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INTELLIGENT QUESTIONNAIRE FOR

UNIFORM STATUTORY FORM POWER OF ATTORNEY - $16.95

PRINT YOUR DOCUMENT IN MINUTES AFTER ANSWERING THE QUESTIONS BELOW!  

INFORMATION REGARDING PRINCIPAL  
Principal is the person GIVING authority to another and who will sign the document
Name:
FAQ
Learn More About "Principal" And Other Useful Terms

Address:

City:
State:          Zip Code:
 
INFORMATION REGARDING AGENT  
Agent is the person who is granted authority
 
IF YOU DO NOT KNOW WHO YOUR AGENT(S) WILL BE, YOU MAY LEAVE THE AGENT INFORMATION BLANK. THE FORM WILL PRINT WITH SPACES, WHICH YOU CAN FILL LATER BY HAND.
 
How many Agents will you appoint?    
FAQ
Can I Have More Than One Agent? How Does That Work?
   
Name:

Address:

City:
State:          Zip Code:

Second Agent:
Name:

Address:

City:
State:          Zip Code:

Third Agent:
Name:

Address:

City:
State:          Zip Code:

Will the agents you appointed all act together or will they be able to act separately? 
FAQ
What Does It Mean For My Agents To All Act Together?
 
POWERS TO BE GRANTED  
   
Please check any of the following powers that will be granted to the agent(s)
FAQ
What Powers Can I Give My Agent?
  1.   Real Property Transactions
  2.   Tangible personal property transactions
  3.   Stock and bond transactions
  4.   Commodity and options transactions
  5.   Banking and other financial institutions transactions
  6.   Business operating transactions
  7.   Insurance and annuity transactions
  8.   Estate, Trust, and other beneficiary transactions
FAQ
What Can't My Agent Do?
  9.   Claims and litigation
10.  Personal and family maintenance
11.   Benefits from social security, Medicare, Medicaid, or other governmental programs, or civil or military service
12.   Retirement plan transactions
13.   Tax matters
        
 
SPECIAL INSTRUCTIONS FOR POWERS GRANTED  
If desired, you may enter below special instructions to limit or extend the powers granted to the Agent(s).
Do you have special instructions?     Yes No
(NOTE: YOU CANNOT INCLUDE INSTRUCTIONS REGARDING HEALTH CARE.)


See examples of how to limit or extend the powers granted to the agent(s).

FAQ
Can I Give Special Instructions To My Agent? How?
 
WHEN POWER OF ATTORNEY WILL BECOME EFFECTIVE  
 
This Power of Attorney will become effective: immediately  
  upon the following event or occurrence
       
FAQ
When Can I Make My Power of Attorney Effective?
  as of / / (MM / DD / YYYY)
DURABLE OR NON-DURABLE  
Do you want this Power of Attorney to be effective even if the Principal becomes incapacitated?  
     (answering yes will make this a durable power of attorney; answering no will make it non-durable))
FAQ
What Is A Durable Power of Attorney?
 
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