This Durable Power of Attorney is created pursuant to the laws of the State of New Hampshire and grants the person named herein the authority to act on the behalf of the Principal in the manner described herein. This document remains in effect even if the Principal becomes disabled, incapacitated, or incompetent.
1. Principal Information
Name: ________________________________________
Address: ______________________________________
City, State, Zip: _____________________________
Phone Number: ________________________________
2. Agent (or Attorney-in-Fact) Information
Name: ________________________________________
Address: ______________________________________
City, State, Zip: _____________________________
Phone Number: ________________________________
3. Successor Agent (Optional)
If the first agent becomes unable, unwilling, or unavailable to serve, the person named below shall serve as Successor Agent.
Name: ________________________________________
Address: ______________________________________
City, State, Zip: _____________________________
Phone Number: ________________________________
4. Powers Granted
By signing this document, the Principal grants the Agent full authority to act on their behalf. This includes, but is not limited to, handling financial and business transactions, real estate affairs, tax matters, and health care decisions, in accordance with New Hampshire law. The specific powers granted are outlined below:
- _____________________________
- _____________________________
- _____________________________
- _____________________________
- Other: _______________________
5. Special Instructions
The Principal may specify any limitations on the Agent's powers or provide any special instructions here:
_________________________________________________________
_________________________________________________________
6. Effective Date and Duration
This Durable Power of Attorney becomes effective immediately upon signing unless stated otherwise and remains in effect indefinitely unless a termination date is specified or the Principal revokes it.
Effective Date: _____________________
Termination Date (Optional): _____________________
7. Signature of Principal
By signing below, I confirm that I understand the contents of this document and willingly grant the powers specified here to the named Agent.
Signature: ___________________________ Date: _____________
8. Acknowledgment by Agent
By signing below, the named Agent accepts the authority granted under this Durable Power of Attorney and vows to act in the Principal’s best interest to the best of their abilities and in accordance with New Hampshire laws.
Signature of Agent: ______________________ Date: _____________
9. Witness and Notarization
This section should be filled out only in the presence of a Notary Public and/or required witnesses as per New Hampshire state law.
Witnesses are required to confirm that the Principal is signing the document willingly and is aware of its contents.
Witness 1 Signature: ______________________ Date: _____________
Witness 2 Signature: ______________________ Date: _____________
Notary Public Acknowledgment
State of New Hampshire
County of ___________
On this _____ day of ___________, 20____, before me, a Notary Public, personally appeared ________________________________, known to me to be the person whose name is subscribed to the within instrument, and acknowledged that they executed the same for the purposes therein contained.
In witness whereof, I hereunto set my hand and official seal.
______________________________________
Notary Public
My Commission Expires: _______________