Poa still in force

Dear Friends ,

I am a builder and I have got power over a property in 2012 , The land owner who gave power is alive still , My bank is asking whether the land owner is still alive .

they are asking me to print it on Rs.20 stamp paper - Power Of Atorney  Still in force -

Can anybody help me with a format for the same.

Awaiting a reply

Thanks

Aneesh