Fillable Printable Durable Personal Power of Attorney - Delaware
Fillable Printable Durable Personal Power of Attorney - Delaware
Durable Personal Power of Attorney - Delaware
Delaware Durable Personal Power of Attorney
Notice to Principal
As the person signing this durable power of attorney, you are the
Principal. The purpose of this power of attorney is to give the person
you designate (your "Agent") broad powers to handle your property,
which may include powers to sell, dispose of, or encumber any real or
personal property without advance notice to you or approval by you.
This power of attorney does not authorize your Agent to make health-
care decisions for you.
Unless you specify otherwise, your Agent's authority will continue
even if you become incapacitated, or until you die or revoke the
power of attorney, or until your Agent resigns or is unable to act for
you. You should select someone you trust to serve as your Agent.
This power of attorney does not impose a duty on your Agent to
exercise granted powers, but when powers are exercised, your Agent
must use due care to act for your benefit and in accordance with this
power of attorney.
Your Agent must keep your funds and other property separate from
your Agent's funds and other property.
A court can take away the powers of your Agent if it finds your Agent
is not acting properly.
The powers and duties of an Agent under a durable power of attorney
are explained more fully in Delaware Code, Title 12, Chapter 49A,
Section 49A-114 and Sections 49A-201 through 49A-217.
If there is anything about this form that you do not understand, you
should ask a lawyer of your own choosing to explain it to you.
I have read or had explained to me this notice and I understand its
contents.
________________________ ______________
Principal Date
Effective October 1, 2010
2
Durable Personal Power of Attorney Form
As the person completing this form, you are the Principal. This form gives another
person the power to act on your behalf. The other person is your Agent.
This form allows you to designate:
(1) one Agent at a time and up to two Agents in succession;
(2) two or more Agents who may act independently of each other (Concurrent
Agents); or
(3) two or more Agents who must act together (Joint Agents).
If your Agent is unable or unwilling to act for you, your power of attorney will end
unless you have named a successor Agent(s).
IF YOU HAVE QUESTIONS ABOUT THIS POWER OF ATTORNEY OR THE AUTHORITY
YOU ARE GRANTING TO YOUR AGENT(S), YOU SHOULD SEEK LEGAL ADVICE
BEFORE COMPLETING AND SIGNING THIS FORM.
Designation of Agent
I, ________________________, name the following person(s) as my
(Name of Principal)
Agent(s):
Name of Agent:___________________________________________
Agent's Address:__________________________________________
Agent's Telephone Number:_________________________________
DESIGNATION OF ADDITIONAL OR SUCCESSOR AGENTS (OPTIONAL)
Name of Agent:___________________________________________
Agent's Address:__________________________________________
Agent's Telephone Number:_________________________________
Name of Agent:___________________________________________
Agent's Address:__________________________________________
Agent's Telephone Number:_________________________________
Effective October 1, 2010
3
If more than one Agent has been named above, I intend for those Agents to:
________ Act successively, one after the other.
________ Act concurrently, independent of each other.
________ Act jointly, such that neither may act alone.
You must sign ONE of these two choices:
______________________________
Sign here if this is your choice
This power of attorney is effective
immediately, and shall not be affected
by my subsequent incapacity.
______________________________
Sign here if this is your choice
This power of attorney is effective only
if and while I am incapacitated as
determined under 12 Del. C. § 49A-
109(c).
Grant of General Authority
You should READ the terms of each category of power or authority listed below
before granting any of them to your Agent(s). A full explanation of each power or
authority is in the Delaware Code. The Delaware Code is available online.
Search: Delaware Code, Title 12, Chapter 49A, and then go to the number next to
the category. Example: Real Property, Section (§) 49A-204. The Delaware Code
may also be available at your local library.
I grant my Agent(s) general authority to act for me with respect to the following
categories of powers. INITIAL each category you want to include in the Agent's
general authority. CROSS OUT each category you do not want to include in the
Agent's general authority.
If you do not initial a category listed below, powers associated with that category
will NOT be included as part of your Agent's general authority.
____ Real Property § 49A-204
____ Tangible Personal Property § 49A-205
____ Stocks and Bonds § 49A-206
____ Commodities and Options § 49A-207
____ Banks and Other Financial Institutions § 49A-208
____ Operation of Entity or Business § 49A-209
____ Insurance and Annuities § 49A-210
____ Estates, Trusts, and Other Beneficial Interests § 49A-211
____ Claims and Litigation § 49A-212
____ Personal and Family Maintenance § 49A-213
____ Benefits from Governmental Programs or Civil or Military Service § 49A-214
____ Retirement Plans § 49A-215
____ Taxes § 49A-216
____ Gifts § 49A-217
Effective October 1, 2010
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Grant of Specific Authority
Giving your Agent(s) any of the following powers will give your Agent(s) the
authority to take actions that could significantly reduce your property or change how
and to whom your property is distributed at your death.
You should READ the terms describing each power before granting any of them to
your Agent(s). INITIAL each power you want to include in the Agent's authority.
CROSS OUT each power you do not want to include in the Agent's authority.
If you do not initial a power listed below, it will NOT be included as part of your
Agent's specific authority.
____ Create, amend, revoke, or terminate an inter vivos trust
____ Make a gift in excess of the limitations provided in the Durable Personal
Power of Attorney Act, 12 Del. C. § 49A-217
____ Create or change rights of survivorship
____ Create or change a beneficiary designation
____ Delegate authority granted under the power of attorney when all successor
Agents have resigned, died, become incapacitated, are no longer qualified to
serve, or have declined to serve
____ Exercise fiduciary powers that the Principal has authority to delegate
____ Reject, renounce, disclaim, release, or consent to a reduction in or
modification of a share in or payment from estate, trust, or other beneficial
interest
Any person, including my Agent(s), may rely upon this power of attorney or a copy
of it unless that person knows it has terminated or is invalid.
Revocation of Prior Power of Attorney
If you have previously executed a power of attorney granting authority covered in
this document, indicate below whether or not you wish to revoke the prior power of
attorney. Initial your selection below:
________All my previously executed powers of attorney are hereby revoked.
________My previously executed powers of attorney hereby remain in effect.
________Other. Explain.______________________________________________
___________________________________________________________________
_________________________________________________________________
Effective October 1, 2010
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IF YOU HAVE QUESTIONS ABOUT THIS POWER OF ATTORNEY OR THE AUTHORITY
YOU ARE GRANTING TO YOUR AGENT(S), YOU SHOULD SEEK LEGAL ADVICE
BEFORE SIGNING THIS FORM.
IN WITNESS WHEREOF, I have hereunto set my Hand and Seal this ____ day of
____________, 20____ .
_______________________________
Principal’s Signature
_______________________________
Print Principal’s Name
SIGNED, SEALED, AND DECLARED by the Principal, ________________,
as his/her Durable Personal Power of Attorney in the presence of the following
witness, who has signed in the presence of and at the request of the Principal on the
day and year appearing above.
I, the witness, swear that I am not related to the Principal by blood, marriage, civil
union, or adoption; and that I am not entitled to any portion of the estate of the
Principal under the Principal's current will or codicil, or under any current trust
instrument of the Principal.
________________________________ of ________________________________
(Seal) Witness Signature
________________________________
Print name
STATE OF DELAWARE :: SS.
COUNTY OF _________________ :
This Durable Power of Attorney was signed by the Principal, witnessed by the person
aforesaid, and acknowledged before me, the Subscriber, a Notary Public, this
________ day of ______________ 20____.
______________________________
Notary Public
Effective October 1, 2010
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Statement to Agent
Agent’s Duties
When you accept the authority granted under this power of attorney, a special legal
relationship is created between you and the Principal. This relationship imposes
upon you legal duties that continue until you resign or the power of attorney is
terminated or revoked. You must:
(1) do what you know the Principal reasonably expects you to do with the
Principal's property or, if you do not know the Principal's expectations, act in the
Principal's best interest;
(2) act in good faith;
(3) do nothing beyond the authority granted in this power of attorney;
(4) disclose your identity as an Agent whenever you act for the Principal by writing
or printing the name of the Principal and signing your own name as "Agent" in
the following manner:
(Principal's Name) by (Your Signature) as Agent
and
(5) to the extent reasonably practicable under the circumstances, keep in regular
contact and communication with the principal.
Except as otherwise provided in the power of attorney, you must also:
(1) not act for your own benefit;
(2) avoid conflicts that would impair your ability to act in the Principal's best
interest;
(3) act with care, competence, and diligence;
(4) keep a record of all receipts, disbursements, and transactions made on behalf of
the Principal;
(5) cooperate with any person who has authority to make health-care decisions for
the Principal; and
(6) not act in a manner inconsistent with the Principal's testamentary plan.
Termination of Agent's Authority
You must stop acting on behalf of the Principal if you learn of any event that
terminates this power of attorney or your authority under this power of attorney.
Events that terminate this power of attorney or your authority to act under it
include:
(1) death of the Principal;
(2) the Principal's revocation of the power of attorney or your authority;
(3) the occurrence of a termination event stated in the power of attorney;
(4) the purpose of the power of attorney is fully accomplished; or
(5) an action is filed with a court for your separation, annulment, or divorce from
the Principal, unless the Principal otherwise provided in the power of attorney
that such action will not terminate your authority.
Effective October 1, 2010
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Liability of Agent
The authority granted to you is specified in the Durable Personal Power of Attorney
Act, Delaware Code, Title 12, Chapter 49A. If you violate the Act, or act outside the
scope of the authority granted, you may be liable for any damages caused by your
violation.
If there is anything about this document or your powers, authority, or duties as
Agent that you do not understand, you should seek legal advice.
Agent’s Certification
I, ________________________, have read the attached durable power of attorney
and the foregoing statement, and I am the person identified as the Agent for the
Principal. To the best of my knowledge, this power has not been revoked. I hereby
acknowledge that, in the absence of a specific provision to the contrary in the
durable power of attorney, when I act as Agent:
I shall exercise my powers for the benefit of the Principal.
I shall keep the assets of the Principal separate from my assets.
I shall exercise reasonable caution and prudence.
I shall keep a full and accurate record of all actions, receipts and
disbursements on behalf of the Principal.
I shall, to the extent reasonably practicable under the circumstances, keep in
regular contact with the Principal and communicate with the Principal.
__________________________ __________________________
Agent Signature Date
Effective October 1, 2010
