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Fillable Printable Statutory Form Power of Attorney - New Mexico

Fillable Printable Statutory Form Power of Attorney - New Mexico

Statutory Form Power of Attorney - New Mexico

Statutory Form Power of Attorney - New Mexico

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STATUTORY POWER OF ATTORNEY
Section 45-5B-301. STATUTORY FORM POWER OF ATTORNEY. A document
substantially in the following form may be used to create a statutory form power of
attorney that has the meaning and effect prescribed by the Uniform Power of Attorney
Act:
NEW MEXICO STATUTORY FORM POWER OF ATTORNEY
IMPORTANT INFORMATION
This power of attorney authorizes another person (your agent) to make decisions
concerning your property for you (the principal). Your agent will be able to make
decisions and act for you with respect to your property (including your money) whether
or not you are able to act for yourself. The meaning of authority over subjects listed on
this form is explained in the Uniform Power of Attorney Act.
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 power 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 entitled to reasonable compensation unless you state otherwise 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 co-agent in the Special Instructions. Co-agents are not
required to act together unless you include that requirement in the Special Instructions.
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If your agent is unable 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
I, ____________________________________________________________________,
(Your Name)
name the following person as my agent:
Name of Agent: ________________________________________________________
Agent’s Address: _______________________________________________________
Agent’s Telephone Number: ______________________________________________
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
successor agent:
Name of Second Successor Agent: _________________________________________
Second Successor Agent’s Address: _______________________________________
Second Successor Agent’s Telephone Number: ______________________________
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GRANT OF GENERAL AUTHORITY
I grant my agent and any successor agent general authority to act for me with
respect to the following subjects as defined in the Uniform Power of Attorney Act.
(INITIAL each subject you want to include in the agent’s general authority. If you wish
to grant general authority over all the subjects, you may initial “All Preceding Subjects”
instead of initialing each subject.)
(___) real property
(___) tangible personal property
(___) stocks and bonds
(___) commodities and options
(___) banks and other financial institutions
(___) operation of entity or business
(___) insurance and annuities
(___) estates, trusts and other beneficial interests
(___) claims and litigation
(___) personal and family maintenance
(___) benefits from governmental programs or civil or military service
(___) retirement plans
(___) taxes
(___) all preceding subjects
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GRANT OF SPECIFIC AUTHORITY (OPTIONAL)
My agent MAY NOT do any of the following specific acts for me UNLESS I have
INITIALED the specific authority listed below:
(CAUTION. Granting any of the following will give your agent the authority to take
actions that could significantly reduce your property or change how your property is
distributed at your death. INITIAL ONLY the specific authority you WANT to give your
agent.)
(____) Create, amend, revoke or terminate an inter vivos trust
(____) Make a gift, subject to the limitation of Section 217 of the Uniform Power of
Attorney Act and any special instructions in this power of attorney
(____) Create or change rights of survivorship
(____) Create or change a beneficiary designation
(____) Authorize another person to exercise the authority granted under this
power of attorney
(____) Waive the principal’s right to be a beneficiary of a joint and surviving annuity,
including a survivor benefit under a retirement plan
(____) Exercise fiduciary powers that the principal has authority to delegate
(____) Disclaim or refuse an interest in property, including a power of appointment
LIMITATION ON AGENT’S AUTHORITY
An agent that is not my ancestor, spouse or descendant MAY NOT use my
property to benefit the agent or a person to whom the agent owes an obligation of
support unless I have included that authority in the Special Instructions.
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SPECIAL INSTRUCTIONS:
You may give special instructions on the following lines:
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
EFFECTIVE DATE
This power of attorney is effective immediately unless I have stated otherwise in
the Special Instructions.
NOMINATION OF CONSERVATOR OR GUARDIAN (OPTIONAL)
If it becomes necessary for a court to appoint a conservator or guardian of my
person, I nominate the following person(s) for appointment:
Name of Nominee for conservator of my estate:
______________________________________________________________________
Nominee’s address: _____________________________________________________
Nominee’s telephone number: _____________________________________________
Name of Nominee for guardian of my person: _________________________________
Nominee’s address: _____________________________________________________
Nominee’s telephone number: _____________________________________________
RELIANCE ON THIS POWER OF ATTORNEY
Any person, including my agent, my relay upon the validity of this power of
attorney or a copy of it unless that person knows it has terminated or is invalid.
SIGNATURE AND ACKNOWLEDGMENT
Your signature: _______________________________________
Date: _____________________________
Your name printed: _____________________________________
Your address: _________________________________________
Your telephone number: _________________________________
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State of _______________________________________________
County of ______________________________________________
This instrument was acknowledge before me on _______________
(date) by ______________________________________________ (Name of principal)
(Seal) if any
Signature of notary: _______________________________
My commission expires: __________________________________
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