Oregon Durable Power of Attorney
This Durable Power of Attorney is created in accordance with the Oregon Durable Power of Attorney Act (Oregon Revised Statutes, Chapter 127). Through this legal document, an individual (the “Principal”) can designate another person (the “Agent”) to make decisions on their behalf, even in the event of the Principal's future incapacity or disability.
Principal Information
Full Name: ____________________
Date of Birth: _________________
Address: ______________________
City: ___________________________
State: Oregon
Zip Code: _____________________
Agent Information
Full Name: ____________________
Address: ______________________
City: ___________________________
State: ________________________
Zip Code: _____________________
Alternate Agent Information (Optional)
If the first agent is unable or unwilling to serve, an alternate agent can act on behalf of the Principal.
Full Name: ____________________
Address: ______________________
City: ___________________________
State: ________________________
Zip Code: _____________________
Powers Granted
The Agent is hereby granted the following powers, to be exercised in the Principal’s name and on the Principal’s behalf:
- Financial decisions
- Real estate transactions
- Business operating transactions
- Insurance and annuity transactions
- Banking and other financial institution transactions
- Estate, trust, and other beneficiary transactions
- Litigation and personal matters
- Personal and family maintenance
- Benefits from Social Security, Medicare, Medicaid, or other governmental programs, or civil or military service
- Tax matters
Special Instructions (Optional)
Here, the Principal may include any special instructions limiting or extending the powers granted to the Agent.
Instructions: __________________________________________________________
_______________________________________________________________________
Duration
This Durable Power of Attorney will become effective immediately and will continue to be effective until the Principal’s death, unless revoked earlier by the Principal in writing.
Signatures
The Principal and the appointed Agent(s) must provide their signatures below to acknowledge and accept their roles as outlined in this document.
Principal’s Signature: _____________________ Date: _______________
Agent’s Signature: _____________________ Date: _______________
Alternate Agent’s Signature (If applicable): _____________________ Date: _______________
Notarization (Optional but Recommended)
This document is not required to be notarized under Oregon law, but it is recommended to provide an additional layer of legal validation.
Witness Acknowledgment (Optional)
Having a witness can further safeguard the integrity of this document, although it is not a requirement under Oregon law.
Witness’s Signature: _____________________ Date: _______________