STATUTORY POWER OF ATTORNEYSection 45-5B-301. STATUTORY FORM POWER OF ATTORNEY. A documentsubstantially in the following form may be used to create a statutory form power ofattorney that has the meaning and effect prescribed by the Uniform Power of AttorneyAct:NEW MEXICO STATUTORY FORM POWER OF ATTORNEYIMPORTANT INFORMATIONThis power of attorney authorizes another person (your agent) to make decisionsconcerning your property for you (the principal).Your agent will be able to makedecisions and act for you with respect to your property (including your money) whetheror not you are able to act for yourself. The meaning of authority over subjects listed onthis form is explained in the Uniform Power of Attorney Act.This power of attorney does not authorize the agent to make health caredecisions for you.You should select someone you trust to serve as your agent. Unless you specifyotherwise, generally the agent’s power will continue until you die or revoke the power ofattorney or the agent resigns or is unable to act for you.Your agent is entitled to reasonable compensation unless you state otherwise inthe Special Instructions.This form provides for designation of one agent. If you wish to name more thanone agent, you may name a co-agent in the Special Instructions. Co-agents are notrequired to act together unless you include that requirement in the Special Instructions.1
If your agent is unable or unwilling to act for you, your power of attorney will endunless you have named a successor agent. You may also name a second successoragent.This power of attorney becomes effective immediately unless you state otherwisein the Special Instructions.If you have questions about the power of attorney or the authority you aregranting to your agent, you should seek legal advice before signing this form.DESIGNATION OF AGENTI, ,(Your Name)name the following person as my agent:Name of Agent:Agent’s Address:Agent’s Telephone Number:DESIGNATION OF SUCCESSOR AGENT(S) (OPTIONAL)If my agent is unable or unwilling to act for me, I name as my successor agent:Name of Successor Agent:Successor Agent’s Address:Successor Agent’s Telephone Number:If my successor agent is unable or unwilling to act for me, I name as mysuccessor agent:Name of Second Successor Agent:Second Successor Agent’s Address:Second Successor Agent’s Telephone Number:2
GRANT OF GENERAL AUTHORITYI grant my agent and any successor agent general authority to act for me withrespect to the following subjects as defined in the Uniform Power of Attorney Act.(INITIAL each subject you want to include in the agent’s general authority. If you wishto grant general authority over all the subjects, you may initial “All Preceding Subjects”instead of initialing each subject.)( )real property( )tangible personal property( )stocks and bonds( )commodities and options( )banks and other financial institutions( )operation of entity or business( )insurance and annuities( )estates, trusts and other beneficial interests( )claims and litigation( )personal and family maintenance( )benefits from governmental programs or civil or military service( )retirement plans( )taxes( )all preceding subjects3
GRANT OF SPECIFIC AUTHORITY (OPTIONAL)My agent MAY NOT do any of the following specific acts for me UNLESS I haveINITIALED the specific authority listed below:(CAUTION. Granting any of the following will give your agent the authority to takeactions that could significantly reduce your property or change how your property isdistributed at your death. INITIAL ONLY the specific authority you WANT to give youragent.)( )Create, amend, revoke or terminate an inter vivos trust( )Make a gift, subject to the limitation of Section 217 of the Uniform Power ofAttorney Act and any special instructions in this power of attorney( )Create or change rights of survivorship( )Create or change a beneficiary designation( )Authorize another person to exercise the authority granted under thispower of attorney( )Waive the principal’s right to be a beneficiary of a joint and surviving annuity,including a survivor benefit under a retirement plan( )Exercise fiduciary powers that the principal has authority to delegate( )Disclaim or refuse an interest in property, including a power of appointmentLIMITATION ON AGENT’S AUTHORITYAn agent that is not my ancestor, spouse or descendant MAY NOT use myproperty to benefit the agent or a person to whom the agent owes an obligation ofsupport unless I have included that authority in the Special Instructions.4
SPECIAL INSTRUCTIONS:You may give special instructions on the following lines:EFFECTIVE DATEThis power of attorney is effective immediately unless I have stated otherwise inthe Special Instructions.NOMINATION OF CONSERVATOR OR GUARDIAN (OPTIONAL)If it becomes necessary for a court to appoint a conservator or guardian of myperson, I nominate the following person(s) for appointment:Name of Nominee for conservator of my estate:Nominee’s address:Nominee’s telephone number:Name of Nominee for guardian of my person:Nominee’s address:Nominee’s telephone number:RELIANCE ON THIS POWER OF ATTORNEYAny person, including my agent, my relay upon the validity of this power ofattorney or a copy of it unless that person knows it has terminated or is invalid.SIGNATURE AND ACKNOWLEDGMENTYour signature:Date:Your name printed:Your address:Your telephone number:5
State ofCounty ofThis instrument was acknowledge before me on(date) by (Name of principal)(Seal) if anySignature of notary:My commission expires:6
Important Information for AgentAgent’s DutiesWhen you accept the authority granted under this power ofattorney, a special legal relationship is created between you andthe principal. This relationship imposes upon you legal duties thatcontinue until you resign or the power of attorney is terminated orrevoked. You must:1. do what you know the principal reasonably expects youto do with the principal’s property or, if you do not know theprincipal’s expectations, act in the principal’s best interest;2.act in good faith;3. do nothing beyond the authority granted in this power ofattorney; and4. disclose your identify as an agent whenever you act forthe principal by writing or printing the name of the principal andsigning your own name as “agent” in the following manner:by asAgent(Principal’s Name) (Your signature)Unless the Special Instructions in this power of attorneystate otherwise, you must also:1.act loyally for the principal’s benefit;2. avoid conflicts that would impair your ability to act in theprincipal’s best interest;7
3.act with care, competence and diligence;4. keep a record of all receipts, disbursements andtransaction made on behalf of the principal;5. cooperate with any person that has authority to makehealth care decisions for the principal to do what you know theprincipal reasonably expects or, if you do not know the principal’sexpectations, to act in the principal’s best interest, and6. attempt to preserve the principal’s estate plan if youknow the plan and preserving the plan would be consistent withthe principal’s best interest.Termination of Agent’s AuthorityYou must stop acting on behalf of the principal if you learn ofany event that terminated this power of attorney or your authorityunder this power of attorney. Events that terminate a power ofattorney or your authority to act under a power of attorney include:1.death of the principal;2. the principal’s revocation of the power of attorney oryour authority;3. the occurrence of a termination event stated in thepower of attorney;4. the purpose of the power of attorney is fullyaccomplished; or5. if you are married to the principal, a legal action is filedwith a court to end your marriage, or for your legal separation,8
unless the Special Instructions in this power of attorney statedthat such an action will not terminate your authority.Liability of AgentThe meaning of the authority granted to you is defined in theUniform Power of Attorney Act. If you violate the Uniform Powerof Attorney Act or act outside the authority granted, you may beliable for any damages caused by your violation.If there is anything about this document or your duties thatyou do not understand, you should seek legal advice.9
AGENT’S CERTIFICATION AS TO THE VALIDITY OFPOWER OF ATTORNEY AND AGENT’S AUTHORITYState of New MexicoCounty ofI, (Name of Agent), certify under penalty ofperjury that (Name of Principal) granted meauthority as an agent or successor agent in a power of attorney dated.I further certify that to my knowledge:(1)the Principal is alive and has not revoked the Power of Attorney or myauthority to act under the Power of Attorney and the Power of Attorney have notterminated;(2)if the Power of Attorney was drafted to become effective upon thehappening of an event or contingency, the event or contingency has occurred;(3)if I was named as a successor agent, the prior agent is not longer able orwilling to serve; and(4)(Insert other relevant statements)10
ACKNOWLEDGEMENTNOTICE: IF THIS POWER OF ATTORNEY AFFECTS REAL ESTATE, IT MUST BERECORDED IN THE OFFICE OF THE COUNTY CLERK IN EACH COUNTY WHERETHE REAL ESTATE IS LOCATED.STATE OF NEW MEXICOCOUNTY OF DOÑA ANA)) ss.)The foregoing instrument was acknowledged before me on ,by .(seal)Notary PublicMy commission expires:11
BY ACCEPTING OR ACTING UNDER THE POWER OFATTORNEY, YOUR AGENT ASSUMES THE FIDUCIARYAND OTHER LEGAL RESPONSIBILITIES OF ANAGENT ACTING ON YOUR BEHALF ANDTHIS AFFIDAVIT IS FOR THE USE OF YOURATTORNEY(S)-IN FACT IF EVERYOUR ATTORNEY(S)-IN-FACT ACTS ON YOUR BEHALFUNDER YOUR WRITTEN POWER OF ATTORNEY.AFFIDAVIT AS TO POWER OF ATTORNEY BEING IN FULL FORCESTATE OF NEW MEXICOCOUNTY OF)) ss.)I, being duly sworn, state:1.("Principal")ofCounty, New Mexico, signed a writtenPower of Attorney on, appointing the undersigned as his/her attorney(s)-in-fact. (Atrue copy of the power of attorney is attached hereto and incorporated herein.)2. As attorney(s)-in-fact and under and by virtue of the Power of Attorney, I/wehave this date executed the following described instrument:.3. At the time of executing the above described instrument I/we had no actualknowledge or actual notice of revocation or termination of the Power of Attorney bydeath or otherwise, or notice of any facts indicating the same.4. I represent that the principal is now alive; has not, at any time, revoked orrepudiated the power of attorney; and the power of attorney still is in full force andeffect.5. I/we make this affidavit for the purpose of inducingto accept delivery of the above described instrument, as executed by me/us in my/ourcapacity of attorney(s)-in-fact for the Principal., Attorney-in-fact12
Sworn to before me this dayof .Notary PublicMy commission expires:.B. A statutory power of attorney is legally sufficient under the Uniform Statutory FormPower of Attorney Act, if the wording of the form complies substantially with SubsectionA of this section, the form is properly completed, and the signature of the principal isacknowledged in any form permitted by law.C. If the line in front of line 17 of the form under Subsection A of this section isinitialed, an initial on the line in front of any other power does not limit the powersgranted by line 17.D. By accepting or acting under a power of attorney, statutory or otherwise, anattorney-in-fact assumes fiduciary and other legal responsibilities of an agent acting forthe principal.13
B. A statutory power of attorney is legally sufficient under the Uniform Statutory Form Power of Attorney Act, if the wording of the form complies substantially with Subsection A of this section, the form is properly completed, and the signature of the principal is acknowledged in any form permitted by law. C.
GEORGIA STATUTORY FINANCIAL POWER OF ATTORNEY Instructions and Form INTRODUCTION The General Assembly enacted the Uniform Power of Attorney Act during the 2017 legislative session. Within this Act is a revised form for a power of attorney. While this new Act does not require that the new form be used, it does replace the former Statutory .File Size: 423KB
This power of attorney becomes effective immediately unless you state otherwise in the Special Instructions. If you have questions about the power of attorney or the authority you are granting to your agent, you should seek legal advice before signing this form. Montana Code Annotated 2017, Statutory Form Power of Attorney §72-31-353
repudiated the power of attorney; and the power of attorney still is in full force and effect. 5. I/we make this affidavit for the purpose of inducing _ to accept delivery of the above described instrument, as executed by me/us in my/our capacity of attorney(s)-in-fact for the Principal. _, Attorney-in-fact
651-757-2762 Deborah Klooz MPCA Paralegal: 651-757-2631 Jean Coleman MPCA Staff Attorney: 651-757-2791 Adonis Neblett MPCA Staff Attorney: 651-757-2017 Carmen Netten MPCA Staff Attorney: 651-757-2759 David Stellmach MPCA Staff Attorney: 651-757-2247 Joseph Dammel MPCA Staff Attorney: 651-757-2545 Michelle Janson MPCA Staff Attorney: #ATTORNEY .
Attorney General of Iowa Other Members iii Honorable Arthur K. Bolton Attorney General of Georgia Honorable Chauncey H. Browning, J 1'. Honorable John C. Danforth Attorney General of Missouri Honorable J olm P. Moore Attorney General of Colorado Attorney General of West Virginia Honorable Larry Derryberry Attorney General of Oklahoma
Show the date the Power of Attorney is signed. Corporation Power of Attorney Partnership 1 10 9 8 7 6 5 4 3 2 12 11 1 10 9 8 7 6 5 4 3 2 12 11 1 10 9 8 7 6 5 4 3 2 12 11 Rev 6/13 The number preceding each instruction corresponds to the same number on the example of the power of attorney form. Customs Power of Attorney, Designation as Export .
Apr 30, 2019 · Jill Nerone, Supervising Deputy District Attorney, Alameda County District Attorney’s Office Laura Meyers, Assistant District Attorney, San Francisco County District Attorney’s, Office Nicole Pantaleo, Deputy District Attorney, Marin County District Attorney’s Office, Insurance F
Attorney at Law Hon. Pamila J. Brown BOG Liaison District Court, Howard County Alan S. Carmel Attorney at Law Sarah Dawn Cline Attorney at Law Adam Sean Cohen Attorney at Law Delegate Kathleen M. Dumais District 15 Suzanne K. Farace Attorney at Law Barry L. Gogel Attorney at Law Michael I. Gordon
attorney, a family member or friend may have to apply to be appointed as guardian. Powers of attorney that were properly made under previous laws of Ontario remain legally valid. The forms for a Continuing Power of Attorney for Property and a Power of Attorney for Personal Care contained in this booklet were revised on March 29, 1996 in accordance
Pursuant to their constitutional and statutory duties, in November 2013, I was appointed by the Commission as the first Chief Public Defender under this newly declared independence. As the Chief Public Defender I am honored to implement the vision of a new beginning for the Law Offices of the Public Defender (LOPD) for the State of New Mexico.
Eddie Wyant, District Attorney District 13 Transmitted herewith is the statutory report for the District Attorney of District 13, Delaware and Ottawa Counties, Oklahoma (the District), for the fiscal year ended June 30, 2007. A report of this type is critical in nature; however, we do not intend to imply that there were not
Power of Attorney A “Power of Attorney” is a legal document that allows a person to give another person (called an “agent”) the right to act on the person’s behalf. A “Power of Attorney” in Oregon can only be used for financial decisions. The way a “Power of Attorney” is written is important. The authority given to the agent can
A power of attorney is a way of giving someone you trust the legal authority to make decisions for you, if you can't make them yourself - or if you don't want to. There are three types of power of attorney: Lasting power of attorney (LPA) There are two different LPAs: one for health and care decisions and one for financial decisions.
District Attorney of Madera County 209 West Yosemite Avenue Madera, CA 93637 District Attorney of Marin County 3501 Civic Center Drive, Rm. 130 San Rafael, CA 94903 District Attorney of Mariposa County P.O. Box 730 Mariposa, CA 95338 District Attorney of Mendocino County P.O. Box 1000 Ukiah, CA 95482 District Attorney of Merced County
Mar 06, 2020 · Attorney General of New Jersey Assistant Attorney General Counsel of Record Attorney for Amicus Curiae JOHN T. PASSANTE State of New Jersey Deputy Attorney General New Jersey Attorney General’s Office Richard J. Hughes Justice Complex 25 Market Street Trenton, NJ 086
e. Each attorney's or pro se litigant's name must be typed and signed on the last page of the complaint, with: (1) his/her address (2) telephone number (3) if a Pennsylvania attorney, his/her Pennsylvania Attorney ID Number f. To file a complaint, the attorney must have an electronic signature on the complaint and must have an electronic
Examiner Note: The examiner should not suggest that applicant employ an attorney or agent if the application appears to contain no patentable subject matter. 402 Power of Attorney; Naming Representative [R-07.2015] 37 CFR 1.32 Power of attorney. ***** (c) A power of attorney may only name as representative: (1
A Power of Attorney is a legal document that gives an adult the authority to act in your place. The person you appoint to act in your place is known as the "Attorney in Fact" or agent. It is very important that your agent is someone you trust. With a valid Power of Attorney, the trusted person you name will be legally permitted to take care
OHIO DURABLE POWER OF ATTORNEY FOR HEALTH CARE - PAGE 1 OF 18. PRINT YOUR NAME AND BIRTH DATE . State of Ohio. Health Care Power of Attorney. Of (Print Full Name) (Birth Date) This is my Health Care Power of Attorney. I revoke all prior Health Care . Powers of Attorney signed by me. I understand the nature and purpose . of this document.
mastery of it : writing . In a recent survey, academic staff at the University identified the interrelated skills of essay-writing and reasoning as the two most important skills for success in higher education; when asked which skills students most often lacked, essay-writing was again at the top of their list. Needless to say, writing ability is also highly prized by employers. The purpose of .