This General Power of Attorney template is created in accordance with the Utah Uniform Power of Attorney Act to grant a designated individual or entity broad powers to manage the financial and legal affairs of the principal. It is important to fill out this template carefully and thoughtfully to ensure that it accurately reflects the principal's wishes and complies with Utah state law.
1. Principal Information
Full Name: ___________________________________________________
Address: _____________________________________________________
City, State, Zip: ______________________________________________
Phone Number: ________________________________________________
2. Agent's Information
Full Name: ___________________________________________________
Address: _____________________________________________________
City, State, Zip: ______________________________________________
Phone Number: ________________________________________________
3. Powers Granted
This document grants the following powers from the principal to the agent, including but not limited to:
- 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
4. Special Instructions
Any special instructions limiting or extending the powers granted to the agent are listed below:
________________________________________________________________
________________________________________________________________
________________________________________________________________
5. Effective Date and Duration
This General Power of Attorney shall become effective on the date of ___________ (month/day/year), and will remain in effect:
- Until a specified date of ___________ (month/day/year).
- Until the principal revokes it in writing.
- Until the principal becomes incapacitated or dies.
6. Signature of Principal
To make this General Power of Attorney valid, the principal must sign and date below in the presence of a notary public:
Signature: ___________________________________ Date: ______________________
7. Notarization
This document was acknowledged before me on ___ (date) by ______________________ (name of principal).
________________________________________
(Signature of Notary Public)
My commission expires: ___________________
8. Acceptance by Agent
I, _______________________ (Full Name of Agent), accept this appointment and agree to act in accordance with the principal's expectations and the powers granted to me under Utah law.
Signature: ___________________________________ Date: ______________________