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MARYLAND STATUTORY FORM
PERSONAL FINANCIAL POWER OF ATTORNEY
IMPORTANT INFORMATION AND WARNING
You should be very careful in deciding whether or not to sign this document. The
powers granted by you (the principal) in this document are broad and sweeping. This
power of attorney authorizes another person (your agent) to make decisions concerning
your property for you (the principal). Your agent will be able to make decisions and act
with respect to your property (including your money) whether or not you are able to act
for yourself.
You should select someone you trust to serve as your agent. Unless you specify
otherwise, generally the agent’s authority will continue until you die or revoke the power
of attorney or the agent resigns or is unable to act for you.
You need not grant all of the powers listed below. If you choose to grant less than all of
the listed powers, you may instead use a Maryland Statutory Form Limited Power of
Attorney and mark on that Maryland Statutory Form Limited Power of Attorney which
powers you intend to delegate to your attorneyinfact (the Agent) and which you do
not want the Agent to exercise.
This power of attorney becomes effective immediately unless you state otherwise in the
Special Instructions.
You should obtain competent legal advice before you sign this power of attorney if you
have any questions about the document or the authority you are granting to your agent.
DESIGNATION OF AGENT
This section of the form provides for designation of one agent.
If you wish to name coagents, skip this section and use the next section (“Designation
of Coagents”).
I, _______________________ (Name of Principal), name the following person as my
agent:
Name of Agent: _______________________
Agent’s Address: ______________________________________________
Agent’s Telephone Number: _______________________
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DESIGNATION OF COAGENTS (OPTIONAL)
This section of the form provides for designation of two or more coagents. Coagents are
required to act together unanimously unless you otherwise provide in this form.
I, _______________________ (Name of Principal), name the following persons as co-
agents:
Name of Coagent: _______________________
Coagent’s Address: ______________________________________________
Coagent’s Telephone Number: _______________________
Name of Coagent: _______________________
Coagent’s Address: ______________________________________________
Coagent’s Telephone Number: _______________________
Special Instructions Regarding Coagents: ____________________________________
_____________________________________________________________________.
DESIGNATION OF SUCCESSOR AGENT(S) (OPTIONAL)
If my agent is unable or unwilling to act for me, I name as my successor agent:
Name of Successor Agent: _______________________
Successor Agent’s Address: ______________________________________________
Successor Agent’s Telephone Number: _______________________
If my successor agent is unable or unwilling to act for me, I name as my second
successor agent:
Name of 2
nd
Successor Agent: _______________________
Successor 2
nd
Agent’s Address: ____________________________________________
Successor 2
nd
Agent’s Telephone Number: _______________________
GRANT OF GENERAL AUTHORITY
I (“the principal”) grant my agent and any successor agent, with respect to each subject
listed below, the authority to do all acts that I could do to:
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(1) Contract with another person, on terms agreeable to the agent, to accomplish a
purpose of a transaction and perform, rescind, cancel, terminate, reform, restate,
release, or modify the contract or another contract made by or on behalf of the principal;
(2) Execute, acknowledge, seal, deliver, file, or record any instrument or communication
the agent considers desirable to accomplish a purpose of a transaction;
(3) Seek on the principal’s behalf the assistance of a court or other governmental
agency to carry out an act authorized in this power of attorney;
(4) Initiate, participate in, submit to alternative dispute resolution, settle, oppose, or
propose or accept a compromise with respect to a claim existing in favor of or against
the principal or intervene in litigation relating to the claim;
(5) Engage, compensate, and discharge an attorney, accountant, discretionary
investment manager, expert witness, or other advisor;
(6) Prepare, execute, and file a record, report, or other document to safeguard or
promote the principal’s interest under a statute or regulation and communicate with
representatives or employees of a government or governmental subdivision, agency, or
instrumentality, on behalf of the principal; and
(7) Do lawful acts with respect to the subject and all property related to the subject.
SUBJECTS AND AUTHORITY
My agent’s authority shall include the authority to act as stated below with regard to
each of the following subjects:
Real property With respect to this subject, I authorize my agent to: demand, buy, sell,
convey, lease, receive, accept as a gift or as security for an extension of credit, or
otherwise acquire or reject an interest in real property or a right incident to real property;
pledge or mortgage an interest in real property or right incident to real property as
security to borrow money or pay, renew, or extend the time of payment of a debt of the
principal or a debt guaranteed by the principal, including a reverse mortgage; release,
assign, satisfy, or enforce by litigation or otherwise a mortgage, deed of trust,
conditional sale contract, encumbrance, lien, or other claim to real property that exists
or is asserted; and manage or conserve an interest in real property or a right incident to
real property owned or claimed to be owned by the principal, including: (1) insuring
against liability or casualty or other loss; (2) obtaining or regaining possession of or
protecting the interest or right by litigation or otherwise; (3) paying, assessing,
compromising, or contesting taxes or assessments or applying for and receiving refunds
in connection with them; and (4) purchasing supplies, hiring assistance or labor, and
making repairs or alterations to the real property.
Stocks and bonds With respect to this subject, I authorize my agent to: buy, sell, and
exchange stocks and bonds; establish, continue, modify, or terminate an account with
respect to stocks and bonds; pledge stocks and bonds as security to borrow, pay,
renew, or extend the time of payment of a debt of the principal; receive certificates and
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other evidences of ownership with respect to stocks and bonds; exercise voting rights
with respect to stocks and bonds in person or by proxy, enter into voting trusts, and
consent to limitations on the right to vote.
Banks and other financial institutions With respect to this subject, I authorize my
agent to: continue, modify, transact all business in connection with, and terminate an
account or other banking arrangement made by or on behalf of the principal; establish,
modify, transact all business in connection with, and terminate an account or other
banking arrangement with a bank, trust company, savings and loan association, credit
union, thrift company, brokerage firm, or other financial institution selected by the agent;
contract for services available from a financial institution, including renting a safe
deposit box or space in a vault; deposit by check, money order, electronic funds
transfer, or otherwise with, or leave in the custody of, a financial institution money or
property of the principal; withdraw, by check, money order, electronic funds transfer, or
otherwise, money or property of the principal deposited with or left in the custody of a
financial institution; receive statements of account, vouchers, notices, and similar
documents from a financial institution and act with respect to them; enter a safe deposit
box or vault and withdraw or add to the contents; borrow money and pledge as security
personal property of the principal necessary to borrow money or pay, renew, or extend
the time of payment of a debt of the principal or a debt guaranteed by the principal;
make, assign, draw, endorse, discount, guarantee, and negotiate promissory notes,
checks, drafts, and other negotiable or nonnegotiable paper of the principal or payable
to the principal or the principal’s order, transfer money, receive the cash or other
proceeds of those transactions; and apply for, receive, and use credit cards and debit
cards, electronic transaction authorizations, and traveler’s checks from a financial
institution.
Insurance and annuities With respect to this subject, I authorize my agent to:
continue, pay the premium or make a contribution on, modify, exchange, rescind,
release, or terminate a contract procured by or on behalf of the principal that insures or
provides an annuity to either the principal or another person, whether or not the
principal is a beneficiary under the contract; procure new, different, and additional
contracts of insurance and annuities for the principal and select the amount, type of
insurance or annuity, and mode of payment; pay the premium or make a contribution
on, modify, exchange, rescind, release, or terminate a contract of insurance or annuity
procured by the agent; apply for and receive a loan secured by a contract of insurance
or annuity; surrender and receive the cash surrender value on a contract of insurance or
annuity; exercise an election; exercise investment powers available under a contract of
insurance or annuity; change the manner of paying premiums on a contract of insurance
or annuity; change or convert the type of insurance or annuity with respect to which the
principal has or claims to have authority described in this section; apply for and procure
a benefit or assistance under a statute or regulation to guarantee or pay premiums of a
contract of insurance on the life of the principal; collect, sell, assign, hypothecate,
borrow against, or pledge the interest of the principal in a contract of insurance or
annuity; select the form and timing of the payment of proceeds from a contract of
insurance or annuity; pay, from proceeds or otherwise, compromise or contest, and
apply for refunds in connection with a tax or assessment levied by a taxing authority
with respect to a contract of insurance or annuity or the proceeds or liability from the
contract of insurance or annuity accruing by reason of the tax or assessment.
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Claims and litigation With respect to this subject, I authorize my agent to: assert and
maintain before a court or administrative agency a claim, claim for relief, cause of
action, counterclaim, offset, recoupment, or defense, including an action to recover
property or other thing of value, recover damages sustained by the principal, eliminate
or modify tax liability, or seek an injunction, specific performance, or other relief; act for
the principal with respect to bankruptcy or insolvency, whether voluntary or involuntary,
concerning the principal or some other person, or with respect to a reorganization,
receivership, or application for the appointment of a receiver or trustee that affects an
interest of the principal in property or other thing of value; pay a judgment, award, or
order against the principal or a settlement made in connection with a claim or litigation;
and receive money or other thing of value paid in settlement of or as proceeds of a
claim or litigation.
Benefits from governmental programs or civil or military service (including any benefit,
program, or assistance provided under a statute or regulation including Social Security,
Medicare, and Medicaid) With respect to this subject, I authorize my agent to: execute
vouchers in the name of the principal for allowances and reimbursements payable by
the United States or a foreign government or by a state or subdivision of a state to the
principal; enroll in, apply for, select, reject, change, amend, or discontinue, on the
principal’s behalf, a benefit or program; prepare, file, and maintain a claim of the
principal for a benefit or assistance, financial or otherwise, to which the principal may be
entitled under a statute or regulation; initiate, participate in, submit to alternative dispute
resolution, settle, oppose, or propose or accept a compromise with respect to litigation
concerning a benefit or assistance the principal may be entitled to receive under a
statute or regulation; and receive the financial proceeds of a claim described above and
conserve, invest, disburse, or use for a lawful purpose anything so received.
Retirement plans (including a plan or account created by an employer, the principal, or
another individual to provide retirement benefits or deferred compensation of which the
principal is a participant, beneficiary, or owner, including a plan or account under the
following sections of the Internal Revenue Code: (1) an individual retirement account
under Internal Revenue Code Section 408, 26 U.S.C. § 408; (2) a Roth individual
retirement account under Internal Revenue Code Section 408A, 26 U.S.C. § 408A; (3) a
deemed individual retirement account under Internal Revenue Code Section 408(q), 26
U.S.C. § 408(q); (4) an annuity or mutual fund custodial account under Internal
Revenue Code Section 403(b), 26 U.S.C. § 403(b); (5) a pension, profitsharing, stock
bonus, or other retirement plan qualified under Internal Revenue Code Section 401(a),
26 U.S.C. § 401(a); (6) a plan under Internal Revenue Code Section 457(b), 26 U.S.C.
§ 457(b); and (7) a nonqualified deferred compensation plan under Internal Revenue
Code Section 409A, 26 U.S.C. § 409A) With respect to this subject, I authorize my
agent to: select the form and timing of payments under a retirement plan and withdraw
benefits from a plan; make a rollover, including a direct trusteetotrustee rollover, of
benefits from one retirement plan to another; establish a retirement plan in the
principal’s name; make contributions to a retirement plan; exercise investment powers
available under a retirement plan; borrow from, sell assets to, or purchase assets from a
retirement plan. I recognize that granting my agent the authority to create or change a
beneficiary designation for a retirement plan may affect the benefits that I may receive if
that authority is exercised. If I grant my agent the authority to designate the agent, the
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agent’s spouse, or a dependent of the agent as a beneficiary of a retirement plan, the
grant may constitute a taxable gift by me and may make the property subject to that
authority taxable as a part of the agent’s estate. Therefore, if I wish to authorize my
agent to create or change a beneficiary designation for any retirement plan, and in
particular if I wish to authorize the agent to designate as my beneficiary the agent, the
agent’s spouse, or a dependent of the agent, I will explicitly state this authority in the
Special Instructions section that follows or in a separate power of attorney.
Taxes With respect to this subject, I authorize my agent to: prepare, sign, and file
federal, state, local, and foreign income, gift, payroll, property, federal insurance
contributions act, and other tax returns, claims for refunds, requests for extension of
time, petitions regarding tax matters, and other taxrelated documents, including
receipts, offers, waivers, consents, including consents and agreements under Internal
Revenue Code Section 2032(A), 26 U.S.C. § 2032(A), closing agreements, and other
powers of attorney required by the Internal Revenue Service or other taxing authority
with respect to a tax year on which the statute of limitations has not run and the
following 25 tax years; pay taxes due, collect refunds, post bonds, receive confidential
information, and contest deficiencies determined by the Internal Revenue Service or
other taxing authority; exercise elections available to the principal under federal, state,
local, or foreign tax law; and act for the principal in all tax matters for all periods before
the Internal Revenue Service, or other taxing authority.
Digital assets With respect to this subject, in accordance with the Maryland
Fiduciary Access to Digital Assets Act, my agent shall have authority over and the
right to access: (1) the content of any of my electronic communications; (2) any
catalogue of electronic communications sent or received by me; and (3) any other
digital asset in which I have a right or interest.
SPECIAL INSTRUCTIONS (OPTIONAL)
YOU MAY GIVE SPECIAL INSTRUCTIONS ON THE FOLLOWING LINES:
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
EFFECTIVE DATE
This power of attorney is effective immediately unless I have stated otherwise in the
Special Instructions.
TERMINATION DATE (OPTIONAL)
This power of attorney shall terminate on _______________________, 20____. (Use a
specific calendar date)
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NOMINATION OF GUARDIAN (OPTIONAL)
If it becomes necessary for a court to appoint a guardian of my property or guardian of
my person, I nominate the following person(s) for appointment:
Name of Nominee for Guardian of my Property: _______________________
Nominee’s Address: ______________________________________________
Nominee’s Telephone Number: _______________________
Name of Nominee for Guardian of my Person: _______________________
Nominee’s Address: ______________________________________________
Nominee’s Telephone Number: _______________________
SIGNATURE AND ACKNOWLEDGMENT
Your Signature: _______________________ Date: _______________________
Your Name Printed: _______________________
Your Address: ______________________________________________
Your Telephone Number: _______________________
This document was acknowledged before me on _______________________, 20____.
By _______________________ (Name of Principal) to be his/her act.
Signature of Notary: _______________________ (SEAL, IF ANY)
My commission expires: _______________________, 20____
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WITNESS ATTESTATION
The foregoing power of attorney was, on the date written above, published and
declared by:
Name of Principal: _______________________
in our presence to be his/her power of attorney. We, in his/her presence and at his/her
request, and in the presence of each other, have attested to the same and have signed
our names as attesting witnesses.
Witness #1 Signature: _______________________
Witness #1 Name Printed: _______________________
Witness #1 Address: ______________________________________________
Witness #1 Telephone Number: _______________________
Witness #2 Signature: _______________________
Witness #2 Name Printed: _______________________
Witness #2 Address: ______________________________________________
Witness #2 Telephone Number: _______________________