Connecticut Durable Power of Attorney
This Durable Power of Attorney document is designed to comply with the state-specific requirements under Connecticut law. It allows you, the principal, to appoint someone you trust, known as your agent, to manage your affairs in the event you are unable to do so yourself. This authority can include financial, legal, and healthcare decisions among others, depending on the permissions you grant.
Principal Information
- Full Name: ___________________________________
- Address: _____________________________________
- City, State, ZIP: ______________________________
- Phone Number: _________________________________
- Email Address: _________________________________
Agent Information
- Full Name: ___________________________________
- Address: _____________________________________
- City, State, ZIP: ______________________________
- Phone Number: _________________________________
- Email Address: _________________________________
This Power of Attorney shall become effective immediately upon signing and shall remain in effect indefinitely unless it is revoked by me or until my demise. This document is durable and will not be affected by my subsequent incapacity.
In accordance with Connecticut General Statutes, my agent is granted the authority to act in my name, place, and stead in any way which I myself could do, if I were personally present, with respect to the following matters, as each of them is defined by the laws of the State of Connecticut:
- Real property transactions
- Tangible personal property transactions
- Stock and bond transactions
- Commodity and option transactions
- Banking and other financial institution transactions
- Business operating transactions
- Insurance and annuity transactions
- Estate, trust, and other beneficiary transactions
- Claims and litigation
- Personal and family maintenance
- Benefits from social security, Medicare, Medicaid, or other governmental programs, or military service
- Retirement plan transactions
- Tax matters
My agent will be compensated for services provided as follows: _______________________________________________________________.
This document is made durable and shall not be affected by my subsequent disability or incapacity. Notwithstanding any other provision of law regarding the durability of a power of attorney, this power of attorney shall not be affected by my subsequent incapacity.
IN WITNESS WHEREOF, I have hereunto set my hand this _____ day of _______________, 20____.
Principal's Signature: ____________________________
Principal's Printed Name: _________________________
State of Connecticut
County of __________________
On this _____ day of _______________, 20____, before me, _________________________________, a notary public in and for said state, personally appeared ____________________________, known to me (or satisfactorily proven) to be the person whose name is subscribed to the within instrument and acknowledged that he/she executed the same for the purposes therein contained. In witness whereof I hereunto set my hand and official seal.
Notary's Signature: _____________________________
Notary's Printed Name: ___________________________
My commission expires: ___________________________
