Statutory Form Limited Power of Attorney - Maryland - Edit, Fill, Sign Online

MARYLAND STATUTORY FORM

LIMITED POWER OF ATTORNEY

PLEASE READ CAREFULLY

This power of attorney authorizes another person (your agent) to make decisions concerning

your property for you (the principal). You need not give to your agent all of the authorities listed

below and may give the agent only those limited powers that you specifically indicate. This

gives your agent the right to make limited decisions for you. You should very carefully weigh

your decision as to what powers you give your agent. Your agent will be able to make decisions

and act with respect to your property (including your money) whether or not you are able to act

for yourself.

If you choose to make a grant of limited authority, you should check the boxes that identify the

specific authorization you choose to give your agent.

This power of attorney does not authorize the agent to make health care decisions for you.

You should select someone you trust to serve as your agent. Unless you specify otherwise,

generally the agent's authority will continue until you die or revoke the power of attorney or the

agent resigns or is unable to act for you.

Your agent is not entitled to compensation unless you indicate otherwise in the Special

Instructions of this power of attorney. If you indicate that your agent is to receive compensation,

your agent is entitled to reasonable compensation or compensation as specified in the Special

Instructions.

This form provides for designation of one agent. If you wish to name more than one agent you

may name a coagent in the Special Instructions. Coagents are required to act together

unanimously unless you specify otherwise in the Special Instructions.

If your agent is unavailable or unwilling to act for you, your power of attorney will end unless

you have named a successor agent. You may also name a second successor agent.

This power of attorney becomes effective immediately unless you state otherwise in the Special

Instructions.

If you have questions about the power of attorney or the authority you are granting to your agent,

you should seek legal advice before signing this form.

DESIGNATION OF AGENT

This section of the form provides for designation of one agent.

If you wish to name coagents, skip this section and use the next section ("Designation of

Coagents").

I, ,

(Name of Principal)

name the following person as my agent:

Name of Agent:

Agent's Address:

Agent's Telephone Number:

DESIGNATION OF COAGENTS (OPTIONAL)

This section of the form provides for designation of two or more coagents. Coagents are

required to act together unanimously unless otherwise provided in this form.

I, ,

(Name of Principal)

name the following persons as coagents:

Name of Coagent:

Coagent's Address:

Coagent's Telephone Number:

Name of Coagent:

Coagent's Address:

Coagent's Telephone Number:

Special Instructions Regarding Coagents:

DESIGNATION OF SUCCESSOR AGENT(S) (OPTIONAL)

If my agent is unable or unwilling to act for me, I name as my successor agent:

Name of Successor Agent:

Successor Agent's Address:

Successor Agent's Telephone Number:

If my successor agent is unable or unwilling to act for me, I name as my second successor agent:

Name of Second Successor Agent:

Second Successor Agent's Address:

Second Successor Agent's Telephone Number:

GRANT OF GENERAL AUTHORITY

I ("the principal") grant my agent and any successor agent, with respect to each subject that I

choose below, the authority to do all acts that I could do to:

(1) Demand, receive, and obtain by litigation or otherwise, money or another thing of

value to which the principal is, may become, or claims to be entitled, and conserve, invest,

disburse, or use anything so received or obtained for the purposes intended;

(2) Contract with another person, on terms agreeable to the agent, to accomplish a

purpose of a transaction and perform, rescind, cancel, terminate, reform, restate, release, or

modify the contract or another contract made by or on behalf of the principal;

(3) Execute, acknowledge, seal, deliver, file, or record any instrument or communication

the agent considers desirable to accomplish a purpose of a transaction, including creating a

schedule contemporaneously or at a later time listing some or all of the principal's property and

attaching the schedule to this power of attorney;

(4) Initiate, participate in, submit to alternative dispute resolution, settle, oppose, or

propose or accept a compromise with respect to a claim existing in favor of or against the

principal or intervene in litigation relating to the claim;

(5) Seek on the principal's behalf the assistance of a court or other governmental agency

to carry out an act authorized in this power of attorney;

(6) Engage, compensate, and discharge an attorney, accountant, discretionary investment

manager, expert witness, or other advisor;

(7) Prepare, execute, and file a record, report, or other document to safeguard or promote

the principal's interest under a statute or regulation;

(8) Communicate with representatives or employees of a government or governmental

subdivision, agency, or instrumentality, on behalf of the principal;

(9) Access communications intended for, and communicate on behalf of the principal,

whether by mail, electronic transmission, telephone, or other means; and

(10) Do lawful acts with respect to the subject and all property related to the subject.

(INITIAL each authority in any subject you want to include in the agent's general authority.

Cross through each authority in any subject that you want to exclude. If you wish to grant

general authority over an entire subject, you may initial "All of the above" instead of initialing

each authority.)

SUBJECTS AND AUTHORITY

A. Real Property – With respect to this category, I authorize my agent to:

(___) Demand, buy, lease, receive, accept as a gift or as security for an extension of credit, or

otherwise acquire or reject an interest in real property or a right incident to real property

(___) Sell, exchange, convey with or without covenants, representations, or warranties,

quitclaim, release, surrender, retain title for security, encumber, partition, consent to

partitioning, subject to an easement or covenant, subdivide, apply for zoning or other

governmental permits, plat or consent to platting, develop, grant an option concerning,

lease, sublease, contribute to an entity in exchange for an interest in that entity, or

otherwise grant or dispose of an interest in real property or a right incident to real

property

(___) Pledge or mortgage an interest in real property or right incident to real property as

security to borrow money or pay, renew, or extend the time of payment of a debt of the

principal or a debt guaranteed by the principal, including a reverse mortgage

(___) Release, assign, satisfy, or enforce by litigation or otherwise a mortgage, deed of trust,

conditional sale contract, encumbrance, lien, or other claim to real property that exists or

is asserted

(___) Manage or conserve an interest in real property or a right incident to real property owned

or claimed to be owned by the principal, including:

(1) Insuring against liability or casualty or other loss;

(2) Obtaining or regaining possession of or protecting the interest or right by

litigation or otherwise;

(3) Paying, assessing, compromising, or contesting taxes or assessments or

applying for and receiving refunds in connection with them; and

(4) Purchasing supplies, hiring assistance or labor, and making repairs or

alterations to the real property

(___) Use, develop, alter, replace, remove, erect, or install structures or other improvements on

real property in or incident to which the principal has, or claims to have, an interest or

right

(___) Participate in a reorganization with respect to real property or an entity that owns an

interest in or a right incident to real property and receive, hold, and act with respect to

stocks and bonds or other property received in a plan of reorganization, including:

(1) Selling or otherwise disposing of the stocks and bonds or other property;

(2) Exercising or selling an option, a right of conversion, or a similar right with

respect to the stocks and bonds or other property; and

(3) Exercising voting rights in person or by proxy

(___) Change the form of title of an interest in or a right incident to real property

(___) Dedicate to public use, with or without consideration, easements or other real property in

which the principal has, or claims to have, an interest

(___) All of the above

B. Tangible Personal Property – With respect to this subject, I authorize my agent to:

(___) Demand, buy, receive, accept as a gift or as security for an extension of credit, or

otherwise acquire or reject ownership or possession of tangible personal property or an

interest in tangible personal property

(___) Sell, exchange, convey with or without covenants, representations, or warranties,

quitclaim, release, surrender, create a security interest in, grant options concerning, lease,

sublease, or otherwise dispose of tangible personal property or an interest in tangible

personal property

(___) Grant a security interest in tangible personal property or an interest in tangible personal

property as security to borrow money or pay, renew, or extend the time of payment of a

debt of the principal or a debt guaranteed by the principal

(___) Release, assign, satisfy, or enforce by litigation or otherwise, a security interest, lien, or

other claim on behalf of the principal, with respect to tangible personal property or an

interest in tangible personal property

(___) Manage or conserve tangible personal property or an interest in tangible personal

property on behalf of the principal, including:

(1) Insuring against liability or casualty or other loss;

(2) Obtaining or regaining possession of or protecting the property or interest,

by litigation or otherwise;

(3) Paying, assessing, compromising, or contesting taxes or assessments or

applying for and receiving refunds in connection with taxes or assessments;

(4) Moving the property from place to place;

(5) Storing the property for hire or on a gratuitous bailment; and

(6) Using and making repairs, alterations, or improvements to the property

(___) Change the form of title of an interest in tangible personal property

(___) All of the above

C. Stocks and Bonds – With respect to this subject, I authorize my agent to:

(___) Buy, sell, and exchange stocks and bonds

(___) Establish, continue, modify, or terminate an account with respect to stocks and bonds

(___) Pledge stocks and bonds as security to borrow, pay, renew, or extend the time of payment

of a debt of the principal

(___) Receive certificates and other evidences of ownership with respect to stocks and bonds

(___) Exercise voting rights with respect to stocks and bonds in person or by proxy, enter into

voting trusts, and consent to limitations on the right to vote

(___) All of the above

D. Commodities – With respect to this subject, I authorize my agent to:

(___) Buy, sell, exchange, assign, settle, and exercise commodity futures contracts and call or

put options on stocks or stock indexes traded on a regulated option exchange

(___) Establish, continue, modify, and terminate option accounts

(___) All of the above

E. Banks and Other Financial Institutions – With respect to this subject, I authorize

my agent to:

(___) Continue, modify, transact all business in connection with, and terminate an account or

other banking arrangement made by or on behalf of the principal

(___) Establish, modify, transact all business in connection with, and terminate an account or

other banking arrangement with a bank, trust company, savings and loan association,

credit union, thrift company, brokerage firm, or other financial institution selected by the

agent

(___) Contract for services available from a financial institution, including renting a safe

deposit box or space in a vault

(___) Deposit by check, money order, electronic funds transfer, or otherwise with, or leave in

the custody of, a financial institution money or property of the principal.

(___) Withdraw, by check, money order, electronic funds transfer, or otherwise, money or

property of the principal deposited with or left in the custody of a financial institution

(___) Receive statements of account, vouchers, notices, and similar documents from a financial

institution and act with respect to them

(___) Enter a safe deposit box or vault and withdraw or add to the contents

(___) Borrow money and pledge as security personal property of the principal necessary to

borrow money or pay, renew, or extend the time of payment of a debt of the principal or a

debt guaranteed by the principal

(___) Make, assign, draw, endorse, discount, guarantee, and negotiate promissory notes,

checks, drafts, and other negotiable or nonnegotiable paper of the principal or payable to

the principal or the principal's order, transfer money, receive the cash or other proceeds of

those transactions, and accept a draft drawn by a person on the principal and pay the draft

when due

(___) Receive for the principal and act on a sight draft, warehouse receipt, other document of

title whether tangible or electronic, or other negotiable or nonnegotiable instrument

(___) Apply for, receive, and use letters of credit, credit cards and debit cards, electronic

transaction authorizations, and traveler's checks from a financial institution and give an

indemnity or other agreement in connection with letters of credit

(___) Consent to an extension of the time of payment with respect to commercial paper or a

financial transaction with a financial institution

(___) All of the above

F. Operation of an Entity or a Business – With respect to this subject, I authorize my

agent to:

(___) Operate, buy, sell, enlarge, reduce, or terminate an ownership interest

(___) Perform a duty or discharge a liability and exercise in person or by proxy a right, power,

privilege, or an option that the principal has, may have, or claims to have

(___) Enforce the terms of an ownership agreement

(___) Initiate, participate in, submit to alternative dispute resolution, settle, oppose, or propose

or accept a compromise with respect to litigation to which the principal is a party because

of an ownership interest

(___) Exercise in person or by proxy, or enforce by litigation or otherwise, a right, power,

privilege, or an option the principal has or claims to have as the holder of stocks and

bonds

(___) Initiate, participate in, submit to alternative dispute resolution, settle, oppose, or propose

or accept a compromise with respect to litigation to which the principal is a party

concerning stocks and bonds

(___) With respect to an entity or business owned solely by the principal:

(1) Continue, modify, renegotiate, extend, and terminate a contract made by or

on behalf of the principal with respect to the entity or business before execution of this

power of attorney;

(2) Determine:

(i) The location of the operation of the entity or business;

(ii) The nature and extent of the business of the entity or business;

(iii) The methods of manufacturing, selling, merchandising, financing,

accounting, and advertising employed in the operation of the entity or business;

(iv) The amount and types of insurance carried by the entity or business;

and

(v) The mode of engaging, compensating, and dealing with the employees

and accountants, attorneys, or other advisors of the entity or business;

(3) Change the name or form of organization under which the entity or business

is operated and enter into an ownership agreement with other persons to take over all or

part of the operation of the entity or business; and

(4) Demand and receive money due or claimed by the principal or on the

principal's behalf in the operation of the entity or business and control and disburse the

money in the operation of the entity or business

(___) Put additional capital into an entity or a business in which the principal has an interest

(___) Join in a plan of reorganization, consolidation, conversion, domestication, or merger of

the entity or business

(___) Sell or liquidate all or part of an entity or business

(___) Establish the value of an entity or a business under a buyout agreement to which the

principal is a party

(___) Prepare, sign, file, and deliver reports, compilations of information, returns, or other

papers with respect to an entity or business and make related payments

(___) Pay, compromise, or contest taxes, assessments, fines, or penalties and perform other acts

to protect the principal from illegal or unnecessary taxation, assessments, fines, or

penalties, with respect to an entity or a business, including attempts to recover, as

permitted by law, money paid before or after the execution of this power of attorney

(___) All of the above

G. Insurance and Annuities – With respect to this subject, I authorize my agent to:

(___) Continue, pay the premium or make a contribution on, modify, exchange, rescind,

release, or terminate a contract procured by or on behalf of the principal that insures or

provides an annuity to either the principal or another person, whether or not the principal

is a beneficiary under the contract

(___) Procure new, different, and additional contracts of insurance and annuities for the

principal and the principal's spouse, children, and other dependents, and select the

amount, type of insurance or annuity, and mode of payment

(___) Pay the premium or make a contribution on, modify, exchange, rescind, release, or

terminate a contract of insurance or annuity procured by the agent

(___) Apply for and receive a loan secured by a contract of insurance or annuity

(___) Surrender and receive the cash surrender value on a contract of insurance or annuity

(___) Exercise an election

(___) Exercise investment powers available under a contract of insurance or annuity

(___) Change the manner of paying premiums on a contract of insurance or annuity

(___) Change or convert the type of insurance or annuity with respect to which the principal

has or claims to have authority described in this section

(___) Apply for and procure a benefit or assistance under a statute or regulation to guarantee or

pay premiums of a contract of insurance on the life of the principal

(___) Collect, sell, assign, hypothecate, borrow against, or pledge the interest of the principal in

a contract of insurance or annuity

(___) Select the form and timing of the payment of proceeds from a contract of insurance or

annuity

(___) Pay, from proceeds or otherwise, compromise or contest, and apply for refunds in

connection with a tax or assessment levied by a taxing authority with respect to a contract

of insurance or annuity or the proceeds or liability from the contract of insurance or

annuity accruing by reason of the tax or assessment

(___) All of the above

H. Estates, Trusts, and Other Beneficial Interests (including trusts, probate estates,

guardianships, conservatorships, escrows, or custodianships or funds from which the principal is,

may become, or claims to be entitled to a share or payment) – With respect to this subject, I

authorize my agent to:

(___) Accept, receive, receipt for, sell, assign, pledge, or exchange a share in or payment from

the fund described above

(___) Demand or obtain money or another thing of value to which the principal is, may

become, or claims to be entitled by reason of the fund described above, by litigation or

otherwise

(___) Exercise for the benefit of the principal a presently exercisable general power of

appointment held by the principal

(___) Initiate, participate in, submit to alternative dispute resolution, settle, oppose, or propose

or accept a compromise with respect to litigation to ascertain the meaning, validity, or

effect of a deed, will, declaration of trust, or other instrument or transaction affecting the

interest of the principal

(___) Initiate, participate in, submit to alternative dispute resolution, settle, oppose, or propose

or accept a compromise with respect to litigation to remove, substitute, or surcharge a

fiduciary

(___) Conserve, invest, disburse, or use anything received for an authorized purpose

(___) Transfer an interest of the principal in real property, stocks and bonds, accounts with

financial institutions or securities intermediaries, insurance, annuities, and other property

to the trustee of a revocable trust created by the principal as settlor

(___) Reject, renounce, disclaim, release, or consent to a reduction in or modification of a share

in or payment from the fund described above

(___) All of the above

I. Claims and Litigation – With respect to this subject, I authorize my agent to:

(___) Assert and maintain before a court or administrative agency a claim, claim for relief,

cause of action, counterclaim, offset, recoupment, or defense, including an action to

recover property or other thing of value, recover damages sustained by the principal,

eliminate or modify tax liability, or seek an injunction, specific performance, or other

relief

(___) Bring an action to determine adverse claims or intervene or otherwise participate in

litigation

(___) Seek an attachment, garnishment, order of arrest, or other preliminary, provisional, or

intermediate relief and use an available procedure to effect or satisfy a judgment, order,

or decree

(___) Make or accept a tender, offer of judgment, or admission of facts, submit a controversy

on an agreed statement of facts, consent to examination, and bind the principal in

litigation

(___) Submit to alternative dispute resolution, settle, and propose or accept a compromise

(___) Waive the issuance and service of process on the principal, accept service of process,

appear for the principal, designate persons on which process directed to the principal may

be served, execute and file or deliver stipulations on the principal's behalf, verify

pleadings, seek appellate review, procure and give surety and indemnity bonds, contract

and pay for the preparation and printing of records and briefs, receive, execute, and file or

deliver a consent, waiver, release, confession of judgment, satisfaction of judgment,

notice, agreement, or other instrument in connection with the prosecution, settlement, or

defense of a claim or litigation

(___) Act for the principal with respect to bankruptcy or insolvency, whether voluntary or

involuntary, concerning the principal or some other person, or with respect to a

reorganization, receivership, or application for the appointment of a receiver or trustee

that affects an interest of the principal in property or other thing of value

(___) Pay a judgment, award, or order against the principal or a settlement made in connection

with a claim or litigation

(___) Receive money or other thing of value paid in settlement of or as proceeds of a claim or

litigation

(___) All of the above

J. Personal and Family Maintenance – With respect to this subject, I authorize my

agent to:

(___) Perform the acts necessary to maintain the customary standard of living of the principal,

the principal's spouse, and the following individuals, whether living when this power of

attorney is executed or later born:

(1) The principal's children;

(2) Other individuals legally entitled to be supported by the principal; and

(3) The individuals whom the principal has customarily supported or indicated

the intent to support;

(___) Make periodic payments of child support and other family maintenance required by a

court or governmental agency or an agreement to which the principal is a party

(___) Provide living quarters for the individuals described above by:

(1) Purchase, lease, or other contract; or

(2) Paying the operating costs, including interest, amortization payments,

repairs, improvements, and taxes, for premises owned by the principal or occupied by

those individuals

(___) Provide normal domestic help, usual vacations and travel expenses, and funds for shelter,

clothing, food, appropriate education, including postsecondary and vocational education,

and other current living costs for the individuals described above

(___) Pay expenses for necessary health care and custodial care on behalf of the individuals

described above

(___) Act as the principal's personal representative in accordance with the Health Insurance

Portability and Accountability Act, §§ 1171 through 1179 of the Social Security Act, 42

U.S.C. § 1320D, and applicable regulations in making decisions related to the past,

present, or future payment for the provision of health care consented to by the principal

or anyone authorized under the law of this state to consent to health care on behalf of the

principal

(___) Continue provisions made by the principal for automobiles or other means of

transportation, including registering, licensing, insuring, and replacing the means of

transportation, for the individuals described above

(___) Maintain credit and debit accounts for the convenience of the individuals described above

and open new accounts

(___) Continue payments incidental to the membership or affiliation of the principal in a

religious institution, club, society, order, or other organization or to continue

contributions to those organizations

(NOTE: Authority with respect to personal and family maintenance is neither dependent

on, nor limited by, authority that an agent may or may not have with respect to gifts under this

power of attorney.)

(___) All of the above

K. Benefits from Governmental Programs or Civil or Military Service (including

any benefit, program, or assistance provided under a statute or regulation including Social

Security, Medicare, and Medicaid) – With respect to this subject, I authorize my agent to:

(___) Execute vouchers in the name of the principal for allowances and reimbursements

payable by the United States or a foreign government or by a state or subdivision of a

state to the principal, including allowances and reimbursements for transportation of the

individuals described in "J. Personal and Family Maintenance" above, and for shipment

of the household effects of those individuals

(___) Take possession and order the removal and shipment of property of the principal from a

post, warehouse, depot, dock, or other place of storage or safekeeping, either

governmental or private, and execute and deliver a release, voucher, receipt, bill of

lading, shipping ticket, certificate, or other instrument for that purpose

(___) Enroll in, apply for, select, reject, change, amend, or discontinue, on the principal's

behalf, a benefit or program

(___) Prepare, file, and maintain a claim of the principal for a benefit or assistance, financial or

otherwise, to which the principal may be entitled under a statute or regulation

(___) Initiate, participate in, submit to alternative dispute resolution, settle, oppose, or propose

or accept a compromise with respect to litigation concerning a benefit or assistance the

principal may be entitled to receive under a statute or regulation

(___) Receive the financial proceeds of a claim described above and conserve, invest, disburse,

or use for a lawful purpose anything so received

(___) All of the above

Fillable Printable Statutory Form Limited Power of Attorney - Maryland

Fillable Printable Statutory Form Limited Power of Attorney - Maryland

Statutory Form Limited Power of Attorney - Maryland