CALIFORNIA POWER OF ATTORNEY
For financial matters, under the California Probate Code
I, [principal full name], of [address] (the "Principal"), appoint [agent full name], of [address], phone [phone] (the "Agent"), as my attorney-in-fact to act for me as stated below.
1. Powers granted
The Agent may act for me in the following matters [initial each one you grant]: ___ banking and financial accounts · ___ real estate · ___ personal property and vehicles · ___ tax matters · ___ government benefits · ___ insurance and annuities · ___ retirement plans · ___ business operations · ___ claims and litigation · ___ ALL of the matters listed.
2. Special instructions
[Limits or instructions, for example: The Agent may not sell my home at address.]
3. Gifts and changes to beneficiaries
The Agent may not make gifts, create or change trusts, or change beneficiary designations unless I initial here: ___ and describe the limits: [limits].
4. Successor agent
If the Agent cannot or will not act, I appoint [successor full name], of [address], as successor agent with the same powers.
5. When it starts and ends
This power of attorney is effective [immediately / only when a licensed physician certifies in writing that I am unable to manage my financial affairs].
[Initial one] ___ This power of attorney is durable and continues if I become incapacitated. ___ This power of attorney ends if I become incapacitated.
It ends when I revoke it or at my death.
6. Agent’s duties
The Agent will act in good faith, within the powers granted, in my best interest and according to my known wishes. The Agent will keep my property separate from the Agent’s own, keep records of all transactions and not profit from acting for me except for reasonable compensation of [amount / none].
7. Reliance by third parties
Any person who receives a copy of this document may rely on it until they receive actual notice that it has been revoked.
8. Governing law
This power of attorney is governed by the laws of the State of California.
I sign this power of attorney on [date].
PRINCIPAL Signature: ______________________ Name: [full name] Date: [date] | WITNESS 1 (IF NOT NOTARIZED) I am an adult and not the agent. The principal signed in my presence. Signature: ______________________ Name: [full name] Date: [date] |
WITNESS 2 (IF NOT NOTARIZED) Same statement as Witness 1. Signature: ______________________ Name: [full name] Date: [date] | AGENT’S ACCEPTANCE Signature: ______________________ Name: [agent full name] Date: [date] |
NOTARY ACKNOWLEDGMENT
State of California ) County of [county] )
On [date], before me, [notary name], personally appeared [principal name], who proved to me on the basis of satisfactory evidence to be the person whose name is signed on this document and acknowledged that they signed it.
Notary signature: ______________________ · My commission expires: [date]