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Vermont Power of Attorney Forms

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Vermont Power of Attorney Forms are instrumental for anyone who intends to deliver his or her authority to another individual in one or more matters. There are many types of situations and circumstances where a POA would be useful, therefore different forms will address different needs. It will be up to you, as the principal, to ultimately determine the level of authority you would allow your agent access to when acting on your behalf. Additionally, you will need to decide when such authority should be delivered, remain in effect, and terminate. These considerations as well as who you choose as to represent you should only be determined after you have developed a deliberate plan and obtained advice from an impartial and qualified professional.

Laws – Title 14, Chapter 123 (Powers of Attorney)

All Types

Advance Directive for Health Care (Medical POA) – This document can be used to appoint another to handle your health care matters in the event you no longer can communicate your wished to your doctors.

Durable (Financial) Power of Attorney – This may be used to appoint another to handle your financial matters over an extended period of time. Even if you get to the point where you can no longer make decisions for yourself, this form will continue to be in effect.

General (Financial) Power of Attorney – This is like the durable form, because it allows you to appoint another to handle your financial affairs over a period of time, however, if you become incapacitated it terminates and is of no further effect.

Limited (Springing) Power of Attorney – This form is when you are seeking representation for more limited situations, however, it requires you to specify when and how you wish your agent to act.

Minor (Child) Power of Attorney – For the use of a parent that would like to elect another individual to handle the basic needs of their child in regards to education, everyday well-being, and medical needs.

Real Estate Power of Attorney – Allows another person to handle the conveyance of real property in accordance with 27 V.S.A. § 305.

Revocation of Power of Attorney – This type is for canceling a POA you had already entered into. However, just filling this out and signing it is not enough – it is important that you provide copies of the revocation to your agents and other institutions using your old POA.

Tax Power of Attorney (Form PA-1) -This form is for use in the event that you have a tax issue for which you want to appoint a tax professional to handle.

  • Download: Adobe PDF
  • Signing Requirement: Agent(s)

Vehicle Power of Attorney – This form is for use when you seek to have someone else handle your titling and registration of your motor vehicle.

How to Write

1 – The Vermont Paperwork On This Page Serves To Deliver Principal Powers

The downloadable file (obtainable using the buttons captioning the image) on this page will set the terms a Principal to the granting of Principal Authority once, it is approved and signed by the Principal. Open and save this template then, fill it out.

2 – Basic Details Are Required To Prepare This Template For Principal Review

The first paragraph here supplies the framework and language to name both the Principal and Attorney-in-Fact as well as declare the Principal’s intention.

The blank space that precedes the words “…The Principal” in the first paragraph calls for the presentation of the Principal’s First, Middle, and Last Name. Make sure this is entered correctly. The two spaces supplied just after the words “…The Principal, Of” must be used to document the Principal’s Address and State documented (in that order).The Attorney-in-Fact in this declaration should have his or her Full Name supplied on the fourth blank line of this paragraph.  Finally, round out the identity report at the heart of this paragraph by furnishing the Attorney-in-Fact’s Address and state to the remaining spaces on this line.

3 – The Date When This Document Enables Principal Powers Should Be Discussed

This paperwork must now be presented to the Principal issuing this Authority. He or she will need to give a review of the options provided in the next couple of sections then choose the language that he or she wishes applied to this appointment. Only the Principal can provide this approval since this action requires the Principal’s initials. The first task set before the Principal concerns the Effective Date of this document. In the section labeled “Effective Date,” the Principal must choose between one of two Dates to put this delegation into effect.

If the Principal intends the Signature Date for this template to act as the Date it goes into Effect then he or she must initial the space in front of the statement “A.”If this document’s Date of Effect should be immediate upon whatever Date a Physician diagnoses the Principal as being incapacitated and unfit to govern himself or herself, then the Principal should initial the blank space corresponding to Statement “B.”

4 – Each Principal Delegation Must Be Principal Approved

The Principal will also have to provide Approval to appoint his or her Attorney-in-Fact with the Principal Power to perform Principal Actions on his or her behalf. He or she will need to review the list titled “Powers Of Attorney-in-Fact” then produce his or her initials to the space provided in the left margin of that paragraph. Any of the paragraphs here that have not been initialed will be considered areas where the Attorney-in-Fact has not been granted Principal Approval to participate in.

The language in the first paragraph has been set to allow the Attorney-in-Fact to perform “Banking” actions with Financial Institutions on behalf of the Principal. This type of Principal Authority will only be granted to the Attorney-in-Fact here if the Principal initials the blank space before the bold word “Banking.”  The Principal can give the Attorney-in-Fact his or her approval to use Principal Authority to access and control his or her Safe Deposit Boxes by initialing the paragraph labeled “Safe Deposit Box”The “Lending Or Borrowing” practices of the Principal can be conducted by the Attorney-in-Fact through the Principal Act of initialing the empty space attached to the third paragraph.  The Principal’s “Government Benefits” can be decided upon by the Attorney-in-Fact with the Principal’s approving initials supplied to the fourth paragraph. This item allows the Attorney-in-Fact to perform Principal actions such as applying and receiving benefits such as Social Security on behalf of the Principal.  The Authority to decide upon the Principal’s Retirement Plan using the Principal’s Name will be delegated to the Attorney-in-Fact’s Principal Powers when the Principal initials the paragraph labeled with the bold words “Retirement Plan.”If the Principal has decided that his or her Tax documents can and should be received, reviewed, and handled by the Attorney-in-Fact with Principal Authority, the “Taxes” paragraph will need to be initialed by the Principal. If the Attorney-in-Fact should be granted the Principal Power to purchase, maintain, and exerting the same decision-making Power the Principal wields with Principal “Insurance,” then the Principal’s approval must be clearly presented for the “Insurance” paragraph. This can only be done with the Principal’s initials. The “Real Estate” affairs of the Principal may be conducted by the Attorney-in-Fact. The Principal can designate this Principal Authority to the Attorney-in-Fact by initialing the eighth paragraph. If the Principal wishes to grant Attorney-in-Fact the right to wield Principal Authority over his or her “Personal Property” then he or she will have to initial the empty line just before the bold words “Personal Property.”The Power To Manage the Principal’s Property can be included in the Attorney-in-Fact’s Principal Powers if he or she initials the “Power To Manage Property” paragraph. The Principal Powers required to control Gifting done on the Principal’s behalf can be appointed to the Attorney-in-Fact when the Principal initials the paragraph labeled “Gifts.”The “Legal Advice And Proceedings” that requires Principal Attention may be delegated to the Attorney-in-Fact when the Principal approves the Attorney-in-Fact’s use of Principal Power regarding these matters. The Principal must initial the last paragraph of this list to deliver these Powers to the Attorney-in-Fact.

5 – An Opportunity To Adjust The Delegations Of Power Is Provided

Any Principal directives or instructions that must be applied to the Attorney-in-Fact’s Principal Power must be included in this document before the Principal Signing. This includes any limitations or restrictions the Principal expects to be imposed. Supply any such items on the blank lines in the “Special Instructions” section.

6 – The Signing Of This Template Must Occur Under Certain Circumstances

It is imperative for the use of this paperwork that the Principal supply his or her Signature to it in an appropriate manner. The concluding statement of this document, “In Witness Whereof…,” must be filled out by the Principal with the Date he or she signs this document. The Principal must then sign his or her Name on the line just below this statement. The next section will require the participation of two Witnesses to the Principal Signing. These individuals must each read the Witness Statement beginning with the words “We, The Witnesses, Each Do Hereby…” then sign his or her Name and write in his or her Address in the spaces provided. The area below the Witness Testimonial is an area for the notarization of the Principal Signature. Only the Notary Public attending this signing can fulfill the requirements set forth here. The “Specimen Signature And Acceptance Of Appointment” section will need some attention before this document is turned over to the Attorney-in-Fact for his or her Signature. Enter the Attorney-in-Fact’s Full Name on the blank space at the beginning of the statement in this section. The Attorney-in-Fact should sign the “Attorney-in-Fact’s Signature” line when he or she has read this statement and acknowledges it as true. The Notary Public section below this has been supplied so the Attorney-in-Fact’s Signature may be notarized.