A Durable Power of Attorney (DPOA) is a legal document that allows you to designate someone to make decisions on your behalf if you become incapacitated. In Arizona, this form is essential for ensuring your financial and medical matters are handled according to your wishes. Understanding how to properly complete and execute this document is crucial for protecting your interests.
The Arizona Durable Power of Attorney form is an essential legal document that allows individuals to designate someone they trust to make decisions on their behalf, especially during times when they may be unable to do so themselves. This form empowers the appointed agent to handle a variety of matters, including financial and healthcare decisions, ensuring that the individual’s preferences are honored even when they cannot communicate them. It remains effective even if the person who created it becomes incapacitated, distinguishing it from other types of power of attorney. The form must be completed with specific details, such as the names of the principal and the agent, and it requires the signature of the principal, along with notarization. Understanding the nuances of this document is crucial, as it provides peace of mind and clarity in managing one's affairs. Whether planning for future health concerns or simply wanting to ensure that trusted individuals are empowered to act, the Arizona Durable Power of Attorney form plays a vital role in personal legal planning.
Arizona Durable Power of Attorney
This Arizona Durable Power of Attorney ("Document") is created in accordance with the Arizona Durable Power of Attorney Act. It grants the person named herein the authority to act on behalf of the Principal in the matters specified, even in the event the Principal becomes disabled or incapacitated.
1. Principal Information:
Full Name: ___________________________________________
Address: _____________________________________________
City: ____________________ State: AZ Zip: _____________
Phone Number: _______________________________________
2. Agent (Attorney-in-Fact) Information:
3. Powers Granted: This Document empowers the Agent to act on the Principal's behalf in the following areas (initial next to each power you are granting):
4. Special Instructions:
Use this area to provide any special instructions limiting or extending the powers granted to your Agent.
____________________________________________________________________________________
5. Durable Power of Attorney Effective Date:
This Durable Power of Attorney shall become effective immediately upon the signing of this document, unless otherwise stated here:
6. Third Party Reliance:
Third parties may rely upon the representations of the Agent as to all matters relating to any power granted to the Agent, and no person who acts in reliance on the representations of the Agent or the authority granted within shall incur any liability to the Principal or to the Principal's estate as a result of permitting the Agent to exercise any power prior to actual knowledge of the Principal's death or revocation of this Document.
7. Revocation: This power of attorney may be revoked by the Principal at any time by providing written notice to the Agent.
8. Signatures:
Principal Signature: ___________________________________ Date: ____________
Agent Signature: ______________________________________ Date: ____________
Witness Signature: ____________________________________ Date: ____________
9. Acknowledgment of Notary Public:
State of Arizona)
County of ______________)
On __________________ before me, __________________________ (Notary Public), personally appeared _____________________________, who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of Arizona that the foregoing paragraph is true and correct.
WITNESS my hand and official seal.
Signature of Notary Public: _____________________________
Seal:
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