CONTINUING POWER OF ATTORNEY

Granter: [FIRST NAME LAST NAME, PERSONAL IDENTITY CODE, ADDRESS]

Attorney: [FIRST NAME LAST NAME, PERSONAL IDENTITY CODE, ADDRESS]

Substitute attorney (when the attorney is temporarily prevented):
[NAME, PERSONAL IDENTITY CODE — OR DELETE]
Secondary attorney (if the attorney does not accept the task or gives it
up permanently): [NAME, PERSONAL IDENTITY CODE — OR DELETE]

I authorise the attorney named above to represent me

1. in matters concerning my property and in other financial affairs, and

2. in such matters concerning my person whose significance I am unable to
understand at the time the authorisation is to be used.

[OPTIONAL PROVISIONS — DELETE THE ONES YOU DO NOT NEED:

The attorney may not sell or mortgage my real property or housing company
shares.

The attorney may give customary gifts on my behalf, the basis of which is
the anniversaries of my close ones or similar, with a value of at most
[SUM] euros at a time.

The attorney is entitled to a reasonable fee and compensation for
expenses.]

This authorisation enters into force in the event that I become incapable
of managing my affairs because of illness, disturbance of mental
faculties, weakened state of health or another comparable reason.

[PLACE AND DATE]
[SIGNATURE AND NAME OF THE GRANTER IN PRINT]

Attestation:
As impartial witnesses present at the same time, we certify that [NAME OF
THE GRANTER] has signed this continuing power of attorney in person and
that they have done so of their own free will and understanding its
significance.

Witness 1: [SIGNATURE, NAME IN PRINT, DATE OF BIRTH, ADDRESS, DATE]
Witness 2: [SIGNATURE, NAME IN PRINT, DATE OF BIRTH, ADDRESS, DATE]