Connecticut Durable Power of Attorney Template
This Durable Power of Attorney document is provided as a template to allow an individual (the "Principal") to appoint another person (the "Agent") to make financial decisions on the Principal's behalf. It is designed to comply with the Connecticut Uniform Power of Attorney Act and remains effective even if the Principal becomes disabled or incapacitated.
Please fill in the blanks with the appropriate information.
I, ________________ (Principal's Full Name), residing at __________________________________ (Principal's Address), hereby appoint ________________ (Agent's Full Name) of __________________________________ (Agent's Address), as my true and lawful Agent to act in my place and stead.
My Agent shall have full power and authority to act on my behalf and in my name in any way that I myself could do with respect to the following matters, as each is defined in the Connecticut Uniform Power of Attorney Act:
- Real property transactions
- Personal property transactions
- Banking and other financial institution transactions
- Business operating transactions
- Insurance and annuity transactions
- Estate, trust, and other beneficiary transactions
- Claims and litigation
- Personal and family maintenance
- Benefits from governmental programs or civil or military service
- Retirement plan transactions
- Tax matters
This Power of Attorney shall become effective immediately and shall not be affected by my subsequent disability or incapacity. This Power of Attorney shall remain in effect until I provide a written notice of revocation.
I further declare that any act or thing lawfully done hereunder by my said Agent shall bind me, my heirs, legal representatives, and assigns, whether said act or thing was done before or after my subsequent disability or incapacity.
This Durable Power of Attorney is signed in accordance with the Connecticut Uniform Power of Attorney Act, imposing a duty on my Agent to act in my best interest with the utmost good faith, loyalty, and honesty.
Signed this ___ day of ___________, 20__.
______________________
Principal's Signature
______________________
Agent's Signature
Acknowledgment of Notary Public
State of Connecticut
County of _______________
On this ___ day of ___________, 20__, before me, ________________________ (Notary's Name), a Notary Public, personally appeared ________________________ (Principal's Name), known to me (or satisfactorily proven) to be the person whose name is subscribed to the within instrument and acknowledged that they executed the same for the purposes therein contained.
In witness whereof, I hereunto set my hand and official seal.
______________________
Notary's Signature
My Commission Expires: ___________