Connecticut General Power of Attorney
This General Power of Attorney document is prepared in accordance with the Connecticut Uniform Power of Attorney Act.
Principal Information
Full Name: ________________________________________________________
Address: __________________________________________________________
City: __________________________ State: CT Zip Code: _______________
Phone Number: _____________________ Email: _________________________
Attorney-in-Fact Information
Full Name: ________________________________________________________
Address: __________________________________________________________
City: __________________________ State: CT Zip Code: _______________
Phone Number: _____________________ Email: _________________________
Powers Granted
This General Power of Attorney grants the Attorney-in-Fact the right to make decisions on the Principal's behalf regarding the following areas:
- Real estate transactions
- Financial and banking affairs
- Personal and family maintenance
- Government benefits
- Healthcare and medical decisions
- Tax matters
- Insurance proceedings
- Legal claims and litigation
Specific limitations on the Attorney-in-Fact's power, if any, are listed below:
________________________________________________________________
________________________________________________________________
Term
The effectiveness of this General Power of Attorney commences on ___________________ and shall continue until it is revoked by the Principal or upon the Principal's death, whichever occurs first.
Third Party Reliance
Third parties may rely upon the representations of the Attorney-in-Fact as if the Principal had personally made them.
Revocation
This Power of Attorney may be revoked by the Principal at any time by providing written notice to the Attorney-in-Fact.
State Law
This Power of Attorney must be construed and interpreted in accordance with the laws of the State of Connecticut.
Signatures
Principal's Signature: __________________________ Date: ____________
Attorney-in-Fact's Signature: __________________________ Date: ____________
Witness Acknowledgement
This document was signed in the presence of witness(es), who also attest to the Principal's capacity and signature.
Witness 1 Signature: __________________________ Date: ____________
Witness 2 Signature: __________________________ Date: ____________
Notary Acknowledgment
This document was acknowledged before me on _______________ (date), by _________________________ (name of Principal), who is personally known to me or has produced identification as proof of identity.
Notary Public's Signature: _____________________________________
My commission expires: _______________