Connecticut Durable Power of Attorney
This Durable Power of Attorney is established under Connecticut General Statutes § 1-42 and is designed to remain effective even if the principal becomes incapacitated.
Principal Information:
- Name: ___________________________
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- City: ___________________________
- State: ___________
- Zip Code: ___________
Agent Information:
- Name: ___________________________
- Address: ______________________
- City: ___________________________
- State: ___________
- Zip Code: ___________
Grant of Authority:
I, the undersigned, designate the above-named Agent as my Attorney-in-Fact to act on my behalf regarding the following matters:
- Managing real estate and personal property.
- Handling financial accounts.
- Performing any transaction related to my business.
- Making healthcare decisions as specified in a separate document.
Effective Date:
This Durable Power of Attorney shall become effective immediately upon execution and shall remain effective until revoked or until my death.
Revocation:
This document may be revoked at any time by me in writing. Notice of such revocation should be provided to my Agent and any institution or third party that has relied on this Power of Attorney.
Signature:
______________________________ (Principal's Signature)
Date: ___________
Witnesses:
1. __________________________ (Name and Signature)
2. __________________________ (Name and Signature)
Notary Public:
State of Connecticut
County of ____________________
Subscribed and sworn to before me on this ___ day of ___________, 20__.
______________________________ (Notary Public Signature)
My Commission Expires: ___________