New Hampshire Durable Power of Attorney Template
This Durable Power of Attorney Template is designed to comply with the New Hampshire Revised Statutes, specifically Title LVI Chapter 564-E: New Hampshire Uniform Power of Attorney Act. By completing this form, you, the Principal, appoint an individual to act as your Attorney-in-Fact, granting them authority to handle matters on your behalf. This power will become effective upon the execution of this document and will remain in effect even if you become disabled or incapacitated unless stated otherwise.
Principal Information
Full Name: ___________________________
Date of Birth: ___________________________
Address: ___________________________
City: _____________________ State: NH Zip Code: __________
Attorney-in-Fact Information
Full Name: ___________________________
Address: ___________________________
City: _____________________ State: __________ Zip Code: __________
Powers Granted
This document grants the Attorney-in-Fact full authority to act on the Principal's behalf in the following matters, as indicated by the Principal's initials next to each applicable power:
- ___ Banking and financial transactions
- ___ Real estate transactions
- ___ Personal property transactions
- ___ Business operating transactions
- ___ Insurance and annuity transactions
- ___ Estate, trust, and other beneficiary transactions
- ___ Legal claims and litigation
- ___ Personal and family maintenance
- ___ Government benefits and retirement plan transactions
- ___ Taxes and audits
Special Instructions
If there are any specific limitations to the powers granted or special instructions for the Attorney-in-Fact, they should be detailed below:
______________________________________________________________________________
______________________________________________________________________________
Durability Provision
This Power of Attorney shall remain in effect in the event of the Principal's disability or incapacity. Should the Principal wish to revoke this document, it must be done so in writing and in accordance with New Hampshire law.
Signatures
Principal's Signature: ___________________________ Date: __________
Attorney-in-Fact's Signature: ___________________________ Date: __________
Witness Signature: ___________________________ Date: __________
Notarization
This document was acknowledged before me on (date) __________ by (name of Principal) ___________________________.
Notary Public Signature: ___________________________
My commission expires: __________