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Date of birth If the exact date is unknown please state the year of birth D D M M Y Y e-mail address Please do not write below this line - For office use only LPA002 Application to register a lasting power of attorney 09. Click here to reset form LPA002 09. 11 Office of the Public Guardian Click here to print form Return your completed form to PO Box 16185 Birmingham B2 2WH Application to register a Lasting Power of Attorney Part 1 - The donor Place a cross x against one option Mr. Ms. Miss...
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