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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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