Connecticut Power of Attorney
Table of Contents
I. Appointment of Agent
II. Managing Financial Affairs
III. Making Healthcare Decisions
IV. Handling Legal Matters
V. Managing Real Estate Transactions
VI. Access to Information
VII. Grant of Authority
VIII. Signature of Principal
Witness Acknowledgement
Notary Acknowledgement
I, [Your Name], residing at [Your Company Address], hereby appoint [Agent's Name], residing at [Agent's Address], as my attorney-in-fact (hereinafter referred to as "Agent"), to act on my behalf and to perform the following duties and responsibilities:
I. Appointment of Agent
I appoint [Agent's Name] as my Agent to act for me in any lawful way with respect to the following initialed subjects:
Real property transactions.
Tangible personal property transactions.
Stocks and bonds transactions.
Commodities and options transactions.
Banks and other financial institutions transactions.
Operation of entity or business.
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.
II. Managing Financial Affairs
The Agent is authorized to manage, control, and make decisions regarding all aspects of my financial affairs, including but not limited to:
III. Making Healthcare Decisions
The Agent is authorized to make decisions regarding my healthcare, including but not limited to:
Consent to or refuse medical treatment
Access to medical records
Admission to or discharge from medical facilities
Implementation of end-of-life care decisions
IV. Handling Legal Matters
The Agent is authorized to handle all legal matters on my behalf, including but not limited to:
V. Managing Real Estate Transactions
The Agent is authorized to manage, control, and make decisions regarding my real estate transactions, including but not limited to:
Buying, selling, leasing, or mortgaging real estate
Signing real estate documents
Managing real estate investments
VI. Access to Information
The Agent is authorized to access and obtain information related to my financial, healthcare, legal, and real estate matters.
VII. Grant of Authority
I hereby grant my Agent full power and authority to do and perform all acts necessary or incidental to the performance of the foregoing powers, including the power to delegate authority to others.
[Your Name]
Date: [Date Signed]
Witness Acknowledgement
On this [Day] day of [Month], [Year], before me, a Notary Public in and for said state, personally appeared [Your Name], known to me (or proved to me on the basis of satisfactory evidence) to be the person whose name is subscribed to the foregoing instrument, and acknowledged that he/she executed the same for the purposes therein contained.
Notary Public: [Notary's Name]
Date: [Date Signed]
My Commission Expires: [Date of Expiration]
This document is intended to comply with the laws of Connecticut and should be used for informational purposes only. It is recommended to consult with a legal professional to ensure compliance with all relevant laws and regulations.
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