or underground on P1 level with the entrance off 200A Street (6’10” clearance).

B415 - 20020 84th Avenue, Langley, BC V2Y 5K9
604-427-4279

Aldergrove Notary Office:

(by appointment only)

26310 Fraser Highway, Unit 800,
Aldergrove, BC V4W 2Z7
604-427-4279
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Relentless Pursuit Of Providing Excellent Notary Services In Langley area

Lilian Cazacu has been providing high-quality notary public services to the Langley community and continues to dedicate his time to helping and educating Langley residents on various non-contentious legal matters.