Durable Power of Attorney Form

Durable Power of Attorney Form

This Durable Power of Attorney is made and entered into on Month Day, Year, by and between the Principal and the Attorney-in-Fact listed below, granting authority as specified within this document.

Principal Information

Name

    Address

      Attorney-in-Fact Information

      Name

        Address

          Powers Granted to Attorney-in-Fact

            • Manage bank accounts

            • Handle real estate transactions

            • Make healthcare decisions

            • File and pay taxes

            • Manage business interests

            • Make investment decisions

            Effective Date

              • Immediately upon signing

              • Upon the Principal's incapacitation

              Duration of Power

              This Power of Attorney shall remain in effect until:

                • Revoked by the Principal

                Signatures

                IN WITNESS WHEREOF, the undersigned have executed this Durable Power of Attorney on the date first above written.

                Principal

                Name:

                Date:

                Attorney-in-Fact

                Name:

                Date:

                Witness 1

                Name:

                Date:

                Witness 2

                Name:

                Date:

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