South Dakota Durable Power of Attorney
This South Dakota Durable Power of Attorney is a legal document that allows an individual (the "Principal") to designate another person (the "Agent" or "Attorney-in-Fact") to manage their affairs if they become unable to do so themselves. This form complies with all relevant laws in the State of South Dakota, including, but not limited to, the South Dakota Codified Laws (SDCL) §59-12-1 et seq. regarding Durable Powers of Attorney.
Please fill in the relevant information where indicated below to ensure that this document accurately reflects your wishes.
1. Principal Information
Full Name: ___________________________
Physical Address: ___________________________
City, State, Zip Code: South Dakota, ___________________
Phone Number: ___________________________
Email Address: ___________________________
2. Agent/Attorney-in-Fact Information
Full Name of Agent: ___________________________
Physical Address of Agent: ___________________________
City, State, Zip Code: ___________________________
Phone Number: ___________________________
Email Address: ___________________________
3. Powers Granted
This Durable Power of Attorney authorizes the Agent to perform actions on the Principal’s behalf in the following areas (initial alongside powers granted):
- ________ Banking and financial transactions
- ________ Real estate transactions
- ________ Personal property transactions
- ________ Business operating transactions
- ________ Insurance transactions
- ________ Estate, trust, and other beneficiary transactions
- ________ Legal claims and litigation
- ________ Tax matters
- ________ Social Security, employment, and military service benefits
- ________ Retirement plan transactions
- ________ Health care and medical treatment decisions (Includes HIPAA Release)
- ________ Other: _________________________
4. Special Instructions
______________________________________________________________________________________________________________________
______________________________________________________________________________________________________________________
5. Durable Power and Effective Date
This Power of Attorney shall become effective immediately upon execution and shall not be affected by the Principal’s subsequent incapacity, disability, or uncertainty of whereabouts.
6. Signatures
Date: ___________________
Principal's Signature: ___________________________
Witness's Signature: ___________________________
Printed Name of Witness: ___________________________
Notarization (if required): Notary Public’s signature, seal and the date notarized below.
This document was prepared in accordance with the laws of the State of South Dakota and is intended to be valid throughout the state. By signing, the Principal and Agent agree to the terms and conditions set forth in this Durable Power of Attorney.