DURABLE POWER OF ATTORNEY

(For Financial and Property Matters)

This document was executed on this _____ day of _____________, 20_____


I. PRINCIPAL INFORMATION

I, (full legal name), being of sound mind and not acting under duress or undue influence, hereby appoint the person(s) named below as my Attorney-in-Fact (Agent) to act on my behalf.

Date of Birth:

Social Security Number:

Address:

City, State, ZIP:

Phone:

Email:


II. ATTORNEY-IN-FACT (AGENT) INFORMATION

Primary Agent:

Name:

Relationship:

Address:

City, State, ZIP:

Phone:

Email:

Alternate Agent (if primary agent is unavailable):

Name:

Relationship:

Address:

City, State, ZIP:

Phone:

Email:


III. POWERS GRANTED

I grant my Attorney-in-Fact the following powers to act on my behalf:

A. Real Estate and Property

B. Financial Transactions

C. Tax Matters

D. Business Operations

E. Personal Property

F. Insurance and Benefits

G. Legal and Professional Matters


IV. LIMITATIONS AND RESTRICTIONS

Specify any limitations on the powers granted above:

Gift Limitations: My agent may make gifts not exceeding $ per person per year.


V. WHEN THIS POWER TAKES EFFECT

Select ONE option:


VI. DURATION

This power of attorney:


VII. COMPENSATION

Select ONE option:


VIII. ADDITIONAL INSTRUCTIONS

Please include any other specific instructions or wishes:


IX. SIGNATURE OF PRINCIPAL

I understand the full import of this document and I am emotionally and mentally competent to execute this Power of Attorney. I understand that I may revoke this document at any time.

Signature of Principal:

Date:


X. WITNESS STATEMENT

We declare that the person who signed this document did so in our presence, that they appeared to be of sound mind and not under duress or undue influence, and that we are not the agent named in this document, nor related to the principal by blood or marriage.

Witness #1:

Signature:

Printed Name:

Address:

Date:

Witness #2:

Signature:

Printed Name:

Address:

Date:


XI. NOTARIZATION

STATE OF

COUNTY OF

On this _____ day of _____________, 20_____, before me personally appeared , known to me to be the person described in and who executed the foregoing instrument, and acknowledged that they executed the same as their free act and deed.

Notary Public:

My Commission Expires:

[NOTARY SEAL]


IMPORTANT NOTES:

  1. State-Specific Requirements: Power of Attorney laws vary by state. Some states require specific language or forms. Check your state's requirements.
  2. Copies: Provide copies to your agent, financial institutions, and keep a copy in an easily accessible location.
  3. Review Regularly: Review and update this document every few years or after major life changes.
  4. Revocation: You may revoke this Power of Attorney at any time by destroying it, creating a new one, or providing written notice to your agent.
  5. Durable vs. Non-Durable: A durable power of attorney remains in effect even if you become incapacitated. A non-durable power of attorney terminates upon incapacity.
  6. Legal Advice: This template is for informational purposes. Consult with an attorney to ensure compliance with your state's laws.