California Durable Power of Attorney
This Durable Power of Attorney document ("Document") is created pursuant to the California Probate Code Section 4000-4545. This Document grants authority to an individual, known as the Agent, to act on behalf of the Principal (the person creating the Power of Attorney) in financial matters.
Principal Information:
- Full Name: _______________
- Address: _________________
- City, State, Zip: _______________
- Phone Number: _______________
Agent Information:
- Full Name: _______________
- Address: _________________
- City, State, Zip: _______________
- Phone Number: _______________
Powers Granted:
This Document authorizes the Agent to act on the Principal’s behalf regarding the following matters, as initialed by the Principal:
- Real estate transactions __________
- Banking and other financial institution transactions __________
- Personal and family maintenance __________
- Tax matters __________
- Insurance and annuity transactions __________
- Retirement plan transactions __________
- Claims and litigation __________
- Social Security, employment, and military service benefits __________
Special Instructions: (Optional)
____________________________________________________________________________________
____________________________________________________________________________________
Validity and Durability:
This Durable Power of Attorney will become effective immediately and will continue to be effective even if the Principal becomes disabled, incapacitated, or incompetent.
Signatures:
This Document must be signed and dated by the Principal, the Agent, and a Notary Public to be valid.
Principal's Signature: _______________ Date: _______________
Agent's Signature: _______________ Date: _______________
State of California
County of _______________
On _______________, before me, __________________ (notary's name), personally appeared, _______________________, who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument.
Notary Public's Signature: _______________
My commission expires: _______________