Indiana Durable Power of Attorney
This Durable Power of Attorney is executed in accordance with the laws of the State of Indiana. It grants the designated agent the authority to make decisions on behalf of the principal.
Principal Information:
- Full Name: ________________________________
- Address: ________________________________
- City, State, Zip: ________________________________
- Date of Birth: ________________________________
Agent Information:
- Full Name: ________________________________
- Address: ________________________________
- City, State, Zip: ________________________________
- Relationship to Principal: ________________________________
Effective Date: This Durable Power of Attorney shall become effective immediately upon execution unless otherwise specified:
____________________ (date)
Powers Granted:
The principal grants the agent the authority to act on their behalf in the following matters:
- Manage financial accounts
- Make investment decisions
- Handle real estate transactions
- Pay bills and taxes
- Access medical records
This Durable Power of Attorney shall remain in effect until revoked by the principal in writing or until the principal's death.
Signature of Principal: ________________________________
Date: ________________________________
Witness Information:
- Witness Name: ________________________________
- Witness Address: ________________________________
- Witness Signature: ________________________________
- Date: ________________________________
Notary Acknowledgment:
State of Indiana, County of ________________
Subscribed and sworn before me on this _____ day of ____________, 20__.
Notary Public Signature: ________________________________
My Commission Expires: ________________________________