ARIZONA DURABLE POWER OF ATTORNEY
This Durable Power of Attorney is established by the undersigned, herein referred to as the "Principal," granting authority to the individual named below, herein referred to as the "Agent," to act on the Principal's behalf. This document is executed in accordance with the Arizona Durable Power of Attorney Act, Arizona Revised Statutes, Section 14-5501 et seq., and shall remain in effect even if the Principal becomes disabled, incapacitated, or incompetent.
1. Principal Information
Full Name: ___________________________
Address: ______________________________
City, State, ZIP: _______________________
Date of Birth: _________________________
2. Agent Information
Full Name: ___________________________
Address: ______________________________
City, State, ZIP: _______________________
Telephone Number: ______________________
3. Alternate Agent Information (Optional)
If the original Agent is unable or unwilling to serve, the following individual is designated as the Alternate Agent:
Full Name: ___________________________
Address: ______________________________
City, State, ZIP: _______________________
Telephone Number: ______________________
4. Powers Granted
This Durable Power of Attorney grants the Agent the following powers to act on the Principal’s behalf, which include, but are not limited to, the ability to:
- Buy or sell real estate
- Manage banking transactions
- Claim, transfer, or disburse money and benefits
- Enter into contracts
- Buy or sell personal property
- Handle matters related to taxes and litigation
5. Special Instructions
Special instructions, limitations, or restrictions to the powers granted to the Agent (if any):
__________________________________________________________________
__________________________________________________________________
6. Effective Date and Termination
This Durable Power of Attorney becomes effective immediately upon signing and will remain in effect indefinitely unless a specific termination date is listed below or the document is revoked by the Principal.
Termination Date (if applicable): _________________________
7. Signature of Principal
I, the undersigned Principal, hereby declare that I understand the contents of this document and knowingly and voluntarily sign this Durable Power of Attorney on this date.
Date: _________________________
Signature: ______________________
8. Signature of Agent
I, the undersigned Agent, acknowledge the responsibilities being entrusted to me by the Principal as specified in this Durable Power of Attorney, and I agree to act in the Principal’s best interest to the best of my abilities.
Date: _________________________
Signature: ______________________
9. Acknowledgment
This document was signed in front of a notary public or two witnesses as required by law, ensuring its validity and adherence to the specifications mentioned in the Arizona Durable Power of Attorney Act.
Witness #1 Signature: ______________________
Date: _________________________
Witness #2 Signature: ______________________
Date: _________________________
Notary Public (if applicable):
Signature: ______________________
Commission Expiration: _________________________