CREATE A DURABLE POWER OF ATTORNEY
I, ________________(Name), of ____________________________(Address)
hereby appoint _________________(Person)
to serve as my “Agent” and to exercise the
powers set forth below.
This power of attorney shall be effective:
__ Upon my disability, incapacity, or incompetence,
except as provided by statute. I hereby revoke all
powers of attorney, general or limited, previously
granted by me, except for powers granted by me
on forms provided by financial institutions granting
the right to write checks on, deposit funds to, and
withdraw funds from accounts to which I am a
signatory or granting access to a safe deposit box.
My Agent is authorized, in my Agent's sole and
absolute discretion at any time, with respect to
any of my property, real (including homestead
property or any other interest), personal, intangible,
and mixed, as follows:
1. To collect any money or property due me and
endorse all checks or other instruments payable
to me, disclaim my interest in any real or personal
property to which I am or become entitled and settle,
pursue, or abandon any claim or property right I may
now or later have.
2. To pay any of my bills by signing checks to withdraw
money from any checking account and deposit and
withdraw any other amounts held in my name in any
bank or financial institution, including individual retirement accounts (IRAs) establish, close, transfer, or in any other way handle accounts of any type in financial institutions,including IRAs and generally, in my name, handle any property held by a financial institution, including property held by a bank as trustee or a trust in which I have any interest and property stored in a safe deposit box to whichI have access.
3. To sell and transfer title to any real estate that I own
or in which I have any interest.
4. To sell, exchange, and transfer any personal property in which I have an interest, including any motor vehicles, stocks, bonds, and other securities, whether or not in certificate form. To purchase hold, operate, manage, and generally handle any personal property and exercise any right I may have in any insurance policy.
5. To prepare and file any tax returns that I might be
obligated to file, and represent me before any
government or social service agency in connection
with any tax I may owe or any rights or benefits to which I may be entitled.
6. To establish, administer, amend, revoke (if applicable),and generally handle revocable or irrevocable trusts on my behalf
-transfer all or part of my real or personal property to any trust
-make gifts or real or personal property, outright or
in trust
-and make any decision regarding my property and
the disposition of my property that I could make.
7. To do everything necessary to carry on my
business affairs and provide for my health and
welfare in the same way that I could if personally
present.
I give my Agent full power to do everything necessary
to accomplish anything in the above list, and I confirm
and ratify all that my Agent lawfully does by virtue of
this power. Any person or organization dealing with
my Agent may rely on this power and its presentation
by my Agent. No liability to me or my successors will
result from this reliance if the person relying on this
power has actual notice of its revocation or termination.
The specification of particular powers is not intended to
limit or restrict the general powers granted to my Agent.
A photocopy of this power of attorney may be given to
any person dealing with my Agent and shall have the
same effect as the original.
Dated:__________________ ___________________
Identification Witnesses: ______________________ ____________________
Printed Name:______________________________
State of _________________________
___________________________County
On this _____day of _____________,_________(Year),
personally appeared before
me_____________________________,
to me personally known or who provided
_________________________as identification,
who executed this durable power of
attorney and acknowledged the same to be his or
her free act and deed.
__________________________
Notary Public
My commission expires:________________________
