PG-700 (10/18)(cs) AS 13.26.05, AS 13.26.645 DELEGATION OF POWERS OVER INCAPACITATED PERSON BY PARENT OR GUARDIAN DELEGATION OF POWERS OVER AN INCAPACITATED PERSON BY PARENT OR GUARDIAN (Limited Power of Attorney Under AS 13.26.051 1 ) Pursuant to Alaska Statute 13.26.whose address is , appoint , whose address is , my attorney-in-fact to whom I delegate all my powers regarding the care, custody and property of: , born on , except the power to consent to marriage or adoption. one year (less than one year) from the date next to my signature below. However, I retain the right to revoke this power of attorney at any time. Date Signature Acknowledged before me at , Alaska on . Notary Public in and for Alaska (SEAL) My commission expires: 1 This delegation cannot last more than one year and can be revoked by the parent or guardian who signs it at any time. This delegation does not affect the rights of the non - signing parent and does not create a guardianship. American LegalNet, Inc. www.FormsWorkFlow.com