What type of power of attorney is this? Durable - Valid if principal is incapacitated.General - Cancels if principal is incapacitated. Incapacitation refers to the inability to act or function, often due to physical or mental impairment because of dementia, alzheimer's disease, or any other type of mental condition. Who is this power of attorney for? A "principal" is an individual giving financial powers to someone else. Add the principal's mailing address? Add the principal's mailing address? YesNo, I'll add later. What is the principal's address? It should be the same as the principal's driver's license. Add the principal's phone number? Add the principal's phone number? YesNo, I'll add later. What is the principal's phone number? Who is the agent? An "agent" is the individual receiving powers to act on behalf of the principal. Add the agent's address? Add the agent's address? YesNo, I'll add later. What is the agent's address? Add the agent's phone number? Add the agent's phone number? YesNo, I'll add later. Agent's phone number: Do you want to add a 2nd agent? YesYes, but I'll add later.No A 2nd agent acts on behalf of the principal only if the agent isn't available. What is the 2nd agent's name? Add the 2nd agent's address? Add the 2nd agent's address? YesNo, I'll add later. What is the 2nd agent's address? Add the 2nd agent's phone number? Add the 2nd agent's phone number? YesNo, I'll add later. What is the 2nd agent's phone number? Do you want to add a 3rd agent? YesYes, but I'll add later.No A 3rd agent acts on behalf of the principal only if both the agent and the 2nd agent isn't available. What is the 3rd agent's name? Add the 3rd agent's address? Add the 3rd agent's address? YesNo, I'll add later. What is the 3rd agent's address? Add the 3rd agent's phone? Add the 3rd agent's phone? YesNo, I'll add later. What is the 3rd agent's phone number? What powers will be granted? Check all that apply: Check all that apply: Banking (personal finances)Business decisionsEstates, trusts, and other beneficial interestsFamily supportGovernment benefits (incl. military benefits)Insurance and annuity managementLawsuits (claims & litigations)Managing investmentsPersonal propertyReal estateRetirement plansTaxes (federal, state, and local)Other The powers selected will be given to the agent named in this document. Describe any other powers granted: Do you want to give "authoritative" powers? YesNo This allows an agent to make additional decisions regarding the principal's estate and other authoritative powers. Check all that apply: Check all that apply: Create, amend, or revoke an inter vivos trust.Making gifts (subject to rules under State law).Create of change rights of survivorship.Create of change a beneficiary dsignation.Authorize another person to act under this power of attorney.Waive the principal's right to be a beneficiary in specific situations.Exercise fiduciary powers on behalf of the principal.Access the content of electronic communication.Disclaim or refuse an interest in property. Are there any other special instructions or powers you wish to give the agent? YesNo Describe the special powers and/or instructions to the agent: Would you like the agent to be your guardian and conservator? Yes, I want my agent for this role.I want someone else for this role.No, I don't want to make this appointment. A guardian or conservator allows someone to handle the principal's day-to-day activities, medical treatments, and daily care in the event of incapacitation. Who will be the guardian / conservator? Add the guardian / conservator's address? Add the guardian / conservator's address? YesNo, I'll add later. What is the guardian / conservator's address? Add the guardian / conservator's phone number? Add the guardian / conservator's phone number? YesNo, I'll add later. What is the conservator / guardian's phone number? Where is this power of attorney being signed? State Selector State SelectorAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Next Save Save and finish later
