Connecticut Durable Power of Attorney
This Durable Power of Attorney is executed in accordance with the laws of the State of Connecticut. It grants the designated agent the authority to act on behalf of the principal in various matters as specified below.
Principal Information:
Name: _______________________________
Address: _____________________________
City, State, Zip: ______________________
Date of Birth: _________________________
Agent Information:
Name: _______________________________
Address: _____________________________
City, State, Zip: ______________________
Phone Number: _________________________
Effective Date: This Durable Power of Attorney shall become effective immediately upon execution unless specified otherwise.
Grant of Authority: The principal hereby grants the agent the authority to act in the following matters:
- Real estate transactions
- Banking and financial transactions
- Personal and family maintenance
- Tax matters
- Insurance and annuity transactions
- Business operations
Durability: This Durable Power of Attorney shall not be affected by the principal's subsequent disability or incapacity.
Revocation: The principal may revoke this Durable Power of Attorney at any time by providing written notice to the agent.
Signatures:
Principal's Signature: ___________________________ Date: _______________
Agent's Signature: _____________________________ Date: _______________
Witnesses:
Witness 1 Name: _______________________________
Witness 1 Signature: __________________________ Date: _______________
Witness 2 Name: _______________________________
Witness 2 Signature: __________________________ Date: _______________
Notary Public:
State of Connecticut
County of _______________________________
Subscribed and sworn to before me this ______ day of __________, 20__.
Notary Public Signature: ___________________________
My Commission Expires: ___________________________