This is an agreement that allows an agent to act on behalf of the principal. This
agreement is primarily used to allow an agent to act on behalf of a mentally or physically
deteriorating principal. The agent agrees that he or she will act in the principal’s best
interests to the best of the agent’s abilities and allows the agent to perform any act the
principal could do except make a will. This document should be used by any individual
or entity that wants to obtain the power of attorney on behalf of another party.
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GENERAL POWER OF ATTORNEY
THIS POWER OF ATTORNEY is given by ___________________ [Comment: INSERT
NAME] of ____________________ [Comment: INSERT ADDRESS].
I APPOINT my ________________ [Comment: insert relationship, for example
mother, father, brother, sister, friend], ______________________ [Comment:
insert name] to be my attorney, and I authorize my attorney to do, on my behalf, any
and all acts which I could do if capable, except make a Will, subject to any conditions
and restrictions contained herein. If __________________ refuses to act, or is unable
to act, I substitute and appoint my ________________ [Comment: insert
relationship, for example mother, father, brother, sister, friend],
______________________ [Comment: insert name] to be my attorney. My attorney
shall have the authority to act as my litigation guardian, if one is required to
commence, continue, defend or represent me in any court proceeding.
2. CONTINUING POWER
It is my intention and I so authorize my attorney that this authority shall be exercised
during any incapacity on my part to manage my property.
3. CONDITIONS AND RESTRICTIONS
This Power of Attorney is subject to no conditions or restrictions.
4. EFFECTIVE DATE
This Power of Attorney comes into effect as of the date of execution set out below.
Any prior Power of Attorney for property or any Power of Attorney which affects my
property previously given by me, except a Power of Attorney given to a bank or
financial institution for the purpose of the transaction of my business with that bank
or financial institution, is hereby revoked.
I authorize my attorney to accept compensation out of my property for any work done
by him or her in connection with this Power of Attorney, such compensation to be
consistent with compensation for attorneys under a Power of Attorney.
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EXECUTED at the City of ______________, this ______ day of ________, 20_____ in
the presence of both witnesses, each present at the same time.
We have signed this Power of Attorney in the presence of the person whose name
appears above and in the presence of each other.
Witness #1: Signature: _________________________________
Witness #2: Signature: _________________________________
[Comment: The following people cannot be witnesses: the attorney or his or
her spouse or partner; the spouse, partner, or child of the person making the
document, or someone that the person treats as his or her child; a person
whose property is under guardianship or who has a guardian of the person; a
person under the age]
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AFFIDAVIT AS TO LEGAL AGE
I, ______________________, of the City of ______________________, in the
Municipality of ____________________, make oath and say:
When I executed the attached instrument I was at least