Indiana Durable Power of Attorney
This Durable Power of Attorney is granted on this ___ day of ___________, 20__, in accordance with the Indiana Durable Power of Attorney Act, providing a Principal (hereinafter referred to as "I" or "my") the ability to designate an Agent (or "Attorney-in-fact") to manage affairs on the Principal's behalf.
Principal Information:
- Full Name: _______________________________________________
- Address: __________________________________________________
- City, State, ZIP: _________________________________________
- Phone Number: ___________________________________________
Agent Information:
- Full Name: _______________________________________________
- Address: __________________________________________________
- City, State, ZIP: _________________________________________
- Phone Number: ___________________________________________
I, the Principal, appoint the above-named Agent to act on my behalf in all matters, as allowed under Indiana law. This Durable Power of Attorney shall not be affected by my subsequent disability or incapacity. The Agent's power shall encompass the following areas:
- Real property transactions
- Tangible personal property transactions
- Stock and bond transactions
- Commodity and option transactions
- Banking and financial transactions
- Business operating transactions
- Insurance and annuity transactions
- Estate, trust, and other beneficiary transactions
- Claims and litigation
- Personal and family maintenance
- Benefits from governmental programs or civil or military service
- Retirement plan transactions
- Tax matters
This Durable Power of Attorney becomes effective immediately unless stated otherwise on the date first written above and shall remain in effect indefinitely unless a specific termination date is noted here: _______________.
This instrument is to be construed and interpreted under Indiana law. I have the right to revoke this Durable Power of Attorney at any time when I am of sound mind through a written notice delivered to the Agent.
Principal's Signature: ___________________________________________
Date: __________________________________________________________
Agent's Signature: _____________________________________________
Date: __________________________________________________________
Witness #1 Signature: __________________________________________
Print Name: ___________________________________________________
Witness #2 Signature: __________________________________________
Print Name: ___________________________________________________
This document was prepared without any attorney's assistance and may not meet all legal requirements. To ensure that this Durable Power of Attorney meets individual needs and complies with state laws, review by a licensed attorney is recommended.