Connecticut Power of Attorney Template
This Power of Attorney (POA) document grants certain legal rights and powers from one person to another. By executing this document, the principal acknowledges that the appointed attorney-in-fact/agent will act in the principal's best interest under the laws of the State of Connecticut, specifically following the Connecticut Uniform Power of Attorney Act.
Principal Information:
- Full Name: _______________________________
- Address: __________________________________
- City, State, ZIP: __________________________
- Date of Birth: ____________________________
- Contact Number: ___________________________
Attorney-in-Fact/Agent Information:
- Full Name: _______________________________
- Address: __________________________________
- City, State, ZIP: __________________________
- Contact Number: ___________________________
POA Effective Date: ___________________________
Powers Granted: This Power of Attorney document grants the attorney-in-fact the following powers (mark applicable powers):
- ____ Finance and Banking
- ____ Real Estate Transactions
- ____ Personal and Family Maintenance
- ____ Business Operations
- ____ Lawsuits and Litigations
- ____ Healthcare Decisions
- ____ Other: ____________________________________
These powers will become effective on the date mentioned above and will remain effective unless revoked by the principal or upon the principal's death, disability, or incapacity.
Signature:
The principal must sign this Power of Attorney in the presence of a notary public and two witnesses, all of whom must also sign, attesting to the voluntary and competent execution of this document by the principal.
____________________ ______________
Principal's Signature Date
____________________ ______________
Witness #1 Signature Date
____________________ ______________
Witness #2 Signature Date
____________________ ______________
Notary Public Signature Date
This document was prepared on the __________________ (date). Please consult with a certified attorney in Connecticut for the comprehensive review and legal advice specific to the principal's circumstances and intentions.