North Virtual Carolina Durable Power of Attorney
This Durable Power of Attorney is made in accordance with the North Carolina General Statutes, Chapter 32A, specifically the North Carolina Durable Power of Attorney Act. It is intended to grant authority to another person to make decisions on your behalf should you become incapacitated or unable to make those decisions yourself.
Principal Information
Full Name: ___________________________________
Address: ____________________________________________
City, State, Zip: ______________________________________
Phone Number: ________________________________________
Attorney-in-Fact (Agent) Information
Full Name of Attorney-in-Fact: _____________________________
Address: __________________________________________________
City, State, Zip: __________________________________________
Phone Number: ____________________________________________
Powers Granted
This Durable Power of Attorney grants the Attorney-in-Fact the following powers, which shall remain effective in the event the Principal becomes incapacitated:
- Real property transactions
- Tangible personal property transactions
- Stock and bond transactions
- Commodity and option transactions
- Banking and other financial institution transactions
- Business operating transactions
- Insurance and annuity transactions
- Estate, trust, and other beneficiary transactions
- Claims and litigation
- Personal and family maintenance
- Benefits from social security, Medicare, Medicaid, or other governmental programs or civil or military service
- Retirement plan transactions
- Tax matters
Special Instructions
If there are any special instructions limiting or extending the powers granted to the Attorney-in-Fact, list them here:
________________________________________________________________
________________________________________________________________
Execution
This Durable Power of Attorney must be signed and dated by the Principal in the presence of a Notary Public to be legally effective.
Date: ___________________________
Principal's Signature: ____________________________________
Printed Name: ____________________________________________
Notarization
This document was acknowledged before me on (date) _______________ by (name of Principal) ________________________________.
Notary Public: ____________________________ (Seal)
Commission Expires: _________________________