A Durable Power of Attorney for Finances form gives your chosen Agent the authority to make all financial decisions on behalf of the Principal in the event the Principal becomes incapacitated. Fill out a free Durable Power of Attorney for Finances form in just minutes online.
Durable Power of Attorney for Finances is a legal document mainly used for estate planning purposes, to give your trusted Agent broad powers to act when you are not able to. A Durable Power of Attorney for Finances form can be written to transfer responsibilities to the Agent immediately or written to go into effect upon the incompetency or incapacity of the Principal.
With Durable Power of Attorney for Finances, the Principal can select an Agent of his or her own choosing setting the foundation for positive succession planning to avoid family disputes and outlining beforehand how the Agent should take care of any and all financial tasks.
Free Durable Power of Attorney for Finances Form
Durable Power of Attorney for Finances is given to a trusted Agent to take care of financial responsibilities like managing stocks and bonds, checking and savings accounts, real estate transactions, paying bills, making business decisions and more.
Sample Free Durable Power of Attorney for Finances Form
This sample free Durable Power of Attorney for Finances form is an example of the information needed to fill out a typical Durable Power of Attorney for Finances form. This is a cut and paste free Durable Power of Attorney for Finances form. Feel free to tailor the information to the form as needed to fit your needs. We strongly suggest that if you have any questions about filling out a Durable Power of Attorney for Finances form, you should consult a lawyer.
Durable Power of Attorney for Finances
1. Agent. I choose______________________________as my Agent with full authority to
manage my finances.
2. Alternate. If ______________________________is unable or unwilling to act, I choose
_____________________________ as my Agent with full authority to manage my finances.
3. My Rights. I keep the right to make financial decisions for myself as long as I am capable.
4. Durable. My Agent can use this power of attorney document to manage my finances
even if I become sick or injured and cannot make decisions for myself. This power of attorney
document shall not be affected by my disability.
5. Start Date. This power of attorney document is effective.
_____Only if my medical provider signs a letter saying I cannot make decisions for myself.
6. End Date. This power of attorney document will end if I revoke it or when I die.
If my spouse or domestic partner is my Agent, this power of attorney document will
end if either of us files for divorce in court.
7. Revocation. I revoke any power of attorney for finances documents I have signed in
the past. I understand that I may revoke this power of attorney document at any time
by giving written notice of revocation to my Agent.
8. Powers. My Agent shall have full power and authority to do anything as fully and
effectively as I could do myself, including,but not limited to, the power to make deposits
to, and payments from, any account in my name in any financial institution, to open and
remove items from any safe deposit box in my name, to sell, exchange or transfer
title to stocks, bonds or other securities, and to sell, convey or encumber any real or
personal property. My agent shall also have the following special powers.
Check all that apply:
_____Manage my financial and business affairs
_____Create, amend, revoke, or terminate a living trust
_____Make gifts of my money or property
_____Create or change my rights of survivorship
_____Create or change my beneficiary designation
_____Delegate some authority granted in this document to someone else
_____Waive my right to be the beneficiary of an annuity or retirement plan
_____Create, amend, revoke, or terminate my community property agreement
_____Tell a trustee to make distributions from a trust just as I could
List any additional powers to grant:
9. No Power to Agree to Binding Pre-Dispute Arbitration. I recognize that some long-term
care providers will ask me or my Agent to sign a binding pre-dispute arbitration
agreement. These agreements limit my right to sue the provider before any injury or
dispute occurs. I think these agreements are unfair and unacceptable. Therefore, my agent
does not have the power to agree to pre-dispute binding arbitration or any other process
involving my person or property that limits my right to a jury, to sue for money, or to join
a class action.
10. Accounting. My Agent shall keep accurate records of my finances and show these
records to me at my request.
11. Nomination of Guardian. I nominate my Agent as the guardian of my estate for
consideration by the court if guardianship proceedings become necessary.
12. HIPAA Release. I authorize my healthcare providers to release all information governed
by the Health Insurance Portability and Accountability Act of 1996 (HIPAA) to my Agent.
State of ________________________
County of _______________________
I certify that I know or have satisfactory evidence that__________________________,
is the person who appeared before me, signed above, and acknowledged that the signing
was done freely and voluntarily for the purposes mentioned in this instrument.
Subscribed and Sworn to before me on _____________________.
Notary Public for the State of __________________.
My commission expires _________________.