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Nevada Durable (Financial) Power of Attorney Form

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Nevada Durable (Financial) Power of Attorney Form provides a legal tool to designate another person to manage your financial matters. Examples of such matters include transacting business with your accounts, purchasing property, and selling assets. Such delegations of power are often made by people who want to make sure they have a plan in the event they can no longer act for themselves. Here a trusted relative, often a spouse, can be empowered to handle principal affairs provided this Agent is willing to acknowledge and accept the responsibilities that accompany such authority.

Laws – NRS 162A, Section 210


Durable Power of Attorney for Health Care Decisions – Used to ensure an agent is able to represent the Principal in making health care decisions.

How to Write

1 – Open This Delegation Of Power Form Displayed In The Image

Find the preview image on this page, then use the button directly beneath it to obtain a PDF copy. You may use a PDF editor to enter information directly on-screen or you may simply print this form and fill it out at your discretion. Make sure, if filling it out manually that it is legible and in blue or black ink.

2 – Document the Principal And The Principal’s Agent In The First Table

Look for the first table requiring information below the title “Nevada Statutory Power Of Attorney” on the third page. Use the first row of this table (labeled “Principal”) to record the Name of the individual who will appoint the Agent, defined below, with his or her Principal Authority.

The second row in this table requires the Name and Address of the Agent who will be appointed with Principal Authority through the execution of this form. Make sure these items are entered accurately as the Agent may have to produce matching Identification when utilizing Principal Authority.

If an Alternate Agent has been selected by the Principal (as a safety precaution), then report the Full Name and Address of the Alternate Agent in the third row of this table.

3 – A List Of The Agent’s Principal Powers Must Be Included In This Appointment

The next segment of this document will list several subject Matters common to when Principal Authority is often necessary. The Principal will need to initial each Subject Matter that he or she wishes to grant the Agent. In this way, the Principal can directly indicate in what areas of his or her life the Agent will have Principal Authority in.

The first part of this list will concern itself with the Property and Finances of the Principal. Here, the Principal may choose to allow the Agent the right to act as the Principal in matters concerning the Principal’s “Real Property,” “Tangible Personal Property,” “Stocks And Bonds,” “Commodities and Options,” and/or “Banks And Other Financial Institutions. The Principal may choose any one of these first few items or all of them as Subject Matters included in the Agent’s Principal Powers by simply initialing the blank line corresponding to that Subject Matter.

Next, the Principal may decide to grant the Agent the Principal Power to make decisions, act on, or have access to his or her “Safe Deposit Boxes” and/or “Operation of Entity by initialing one or both items.

In the next section of this list, the Principal has the option to appoint the Agent with his or her Authority in matters of “Insurance And Annuities,” “Estates, Trusts and Other Beneficial Interests,” and/or “Legal Affairs, Claims and Litigation.” Only the items initialed by the Principal will be under the purveyance of the Agent’s Principal Authority.

The next segment of this list shall give the Principal the opportunity to grant Principal Authority to the Agent regarding Principal “Personal Maintenance,” “Benefits From Governmental Programs Or Civil Or Military Service,” “Retirement Plans,” and/or the Principal’s “Taxes.”

The final statement will appoint the Agent with all the Principal Powers defined in this list. The Principal should initial only this item if he or she wishes the Agent to have the Principal Authority in all of the above subject Matters.

5 – Some Specific Actions Require The Principal’s Direct Input

The sixth section will detail several actions a Principal’s Agent is likely to engage in on behalf of the Principal. Each of the statements in this section will need to be reviewed by the Principal. If the actions in that statement are actions the Principal wishes the Agent to engage in on his or her behalf (when appropriate), the Principal will need to initial that statement. The Agent will not be allowed to engage in any actions on this list if the Principal has not initialed that statement.

If the Principal would like the Agent to have the ability to create, alter, or terminate an Inter Vivos, Family, Living, Irrevocable/Revocable Trust on his or her behalf, the Principal will need to initial the blank space corresponding to the first statement in the list provided.

The Principal can appoint the Agent with the Principal Power to engage in Gifting activities (limited by the statutes of the NRS and any Special Instructions) if he or she initials the second blank line in this section.

If the Principal initials the third statement on this list, he or she will deliver the Principal Power to act upon his or her Rights of Survivorship to the Agent.

The fourth statement in this list will appoint the Agent with the Principal Power to develop or alter Beneficiary Designations on behalf of the Principal only if the Principal initials the blank space preceding it.

The Principal can approve the Agent to Waive his or her right to act as a Beneficiary of a Joint and Survivor Annuity by initialing the sixth statement.

The Principal can grant the Agent the Principal Power to Exercise Fiduciary Powers on his or her behalf by initialing the seventh statement.

If the Principal wishes to appoint the Agent with the Principal Authority to Disclaim or Refuse Interests in Property in his or her Name, the Principal will need to initial the last statement here.

In addition to the previous two lists of Subject Matters and Actions, the Principal may include Special Instructions to the Agent in Section 8. Here, the Principal may directly limit or extend the Principal Powers granted to the Agent. If the Principal has such provisions they may be recorded on the blank lines in Section 8.

6 – The Principal Powers Delivered Here Must Have A Definitive Period Of Effect

The Principal will need to indicate when the Agent may use the Powers defined here on his or her behalf. This can be accomplished nicely by the Principal act of initialing the applicable statements in Section 9.

The Principal will define the Powers here as Durable and therefore unaffected by his or her incapacitation by initialing the first statement in Section 9.

If the Principal wishes the Powers here to go in Effect upon a Medical Diagnoses of Incapacitation, then he or she must initial the blank line corresponding to the paragraph labeled “Springing Power.”

If the Principal has a specific Start Date for these Powers, he or she should initial the third statement, then enter the Start Date on the blank line provided.

The Principal may name a specific Date of Termination for these Powers by initialing the blank space preceding the fourth statement.

Should the Principal decide the Powers in this document remain in effect until they are revoked or upon his or her death, the Principal should initial the last statement.

7 – The Principal Must Sign This Document And Record The Signature Date Before A Notary Public

The last section will require the Principal sign his or her Name on the blank line labeled “Name” then enter the Date of Signature on the line labeled “Date.” These items should be provided in Section 12 in the presence of a Notary Public.

There will be a specific area for the Notary Public to work with below the Principal Signature. This is the only entity that can provide a notary seal to authenticate the principal signing through the act of Notarization


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