Maryland Durable Power of Attorney
This Durable Power of Attorney is established in accordance with the Maryland General and Limited Power of Attorney Act. It grants the person of your choice the authority to manage your affairs, should you become unable to do so yourself. This document remains effective in the event of your incapacity.
Principal Information:
- Name: _________________________
- Address: _________________________
- City, State, Zip: _________________________
- Phone Number: _________________________
- Email Address: _________________________
Agent Information:
- Name: _________________________
- Address: _________________________
- City, State, Zip: _________________________
- Phone Number: _________________________
- Email Address: _________________________
By this document, I grant my Agent listed above broad powers to handle my affairs, including but not limited to the following areas:
- Real estate transactions
- Banking and financial transactions
- Personal and family maintenance
- Government benefits
- Retirement plan transactions
- Tax matters
- Insurance and annuity transactions
- Estate, trust, and other beneficiary transactions
- Litigation and claims
- Healthcare and personal affairs
This Power of Attorney shall become effective immediately unless the following specific date or event is detailed here: ___________________________________________.
This document does not authorize my Agent to make healthcare decisions on my behalf. A separate Maryland Advance Directive should be used for healthcare decisions.
Successor Agent Information (Optional):
- Name: _________________________
- Address: _________________________
- City, State, Zip: _________________________
- Phone Number: _________________________
- Email Address: _________________________
If my primary Agent is unable or unwilling to serve, I designate the above-named successor Agent to serve with the same powers and duties.
Signature of Principal:
_________________________
Date: _________________________
Signature of Agent:
_________________________
Date: _________________________
Signature of Successor Agent (if applicable):
_________________________
Date: _________________________
This document was executed in the state of Maryland and shall be governed by its laws. I certify that I understand the contents of this document, and I voluntarily sign it.
Witness Declaration:
We, the undersigned, declare that the Principal appears to be of sound mind and not under duress, fraud, or undue influence. We are not the appointed Agent or Successor Agent. We are not related to the Principal by blood or marriage, nor do we stand to inherit from the Principal's estate.
Witness #1:
Name: _________________________
Address: _________________________
City, State, Zip: _________________________
Signature: _________________________
Date: _________________________
Witness #2:
Name: _________________________
Address: _________________________
City, State, Zip: _________________________
Signature: _________________________
Date: _________________________
Notarization: This document was acknowledged before me on (date) _______ in the state of Maryland, County of _______.
Notary Public: _________________________
My Commission Expires: _________________________
Seal: