This Colorado Durable Power of Attorney form grants an individual (the "Agent") the authority to make decisions regarding the property, financial, and business affairs of the person executing the document (the "Principal"), in accordance with the Colorado Uniform Power of Attorney Act (C.R.S. 15-14-701 to 15-14-745).
Principal Information:
- Full Name: ___________________________
- Date of Birth: ________________________
- Address: ______________________________
- City: ____________ State: CO Zip: ________
Agent Information:
- Full Name: ___________________________
- Address: ______________________________
- City: ____________ State: __ Zip: ________
Grant of Power:
By this document, I, the Principal, appoint the above-named Agent to act for me in any lawful way with respect to the following initialed subjects:
- _____ Real property transactions
- _____ Banking and other financial institution transactions
- _____ Personal and family maintenance
- _____ Government benefits
- _____ Business operating transactions
- _____ Insurance and annuity transactions
- _____ Estate, trust, and other beneficiary transactions
- _____ Claims and litigation
- _____ Personal and family maintenance
- _____ Tax matters
This power of attorney is durable and will not be affected by the subsequent disability or incapacity of the Principal.
Effective Date: _______________ (Date)
Signature of Principal: _______________________________
Date: __________________
Signature of Agent: _______________________________
Date: __________________
This document was signed in the presence of two witnesses, who are neither the agent nor related to the agent or principal by blood or marriage:
Witness 1 Name: _______________________
Witness 1 Signature: ___________________ Date: _________________
Witness 2 Name: _______________________
Witness 2 Signature: ___________________ Date: _________________
Notarization
This document was acknowledged before me on ________ (date) by ________________________ (name of Principal).
Notary Public: ___________________________
Date Commission Expires: _________________