Emergency Power of Attorney

I. Appointment of Attorney-in-Fact

I, [YOUR NAME], residing at [YOUR COMPANY ADDRESS], hereby appoint [AGENT'S NAME], residing at [AGENT'S ADDRESS], as my attorney-in-fact to act on my behalf in urgent situations or during my incapacity as detailed below. This Emergency Power of Attorney is specifically designed to address unforeseen circumstances where immediate action is necessary, such as medical emergencies or sudden incapacitation.

II.Roles and Responsibilities

1. Healthcare Decisions: My attorney-in-fact is authorized to make healthcare decisions on my behalf, including but not limited to consenting to or refusing medical treatments, surgeries, medications, and other medical procedures necessary for my well-being.

2. Financial Affairs: My attorney-in-fact is authorized to manage my financial affairs, including accessing my bank accounts, paying bills, managing investments, and conducting any other financial transactions necessary to maintain my financial stability and meet my obligations.

3. Property Management: My attorney-in-fact is authorized to manage my real and personal property, including buying, selling, leasing, and otherwise dealing with any property owned by me.

4. Legal Matters: My attorney-in-fact is authorized to initiate, defend, settle, or otherwise handle legal matters on my behalf, including but not limited to signing legal documents, engaging legal representation, and making decisions related to legal proceedings.

5. Communication and Access: My attorney-in-fact is authorized to access my confidential information, communicate with third parties, including healthcare providers, financial institutions, and legal professionals, and act in any other capacity necessary to carry out the responsibilities granted herein.

This Emergency Power of Attorney shall become effective immediately upon my incapacity or upon such time as my attorney-in-fact determines that I am unable to make decisions for myself due to unforeseen circumstances.

[YOUR NAME]

[DATE]

---

Witness Acknowledgement

I, the undersigned witness, declare that [YOUR NAME] appeared before me and signed this Emergency Power of Attorney on the date indicated above.

[WITNESS NAME]

[DATE]

---

Notary Acknowledgement

State of [State],

County of [County],

On this [DATE], before me, a Notary Public in and for said County and State, personally appeared [YOUR NAME], known to me (or proved to me based on satisfactory evidence) to be the person whose name is subscribed to the within instrument, and acknowledged that he/she executed the same for the purposes therein contained.

Witness my hand and official seal.

[NOTARY PUBLIC'S NAME]

My Commission Expires: [EXPIRATION DATE OF COMMISSION]

Power of Attorney Templates @ Template.net