Connecticut Durable Power of Attorney Template
This Connecticut Durable Power of Attorney is a legal document that enables you (the "Principal") to designate an individual (the "Agent") to manage your affairs if you become unable or unavailable to do so. In accordance with the Connecticut Uniform Power of Attorney Act, this document grants the Agent the authority to act on your behalf in a broad range of legal and financial matters.
Please complete the following sections with accurate information:
Principal's Information:
- Full Name: ___________________________
- Address: _____________________________
- City: ________________________________
- State: Connecticut
- Zip Code: ____________________________
Agent's Information:
- Full Name: ___________________________
- Address: _____________________________
- City: ________________________________
- State: _______________________________
- Zip Code: ____________________________
Grant of Power:
I, _________________ (Principal), hereby appoint _________________ (Agent) as my Attorney-in-Fact ("Agent") to act in my place in any and all matters that I specify below, in accordance with the laws of the State of Connecticut. This power will remain in effect should I become disabled, incapacitated, or incompetent.
Powers Granted:
The Agent shall have power to act on my behalf in the following areas (initial beside each power you are granting):
- _____ Real property transactions
- _____ Tangible personal property transactions
- _____ Stock and bond transactions
- _____ Commodity and option 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 social security, Medicare, Medicaid, or other governmental programs, or military service
- _____ Retirement plan transactions
- _____ Tax matters
Special Instructions:
You may specify any special instructions limiting or extending the powers granted to your Agent:
________________________________________________________________________________________________
________________________________________________________________________________________________Duration:
This Power of Attorney shall become effective immediately upon signing and shall remain in effect indefinitely unless a specific termination date is herein provided:
Termination Date (if applicable): ____________________
Signatures:
This document must be signed by the Principal, Agent, and a Notary Public to be legally binding.
Principal's Signature: ___________________________ Date: ____________
Agent's Signature: ______________________________ Date: ____________
State of Connecticut
County of ____________________
Subscribed and sworn before me this _____ day of ____________, 20____
Notary Public: ___________________________________
My commission expires: ___________________________