Durable Power of Attorney Form
Preparing your Durable Power of Attorney is a 2-Step Process:
First: Complete and mail this form to Kimberly Colgate at 7711 Holiday Drive, Sarasota, Florida 34231. You may also complete and submit this form on-line at FLLawyer.com and receive a $5.00 discount. Next: Professor Colgate's Legal Assistant will contact you to verify your information and request a credit card number for payment of the $55.00 fee to prepare your document. Your document will be mailed to you electronically or sent by US mail.
1. Please provide your personal information. Full Legal Name: _________________________________________________________________ Street Address: _________________________________________________________________ City, State, Zip: _________________________________________________________________ Telephone Number: ______________________________________________________________ E-mail Address: _________________________________________________________________
2. Who would you like to act as holder of your Durable Power of Attorney? Please provide the following information about that person. Full Legal Name: ________________________________________________________________ Street Address: _________________________________________________________________ City, State, Zip: _________________________________________________________________ Telephone Number: ______________________________________________________________
3. If you want more than one person to sign, please provide information for the second person you want to act jointly. If you name a second person to act jointly, BOTH SIGNATURES WILL BE REQUIRED! Full Legal Name: ________________________________________________________________ Street Address: _________________________________________________________________ City, State, Zip: _________________________________________________________________ Telephone Number: ______________________________________________________________
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4. If the person or persons you have named are not available, who would you like to serve? Full Legal Name: ______________________________________________________________________ Street Address: _______________________________________________________________________ City, State, Zip: _______________________________________________________________________ Telephone Number: ____________________________________________________________________
5. If you want more than one person as a Successor, please list here the second person you want to act jointly. If you name a second person to act jointly, BOTH SIGNATURES WILL BE REQUIRED! Full Legal Name: ______________________________________________________________________ Street Address: _______________________________________________________________________ City, State, Zip: _______________________________________________________________________ Telephone Number: ____________________________________________________________________
Functions of Durable Power of Attorney Designate The person you name will be able to perform any act regarding your property you could have performed had you not been incapacitated. A. Collect any debts owing to you. B. Open and close financial accounts. C. Make deposits, withdrawals and write checks. D. Buy or sell any of your property. E. Gift up to $10,000 to as many persons as they wish. F. Improve, maintain or repair your property. G. Sign deeds, mortgages or other financial instruments. H. Prepare and sign any tax returns due.
The person who holds your Power of Attorney is required to act with a reasonable standard of care.
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Congratulations! You have completed the Durable Power of Attorney Form. Please mail this information to Professor Kimberly Colgate at 7711 Holiday Drive, Sarasota, Florida 34231. You may also complete and submit this form online at FLLawyer.com and receive a $5.00 discount. Professor Colgate's Legal Assistant will contact you to verify your information and to accept your payment information. You may pay the $55.00 document preparation fee by check, Visa, Master Card or American Express. Your document may be mailed to you electronically or sent by US mail, whichever you prefer. If you have further questions, you may contact Professor Colgate’s office toll free at 877.602.8754.
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