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委托书模板美国
PRINCIPALINFORMATION
FullName:
CurrentAddress:
SocialSecurityNumber(SSN)(Optional):
AGENTINFORMATION
FullName:
CurrentAddress:
ContactInformation:
RelationshiptoPrincipal(Optional):
DATEOFSIGNING:
RECITALS
WHEREAS,thePrincipalisunabletopersonallymanagecertainaffairsdueto[specificreason,e.g.,businesstravel,healthissues,incapacity];
WHEREAS,thePrincipalvoluntarilygrantstheAgentauthoritytohandlesuchaffairs;
WHEREAS,thisPowerofAttorneyisgovernedbythelawsof[StateName].
GRANTOFAUTHORITY
1.TypeofPowerofAttorney:[General/Special/Durable]
2.SpecificPowers:TheAgentisauthorizedtoperformthefollowingacts:
a.Accessandmanagebankaccounts,includingdeposits,withdrawals,transfers,andaccountclosures.
b.Buy,sell,ormortgagerealpropertyorotherassets,includingsigningdeedsandloandocuments.
c.Tradestocks,bonds,orothersecuritiesthroughbrokerageaccounts.
d.Filetaxreturnsandsigntax-relateddocuments.
e.Hireattorneysandpaylegalfees.
f.[Addadditionalspecificpowersasneeded]
3.Limitations:TheAgentshallnot:
a.Signwillsortrustdocumentsunlessexpresslyauthorized.
b.Delegateauthoritytothirdpartiesunlesspermittedherein.
c.Engageintransactionsexceeding$[Amount]withoutpriorwrittenconsentfromthePrincipal.
AGENT'SDUTIESANDLIABILITIES
1.FiduciaryDuty:TheAgentmustactinthePrincipal'sbestinterest,including:
a.Loyalty:Avoidingself-dealingorconflictsofinterest.
b.Care:Exercisingreasonablediligenceinhandlingaffairs.
c.Accounting:MaintainingdetailedrecordsandprovidingaccesstothePrincipalorheirs.
2.Compensation:[Gratuitous/Specifycompensationterms,e.g.,"Agentmayreceivereimbursementforreasonableexpenses"]
3.ConflictAvoidance:TheAgentmustdiscloseanyconflictsofinteresttothePrincipalimmediately.
EFFECTIVEDATE,AMENDMENT,ANDREVOCATION
1.EffectiveDate:ThisPowerofAttorneybecomeseffective[immediatelyuponsigning/uponspecificcondition,e.g.,Principal'sincapacity].
2.Amendment:ThePrincipalmayamendthisdocumentbywrittennoticetotheAgent.
3.Revocation:ThePrincipalmayrevokethisPowerofAttorneyatanytimebywrittennoticetotheAgentandthirdparties.Revocationiseffectiveuponreceipt.
4.AutomaticTeration:ThisPowerofAttorneyterminatesautomaticallyupon:
a.ThePrincipal'sdeath.
b.ThePrincipal'sincapacity(ifnotdurable).
c.TheAgent'sdeathorincapacity.
d.Expirationofthespecifiedterm(ifapplicable).
THIRD-PARTYRIGHTSANDPROTECTION
1.GoodFaithReliance:Thirdpartiesmayrelyonthisdocumentingoodfaith,evenifrevoked,unlessnotifiedinwriting.
2.VerificationDuty:Thirdpartiesmayrequesttheoriginaldocumentandnotarizationtoverifyauthenticity.
GOVERNINGLAWANDDISPUTERESOLUTION
1.GoverningLaw:ThisPowerofAttorneyisgovernedbythelawsof[StateName].
2.DisputeResolution:Disputesarisinghereundershallberesolvedinthestatecourtsof[StateName]orthrougharbitrationasspecified.
EXECUTIONANDFORMALITIES
1.Signature:ThePrincipalmustsignthisdocumentvoluntarilyinthepresenceofwitnessesandanotarypublic.
2.Witnesses:[Number,e.g.,twoadultwitnesses,nottheAgentorAgent'srelatives]mustsigninthePrincipal'spresence.
3.Notarization:AnotarypublicmustacknowledgethePrincipal'ssignature.
MISCELLANEOUSPROVISIONS
1.Severability:Ifanyprovisionisinvalid,theremainingprovisionsremainenforceable.
2.EntireAgreement:Thisdocumentconstitutestheentireagreementbetweentheparties,supersedingpriororalorwrittenagreements.
3.Notices:Noticesshallbesenttotheaddresseshereinviacertifiedmailoremail.
4.Survival:TheAgent'sdutiestoaccountforactionssurvivethePrincipal'sdeathforareasonableperiod.
SIGNATUREOFPRINCIPAL:_________________________
DATE:_________________________
SIGNATURESOFWITNESSES:
Witness1:_________________________
Witness2:_________________________
DATE:_________________________
NOTARIZATIONSTATEMENT
Stateof[StateName]
Countyof[CountyName]
Onthisdayof[Date],beforeme,theundersignedNotaryPublic,personallyappeared[Principal'sName],knowntome(orsatisfactorilyproven)tob
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