I, _____________________________________________, (hereinafter "I", "myself" or "my") do hereby
intend to create a Durable Power of Attorney (hereinafter “DPA”), investing
_______________________________________________________________ (hereinafter
"attorney-in-fact") to act as my attorney-in-fact.
I am a (field for marital status)____________________________ individual residing at
__________________________________________________________________________________.
At the time of creation and execution of this document, I was of sound mind, capable of entering into a
legal agreement, and fully understood the consequences of my actions.
Designation of Alternative Attorney-in-Fact
If my attorney-in-fact is unable or unwilling to act in that capacity at any time, I invest
_______________________________________________________________to act as my alternative
attorney-in-fact. The change of investiture to the alternative attorney-in-fact does not require court
approval provided that my attorney-in-fact willingly gives up his or her powers in writing. When
invested, my alternative attorney-in-fact will have the same powers as my attorney-in-fact.
Authority to Act
The individual invested with authority at any time under this agreement has the right to act on my behalf
in any way I normally would act if physically or mentally present to the same extent as I am or would be
able. This DPA does not allow my attorney-in-fact or alternative attorney-in-fact to act in an illegal or
otherwise prohibited manner on my behalf at any time.
Powers of Attorney-in-Fact
My attorney-in-fact has the power to exercise my legal rights and powers both now and in the future.
These include but are not limited to:
1. Collecting, holding, improving, investing, leasing, and otherwise managing all real and personal
property or interest in real or personal property I own, have an exercisable interest in or could acquire
prior to my death.
2. Buying and selling all real and personal property, whether tangible or intangible, I held, could hold or
had the power to hold. These purchases and sales should be according to terms my attorney-in-fact finds
acceptable and which are in accordance with state and federal laws and regulations.
3. Borrowing money on my behalf, either for my personal maintenance or the maintenance of my
property.
4. Loan money on my behalf to any individual, agent, or entity, regardless of whether related to me.
However, this power does not grant the attorney-in-fact the power to grant him or herself a loan.
5. Engaging in business and banking as required and permitted by law. This includes signing partnership
agreements, voting on stock options, liquidating or dissolving business, and withdrawing or depositing
funds from any financial account in my name or to which I have legal access.
6. Accessing safe deposit boxes in my name or to which I have legal access and disposing of their
contents according to law, my will, and personal direction when necessary.
