AB985,,2882882. The name and residential or business address of each remote witness.
AB985,,2892893. The address within this state where the principal was physically located at the time the principal signed the power of attorney.
AB985,,2902904. The address within this state where each remote witness was physically located at the time the remote witness witnessed the principal’s execution of the power of attorney.
AB985,,2912915. A statement that the principal and remote witnesses were all known to each other and the supervising attorney or a description of the form of photo identification used to confirm the identity of the principal and each remote witness.
AB985,,2922926. Confirmation that the principal declared that the principal is 18 years of age or older, that the document is the principal’s power of attorney, and that the document was being executed as the principal’s voluntary act.
AB985,,2932937. Confirmation that each of the remote witnesses and the supervising attorney were able to see the principal, or another individual 18 years of age or older at the express direction and in the physical presence of the principal, sign, and that the principal appeared to be 18 years of age or older and acting voluntarily.
AB985,,2942948. A description of the audiovisual technology used for the signing process.
AB985,,2952959. If the power of attorney was not signed in counterpart, a description of the method used to forward the power of attorney to each remote witness for signing and to the supervising attorney after signing.
AB985,,29629610. If the power of attorney was signed in counterpart, a description of the method used to forward each counterpart to the supervising attorney and, if applicable, how and when the supervising attorney physically compiled the signed paper counterparts into a single document containing the power of attorney, the signature of the principal, and the signatures of the remote witnesses.
AB985,,29729711. The name, state bar number, and business or residential address of the supervising attorney.
AB985,,29829812. Any other information that the supervising attorney considers to be material with respect to the principal’s capacity to sign a valid power of attorney, the principal’s and witnesses’ compliance with this section, or any other information that the supervising attorney deems relevant to the execution of the power of attorney.
AB985,,299299(L) The affidavit of compliance is attached to the power of attorney.
AB985,,300300(m) An affidavit of compliance described in this subsection shall be substantially in the following form:
AB985,,301301AFFIDAVIT OF COMPLIANCE
AB985,,302302State of ....
AB985,,303303County of ....
AB985,,304304The undersigned, being first duly sworn under oath, states as follows:
AB985,,305305This Affidavit of Compliance is executed pursuant to Wis. Stat. § 244.05 to document the execution of the power of attorney of [name of principal] via remote appearance by 2-way, real-time audiovisual communication technology on [date].
AB985,,3063061. The name and residential address of the principal is ....
AB985,,3073072. The name and [residential or business] address of remote witness 1 is ....
AB985,,3083083. The name and [residential or business] address of remote witness 2 is ....
AB985,,3093094. The address within the state of Wisconsin where the principal was physically located at the time the principal signed the power of attorney is ....
AB985,,3103105. The address within the state of Wisconsin where remote witness 1 was physically located at the time the remote witness witnessed the principal’s execution of the power of attorney is ....
AB985,,3113116. The address within the state of Wisconsin where remote witness 2 was physically located at the time the remote witness witnessed the principal’s execution of the power of attorney is ....
AB985,,3123127. The principal and remote witnesses were all known to each other and to the supervising attorney. - OR - The principal and remote witnesses were not all known to each other and to the supervising attorney. Each produced the following form of photo identification to confirm his or her identity:
AB985,,313313....
AB985,,3143148. The principal declared that the principal is 18 years of age or older, that the document is the principal’s power of attorney, and that the document was being executed as the principal’s voluntary act.
AB985,,3153159. Each of the remote witnesses and the supervising attorney were able to see the principal, or another individual 18 years of age or older at the express direction and in the physical presence of the principal, sign. The principal appeared to be 18 years of age or older and acting voluntarily.
AB985,,31631610. The audiovisual technology used for the signing process was ....