Free Durable Power of Attorney Form
Create a durable power of attorney that remains valid even if you become incapacitated. Appoint a trusted agent for financial, legal, and personal decisions.
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1. Principal Information
2. Agent (Attorney-in-Fact) Information
3. Successor Agent
If the primary agent is unable or unwilling to serve.
4. Grant of Authority
Select the powers granted to the agent.
5. Durability Provision
6. Effective Date
7. Limitations and Restrictions
8. Agent Compensation
9. Governing Law
10. Signatures
Principal Signature
Witness 1
Witness 2
Notary Acknowledgment
Aperçu
I, [Principal Full Name], of [Principal Address], born on [MM/DD/YYYY], being of sound mind and under no duress or undue influence, do hereby appoint the following individual as my Attorney-in-Fact ("Agent"):
ARTICLE I: DESIGNATION OF AGENT
I appoint [Agent Name], residing at [Agent Address], Phone: [Phone Number], Relationship: [Relationship], as my Agent to act on my behalf.
ARTICLE II: SUCCESSOR AGENT
If the above-named Agent is unable or unwilling to serve, I appoint [Successor Agent Name], residing at [Successor Address], Phone: [Phone Number], as my successor Agent.
ARTICLE III: GRANT OF AUTHORITY
I grant my Agent authority to act on my behalf in the following matters:
[No powers selected]
ARTICLE IV: DURABILITY PROVISION
This Power of Attorney shall not be affected by the subsequent disability or incapacity of the Principal. This is a durable power of attorney and shall remain in full force and effect even if I become disabled, incapacitated, or incompetent.
ARTICLE V: EFFECTIVE DATE
This Durable Power of Attorney shall become effective immediately upon execution.
ARTICLE VI: LIMITATIONS AND RESTRICTIONS
No specific limitations or restrictions apply beyond those imposed by applicable law.
ARTICLE VII: AGENT COMPENSATION
The Agent shall serve without compensation but shall be entitled to reimbursement for reasonable expenses incurred while acting under this Power of Attorney.
ARTICLE VIII: GOVERNING LAW
This Durable Power of Attorney shall be governed by and construed in accordance with the laws of the State of [State].
ARTICLE IX: REVOCATION
I reserve the right to revoke this Durable Power of Attorney at any time by providing written notice to my Agent and any third parties who have relied upon it.
EXECUTION
IN WITNESS WHEREOF, I have executed this Durable Power of Attorney on this date.
Principal:
Signature: _______________________________
Printed Name: [Principal Name]
Date: [MM/DD/YYYY]
Witnesses:
Witness 1 Signature: _______________________________
Printed Name: [Witness 1 Name]
Address: [Address]
Date: [MM/DD/YYYY]
Witness 2 Signature: _______________________________
Printed Name: [Witness 2 Name]
Address: [Address]
Date: [MM/DD/YYYY]
NOTARY ACKNOWLEDGMENT
State of [State], County of [County]
On [MM/DD/YYYY], before me, [Notary Name], a Notary Public, personally appeared [Principal Name], known to me (or proved to me on the basis of satisfactory evidence) to be the person whose name is subscribed to the within instrument and acknowledged to me that they executed the same in their authorized capacity, and that by their signature on the instrument the person, or the entity upon behalf of which the person acted, executed the instrument.
Notary Signature: _______________________________
Notary Name: [Notary Name]
My Commission Expires: [MM/DD/YYYY]
[NOTARY SEAL]
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