Who is Agent?

• Indicate the full name of a person appointed as attorney-in-fact for the principal (Agent):

  !

  An agent is the trusted individual you designate in your power of attorney to make decisions on your behalf from the specific moment in the future or once your are physically incapacitated.

  This could be any person, including your friends, spouse or family members.

• Indicate contact details of the appointed agent (address, email and phone number):

• Should the agent receive compensation for performing duties under this power of attorney?

  • No
  • Yes

• Do you want to appoint an alternative agent?

  • No
  • Yes

  !

  The alternative agent is the person who will step in to make decisions only if your primary agent is unable, unwilling, or legally disqualified to do so.

• Indicate the full name of an alternative agent:

• Indicate contact information of the alternative agent (email, phone number and address):

Grant of Authority

• Does principal want to give an agent the authority to manage their real estate property (e.g., house, holidays home etc.)?

  • Yes
  • No

  !

  This includes (but is not limited to) the power to sell, lease, grant options upon, or rent any land, buildings, or improvements that the principal owns or has an interest in, as well as to maintain or improve any real property or manage any monies owed or deeds with respect to it.

• Does principal want to give an agent the authority to manage their tangible assets?

  • Yes
  • No

  !

  Tangible personal property includes things that are not real property (like land and buildings) and things that are not intangible financial instruments (like stocks and bonds). Basically, these are the items that a person can hold and that belong to them.

• Does principal want to give an agent the authority to manage their stocks?

  • Yes
  • No

  !

  To manage stocks includes buying, selling, transferring, and filling out any necessary paperwork for those transactions.

• Does principal want to give an agent the authority to manage banks and financial institutions on the principal's behalf?

  • Yes
  • No

  !

  Giving the agent this authority means they have the general ability to withdraw or deposit money, use bank services, contract for a safe deposit box, write checks, start, end or edit accounts and anything else that may come along with the power to use a bank.

• Does principal want to give an agent the authority to manage entities or businesses that the principal owns or is involved in the ownership of?

  • Yes
  • No

  !

  Giving the agent this authority means that the agent would have broad power over any entities or business that the principal has any kind of ownership over.

  <p><p>It would mean they could buy more interest, sell interest, edit or terminate contracts with vendors, as well as begin new contracts, change the nature of the business, be in court on behalf of the company, and any other general power the principal has as a business owner or interest owner.

• Does principal want to give an agent the authority to manage trusts and estates on their behalf?

  • No
  • Yes

  !

  Giving the agent this general authority means that the agent will be able to do anything the principal is able to do regarding trusts, estates, and other beneficial interests that the principal may be involved in.

  This means the agent can receive, sell, assign, or exchange payments; they can demand monies that the principal may be owed; they can exercise any powers in regard to the trust or estate and otherwise handle it as the principal would be able to handle it.

• Does principal want to give an agent the authority to manage any claims or litigation the principal may be involved in?

  • No
  • Yes

  !

  Giving the agent this authority means that they will be able to handle claims or litigation the principal is involved in to the same extent the principal can. In other words:

  – they can implement a new claim;
  – they can terminate a claim;
  – they can litigate fully (including involving attorneys or other legal professionals and paying them, as well);
  >&gt;&gt;- they can submit to alternative dispute resolution;
  – they can settle and they generally manage the claim or litigation.

• Does principal want to give an agent the authority to manage any benefits that the principal receives or may receive from the government?

  • Yes
  • No

• Does principal want to give an agent the authority to manage retirement plans?

  • Yes
  • No

  !

  Giving the agent this authority means they would be able to withdraw benefits under a retirement plan, rollover benefits, establish a new retirement plan, make contributions to a retirement plan, exercise investment powers, borrow or sell assets from a plan, and generally have all the authority a principal would in regards to retirement plans.

• Does principal want to give an agent the authority to demand, sue, or litigate on the principal's behalf for any money or other financial property the principal may owe?

  • No
  • Yes

  !

  Giving the agent this authority means they will generally be able to manage the principal’s financial property, but especially in the case of needing to send a request or demand to obtain any monies the principal is owed or to otherwise sue or litigate on the principal’s behalf for the money.

• Does principal want to give an agent the authority to begin or otherwise handle legal proceedings on behalf of the principal's estate?

  • Yes
  • No

  !

  Giving the agent this authority means they can sue or generally litigate against anyone for anything regarding the principal’s estate. This is a broad legal power that will enable the agent will be able to handle most legal problems on the principal’s behalf.

• Does principal want to give an agent the authority to manage any securities that the principal owns, including voting in shareholder elections?

  • Yes
  • No

  !

  Granting this authority means the agent will be able to manage any stocks and securities that the principal’s own, including buying additional stocks or securities, selling the ones the principal owns, assigning them, redeeming them, etc.

  It also means the agent would be able to act in the principal’s place as a shareholder, and would be able to vote in shareholder elections and things requiring shareholder input.

• Does principal want to give an agent the authority to sell or lease the principal's real property?

  • Yes
  • No

• Does principal want to give an agent the authority to borrow or lend money or property?

  • Yes
  • No

  !

  This would mean that the agent could act as they see fit, in the principal’s best interest, with regard to borrowing or lending any money or property and executing any documents for that.

• Does principal want to give an agent the authority to transfer assets belonging to the principal to a trust?

  • No
  • Yes

  !

  Granting this authority means the agent will be able to move assets belonging to the principal or the principal’s estate to trusts in which the principal may be the grantor or to trusts where the principal may have a beneficial interest.

• Does principal want to give an agent the authority to borrow against any life insurance the principal may own or obtain cash surrender values of any policies (or otherwise give them to their beneficiaries)?

  • Yes
  • No

  !

  Giving the agent this authority means they will have broad power over any life insurance policies the principal may own, and they may act regarding them as they see fit on the principal’s behalf. This includes the ability to surrender the policy and obtain cash for it.

Additional Authorities

• Does principal wish to grant the agent the right to adjust financial accounts and to make gifts to third parties on the principal's behalf?

  • No
  • Yes

• Does principal want to give an agent the authority to create, change, and terminate any inter vivos trust?

  • No
  • Yes

  !

  An inter vivos trust is a trust created and funded by a person during their lifetime to manage or distribute their assets.

• Does principal want to give an agent the authority to create or change any rights of survivorship?

  • No
  • Yes

  !

  A right of survivorship is a legal feature of jointly owned property that allows the surviving owner to automatically inherit the deceased owner’s share without it going through probate.

• Does principal want to give an agent the authority to exercise fiduciary powers that the principal has?

  • No
  • Yes

  !

  Fiduciary powers are special responsibilities to manage money or property for someone else, such as acting as a trustee or handling assets on another person’s behalf.

  By granting this authority, the agent would be able to perform those same duties in place of the principal.

• Does principal want to give an agent the authority to waive the principal's rights to be a beneficiary of a survivor annuity?

  • No
  • Yes

  !

  A survivor annuity is a continuing payment made to a surviving spouse or beneficiary after someone dies, usually from a pension or retirement plan.

  If the principal grants this authority, the agent would be able to sign documents that permanently waive the principal’s right to receive those benefits.

• Does principal want to give an agent the authority to revoke a transfer on death deed?

  • No
  • Yes

  !

  This question asks whether the principal wants to allow the agent to cancel (revoke) a Transfer-on-Death (TOD) deed.
  A TOD deed is a document that names who will receive real estate automatically when the owner dies, without going through probate.

  If this authority is granted, the agent can legally revoke or cancel that deed on the principal’s behalf. If not granted, the agent has no power to change or revoke any TOD deed.

Miscellaneous

• Has the agent previously issued an advance health care directive?

  • No
  • Yes

  !

  An advance health care directive is a legal document that outlines your medical treatment preferences and names someone to make health decisions for you if you cannot do so yourself.

• Is the agent appointed under this Power of Attorney a relative, spouse, or descendant of the principal?

  • No
  • Yes

• Does the agent wish to appoint any of the following additional persons?

  • Conservator
  • Guardian
  • Neither of them
  • Both of them

  !

  A conservator is a person appointed by a court to manage the estate’s affairs of someone who is unable to do so on their own.

  A guardian is a person legally appointed to make personal, medical, or financial decisions on behalf of someone who is unable to make those decisions for themselves.

  Conservators and guardians are being appointed by the court. Thus, if the principal expresses their preferences regarding the identity of those persons, it could be very helpful for the court.

• Provide the full name, address, and contact information of the appointed conservator:

• Provide the full name, address, and contact information of the appointed guardian:

• Describe in detail how the agent should be compensated for performing the duties granted under this Power of Attorney:

• Do you want to add Principal's signature?

  • Yes
  • No

• Principal's signature:

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