ACKNOWLEDGMENT OF RESPONSIBILITIES BY ATTORNEY-IN-FACT
I, ___________________, have been appointed as attorney-in-fact for
___________________, the Principal, under a Durable Power of Attorney dated
___________________, 20____. By signing this document, I acknowledge that if and
when I act as attorney-in-fact, all of the following apply:
a. Except as provided in the Durable Power of Attorney, I must act in accordance
with the standards of care applicable to fiduciaries acting under Durable Powers
of Attorney;
b. I must take reasonable steps to follow the instructions of the Principal;
c. Upon request of the Principal, I must keep the Principal informed of my
actions. I must provide an accounting to the Principal upon request of the
Principal, to a Guardian or Conservator appointed on behalf of the Principal upon
the request of that Guardian or Conservator, or pursuant to Judicial Order;
d. I cannot make a gift from the Principal’s property unless provided for in the
Durable Power of Attorney;
e. Unless provided in the Durable Power of Attorney or by court order, I, while
acting as attorney-in-fact, shall not create an account or other asset in joint
tenancy between the Principal and me;
f. I must maintain records of my transactions as attorney-in-fact, including
receipts, disbursements, and investments;
g. I may be liable for damage or loss to the Principal, and may be subject to any
other available remedy, for breach of fiduciary duty owed by an attorney-in-fact to
a Principal for any action I take that is not provided for in the Durable Power of
Attorney; and
h. I may be subject to civil or criminal penalties if I violate my duties to the
Principal.
Attorney-in-Fact Signature ___________________ Date: ___________________
Attorney-in-Fact ___________________