Source: http://delcode.delaware.gov/title12/c049a/sc03/
Timestamp: 2018-03-22 06:13:47
Document Index: 567579937

Matched Legal Cases: ['§ 49', '§ 49', '§ 49', '§ 49', '§ 49', '§ 49', '§ 49', '§ 49', '§ 49', '§ 49', '§ 49', '§ 49', '§ 49', '§ 49', '§ 49', '§ 49', '§ 49', '§ 4', '§ 13', '§ 1']

TITLE 12 - CHAPTER 49A. DURABLE PERSONAL POWERS OF ATTORNEY ACT - Subchapter III. Statutory Forms
§ 49A-301
Subchapter III. Statutory Forms
§ 49A-301 Statutory form durable personal power of attorney; agent's certification.
DURABLE PERSONAL POWER OF ATTORNEY FORM NOTICE
This power of attorney does notauthorize your Agent to make health-care decisions for you.
The powers and duties of an Agent under a durable power of attorney are explained more fully in Delaware Code, Title 12, Chapter 49A, Section 49A-114 and Sections 49A-201 through 49A-217.
____________ ________
DURABLE PERSONAL POWER OF ATTORNEY FORM INSTRUCTIONS
I, ____________, name the following person(s) as my
DESIGNATION OF ADDITIONAL OR SUCCESSOR AGENTS (OPTIONAL)
If I have named more than one Agent above, I intend for those Agents to:
____ Act successively, one after the other
____ Act concurrently, independent of each other
____ Act jointly, not independent of each other
You must sign ONE of these two choices:
_______________ This power of attorney
(Sign here if this is your choice)
is effective immediately, and shall not be effected by my subsequent incapacity.
is effective only if and while I am incapacitated as determined under 12 Del. C. § 49A-109(c).
I grant my Agent and any successor Agent general authority to act for me with respect to the following powers described in more detail as defined in the Durable Personal Power of Attorney Act, Delaware Code, Title 12, Chapter 49A.
You should READ the terms of each category of power or authority before granting any of them to your Agent. A full explanation of each power or authority is in the Delaware Code. The Delaware Code is available online. Search: Delaware Code, Title 12, Chapter 49A, and then go to the number next to the category. Example: Real Property, Section (§ ) 49A-204. The Delaware Code may also be available at your local library.
INITIAL each category you want to include in the Agent's general authority.
CROSS OUT each category you do not want to include in the Agent's general authority.
If you do not initial a category listed below, powers associated with that category will NOT be included as part of your Agent's general authority.
__ Real Property § 49A-204
__ Tangible Personal Property § 49A-205
__ Stocks and Bonds § 49A-206
__ Commodities and Options § 49A-207
__ Banks and Other Financial Institutions § 49A-208
__ Operation of Entity or Business § 49A-209
__ Insurance and Annuities § 49A-210
__ Estates, Trusts, and Other Beneficial Interests § 49A-211
__ Claims and Litigation § 49A-212
__ Personal and Family Maintenance § 49A-213
__ Benefits from Governmental Programs or Civil or Military Service § 49A-214
__ Retirement Plans § 49A-215
__ Taxes § 49A-216
GRANT OF SPECIFIC AUTHORITY (OPTIONAL) PROCEED WITH CAUTION
Giving your Agent any of the following powers will give your Agent the authority to take actions that could significantly reduce your property or change how and to whom your property is distributed at your death.
You should READ the terms describing each power before granting any of them to your Agent.
INITIAL each power you want to include in the Agent's authority.
CROSS OUT each power you do not want to include in the Agent's authority.
If you do not initial a power listed below, it will NOT be included as part of your Agent's specific authority.
__ Create, amend, revoke, or terminate an inter vivos trust
__ Make a gift in excess of the limitations in the Durable Personal Power of Attorney Act, 12 Del. C. § 49A-217
__ Create or change rights of survivorship
__ Create or change a beneficiary designation
__ Delegate authority granted under the power of attorney when all successor Agents have resigned, died, become incapacitated, are no longer qualified to serve, or have declined to serve
__ Exercise fiduciary powers that the Principal has authority to delegate
__ Reject, renounce, disclaim, release, or consent to a reduction in or modification of a share in or payment from estate, trust, or other beneficial interest
Any person, including my Agent, may rely upon this power of attorney or a copy of it unless that person knows it has terminated or is invalid.
IF YOU HAVE QUESTIONS ABOUT THIS POWER OF ATTORNEY OR THE AUTHORITY YOU ARE GRANTING TO YOUR AGENT(S), YOU SHOULD SEEK LEGAL ADVICE BEFORE SIGNING THIS FORM.
IN WITNESS WHEREOF, I have hereunto set my Hand and Seal this __ day of ______, 20__ .
_____________ _____________ (SEAL)
Witness Signature Your Signature
_______________ _______________
Print Your Name Print Your Name
I, the witness, swear that I am not related to the Principal by blood, marriage, or adoption; and that I am not entitled to any portion of the estate of the Principal under the Principal's current will or codicil, or under any current trust instrument of the Principal
STATE OF DELAWARE :
COUNTY OF ______ :
This Durable Power of Attorney was acknowledged before me by ______ this
(4) disclose your identity as an Agent whenever you act for the Principal by writing or printing the name of the Principal and signing your own name as "Agent'' in the following manner:
Except as otherwise provided in the power of attorney, you must also:
(1) not act for your own benefit;
(5) cooperate with any person who has authority to make health-care decisions for the Principal; and
You must stop acting on behalf of the Principal if you learn of any event that terminates this power of attorney or your authority under this power of attorney. Events that terminate this power of attorney or your authority to act under it include:
(5) an action is filed with a court for your separation, annulment, or divorce from the Principal, unless the Principal otherwise provided in the power of attorney that such action will not terminate your authority.
The meaning of the authority granted to you is defined in the Durable Personal Power of Attorney Act, Delaware Code, Title 12, Chapter 49A. If you violate the Durable Personal Power of Attorney Act, Delaware Code, Title 12, Chapter 49A, or act outside the authority granted, you may be liable for any damages caused by your violation.
If there is anything about this document or your powers, authority, or duties as Agent that you do not understand, you should seek legal advice.
77 Del. Laws, c. 467, § 4; 78 Del. Laws, c. 369, § 13; 79 Del. Laws, c. 152, § 1.;