Durable Power of Attorney
This Durable Power of Attorney is created in accordance with the laws of the state of ____________________.
This document allows you to appoint a trusted person, referred to as your "Agent," to manage your financial matters and make decisions on your behalf if you become unable to do so.
Principal's Information:
- Name: _______________________________
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- City: ______________________________
- State: _____________________________
- Zip Code: __________________________
- Date of Birth: ______________________
Agent's Information:
- Name: _______________________________
- Address: ____________________________
- City: ______________________________
- State: _____________________________
- Zip Code: __________________________
- Relationship to Principal: ___________
Effective Date:
This Durable Power of Attorney shall become effective on the date signed by the Principal below, and shall remain effective until revoked by the Principal or upon the Principal's death.
Powers Granted to the Agent: Check all that apply:
- [ ] Manage bank accounts
- [ ] Pay bills and expenses
- [ ] Make investments
- [ ] Buy or sell real estate
- [ ] File taxes
- [ ] Other: __________________________
Principal’s Signature:
By signing below, I confirm that I understand this Durable Power of Attorney and the powers I am granting to my Agent.
Signature: ___________________________
Date: ________________________________
Witnesses:
Signatures are required from two witnesses who are not related to the Principal or the Agent.
- Witness 1 Name: ____________________
- Witness 1 Signature: ________________
- Witness 1 Date: ____________________
- Witness 2 Name: ____________________
- Witness 2 Signature: ________________
- Witness 2 Date: ____________________
Acknowledgment:
State of ____________________
County of ____________________
On this _____ day of ____________, 20__, before me, a Notary Public, personally appeared ____________________, known to me to be the person whose name is subscribed above.
Notary Public Signature: ____________________________
My commission expires: ___________________________