Missouri Durable Power of Attorney
This Missouri Durable Power of Attorney ("Document") is made in accordance with the Missouri Durable Power of Attorney Act and empowers the designated agent to act on behalf of the principal in matters specified within this document. The powers granted hereby shall remain in effect in the event the principal becomes incapacitated or disabled.
Principal Information
- Full Name: ____________________________________________
- Physical Address: ______________________________________
- City, State, Zip: ______________________________________
- Phone Number: _________________________________________
- Email Address: ________________________________________
Agent Information
- Full Name: ____________________________________________
- Physical Address: ______________________________________
- City, State, Zip: ______________________________________
- Phone Number: _________________________________________
- Email Address: ________________________________________
Alternate Agent Information (Optional)
- Full Name: ____________________________________________
- Physical Address: ______________________________________
- City, State, Zip: ______________________________________
- Phone Number: _________________________________________
- Email Address: ________________________________________
In accordance with Section 404.705 of the Missouri Revised Statutes, the principal grants the following powers to the designated agent:
- To conduct any and all financial transactions on behalf of the principal.
- To buy or sell real estate and other property.
- To manage bank accounts, including the authority to open and close accounts.
- To file tax returns and manage tax matters.
- To negotiate and enter contracts on behalf of the principal.
- To make health care decisions, including the ability to access medical records, if this document meets the requirements of a health care directive.
- To handle matters related to insurance and annuities.
- To claim property and benefits, including social security, Medicare, or other governmental programs.
- To exercise rights in regards to stocks, bonds, and other investments.
This Document grants general authority over the principal's affairs. It does not limit the agent to specific actions unless expressly stated herein. If the principal wishes to limit the powers granted to the agent, such limitations should be specified in the sections below:
Specific Limitations
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This Document is effective immediately upon execution and shall remain in effect indefinitely, or until expressly revoked by the principal in writing.
The principal acknowledges the importance of this Document and the powers herein granted. They affirm their understanding and grant these powers freely and after careful consideration.
Signatures
Principal's Signature: _______________________________ Date: ________________
Agent's Signature: ___________________________________ Date: ________________
Alternate Agent's Signature (If applicable): _________________ Date: ________________
State of Missouri
County of ___________________
This document was acknowledged before me on (date) ____________________ by (name of principal) ____________________.
______________________
Notary Public
My Commission Expires: ___________