Connecticut General Power of Attorney
This General Power of Attorney is created in accordance with the Connecticut Uniform Power of Attorney Act. Through this document, the individual granting control (_Principal_) authorizes another individual (_Agent_) to act on their behalf in various matters as specified within.
1. Principal Information
Name: ___________________________
Address: ___________________________
Phone Number: ___________________________
DOB (MM/DD/YYYY): ___________________________
2. Agent Information
Name: ___________________________
Address: ___________________________
Phone Number: ___________________________
3. Grant of Power
I, the Principal named above, appoint the Agent named above to act on my behalf in all matters that this Power of Attorney authorizes.
4. Powers Granted
- Real Estate Transactions
- Banking Transactions
- Personal and Family Maintenance
- Insurance Transactions
- Benefit from Government Programs
- Health Care Billing and Payment Matters
- Retirement Plan Transactions
- Tax Matters
5. Term
This General Power of Attorney will become effective immediately upon signing and will remain in effect indefinitely unless a specific termination date is noted here: ___________________.
6. Signature
Principal's Signature: ___________________________ Date: _______________
Agent's Signature: ___________________________ Date: _______________
7. Acknowledgment
This document and the authority hereby granted were acknowledged before me on this ____ day of __________, 20__ by the Principal.
Notary Public's Name: ___________________________
My Commission Expires: ___________________________
Signature of Notary Public: ___________________________
Instructions for Use
This document requires the signatures of both the Principal and the Agent to be valid. Additionally, it must be notarized to ensure its validity and acceptance in financial and legal transactions. It is strongly recommended to review this document periodically and to consult with a legal advisor to ensure it continues to reflect the Principal's wishes and complies with current Connecticut laws.