Connecticut Power of Attorney
This Power of Attorney ("POA") document authorizes the person named as the Agent to act on behalf of the Principal, according to the powers granted within, under the governance of Connecticut State Law, specifically the Connecticut Uniform Power of Attorney Act (the "Act").
1. Parties
Principal: _______________ [Principal's Full Name], with a mailing address of _______________ [Principal's Address], City of _______________, State of Connecticut, Zip Code _______________.
Agent: _______________ [Agent's Full Name], with a mailing address of _______________ [Agent's Address], City of _______________, State of Connecticut, Zip Code _______________.
2. Powers Granted
The Principal grants to the Agent the following powers to act on the Principal’s behalf in matters specified below:
- Real Property Transactions
- Personal and Family Maintenance
- Banking and other Financial Institution Transactions
- Business Operating Transactions
- Insurance and Annuity Transactions
- Estate, Trust, and Other Beneficiary Transactions
- Claims and Litigation
- Tax Matters
- Employment of Agents
- Gift Transactions, subject to limitations under Connecticut law
3. Duration
This POA is ☐ Durable ☐ Non-Durable, effective as of _______________ [Date], and, unless previously revoked, shall remain in effect:
- Until _______________ [Date], if non-durable; or
- Indefinitely, unless revoked, if durable.
4. Signature and Acknowledgment
IN WITNESS WHEREOF, the Principal has executed this Power of Attorney on this _______________ day of _______________, 20____.
___________________
Principal’s Signature
___________________
Agent’s Signature
This document was acknowledged before me on _______________ [Date] by _______________ [Name(s) of Signatory(ies)].
___________________
Notary Public
My Commission Expires: _______________
5. Acceptance by Agent
I, _______________ [Agent's Full Name], accept this appointment and agree to act and perform in good faith and according to the powers granted to me hereunder.
___________________
Agent’s Signature
Date: _______________
6. Third Party Reliance
Third parties may rely upon the representations of the Agent as to all matters relating to any power granted to the Agent, and no person who may act in reliance upon the representations of the Agent or the authority granted by the Principal shall incur any liability to the Principal or the Estate of the Principal as a result of permitting the Agent to exercise any power.