Power of Attorney Informational Form

Name of Person Granting Power of Attorney *
Name of Person Granting Power of Attorney
Address of Person Granting Power *
Address of Person Granting Power
Phone No. of Person Granting Power *
Phone No. of Person Granting Power
Name of Person Receiving Power of Attorney *
Name of Person Receiving Power of Attorney
Address of Person Receiving Power of Attorney *
Address of Person Receiving Power of Attorney
Phone of Person Receiving Power of Attorney *
Phone of Person Receiving Power of Attorney
Please state what county the person you are appointing as your power of attorney lives in
Please provide the contact information to an alternate person you would like to appoint if the first person dies or is unable to fulfill the role of your power of attorney.
The General Power of Attorney lets you choose a person to make financial decisions for you. A General Regular Power of Attorney has a beginning and end date, but can be terminated in writing at any time before the expiration date for no reason or for cause. A Durable Power of Attorney has a beginning date and ends upon your death, but can be terminated in writing at any time before your death for no reason or for cause. Durable last beyond the person incapacity or vegetative state. Healthcare Power of Attorney appoints a person to make medical decisions for another person when they are mentally and physically unable to do so. The person possessing the power of attorney must have physical possession of all legal documents authorizing them the authority to make financial or health decisions on another person's behalf.
Personal Finances gives the person control over one's bank accounts i.e. deposits/withdrawals; safe deposit boxes, filing of taxes, etc. Realty gives one control over another's property interest i.e. sell, lease, mortgage, litigate any and all interest one may have an ownership interest in. Personal Property allows one to have control over another's furnishings, clothing, material items i.e. sale, give away, pawn, etc. Business Transactions allows one control over another's investments i.e. sales, vote, approval etc. regarding another's business. Catch All - provides one authority over another's tangible and intangible assets that one may have an interest or ownership interest in.
After your General Power of Attorney is prepared, please review it prior to signing to ensure it is consistent with your wishes. If it is not, contact me and we can correct any inaccuracies. Do not sign your General Power of Attorney until your witness and a Notary Public is present to watch you sign it. The witness must be at least 18 years of age, cannot be family (related by blood, adoption, or marriage), cannot be in your will to receive part of your estate, cannot be appointed as your representative, and cannot be a health care giver. A witness can be a neighbor, friend, or an acquaintance who is an adult, is not in your will, and is not caring for you or representing you.
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