Statutory Power Of Attorney

[Rev. 11/3/2011 10:34:21 AM] NRS 162A.620 Power of attorney STATUTORY FORM POWER OF ATTORNEY THIS IS AN IMPORTANT LEGAL DOCUMENT. IT CREATES A DURABLE POWER OF ATTORNEY FOR FINANCIAL MATTERS. BEFORE EXECUTING THIS DOCUMENT, YOU SHOULD KNOW THESE IMPORTANT FACTS: 1. THIS DOCUMENT GIVES THE PERSON YOU DESIGNATE AS YOUR AGENT THE POWER TO MAKE DECISIONS CONCERNING YOUR PROPERTY FOR YOU. YOUR AGENT WILL BE ABLE TO MAKE DECISIONS AND ACT WITH RESPECT TO YOUR PROPERTY (INCLUDING YOUR MONEY) WHETHER OR NOT YOU ARE ABLE TO ACT FOR YOURSELF. 2. THIS POWER OF ATTORNEY BECOMES EFFECTIVE IMMEDIATELY UNLESS YOU STATE OTHERWISE IN THE SPECIAL INSTRUCTIONS. 3. THIS POWER OF ATTORNEY DOES NOT AUTHORIZE THE AGENT TO MAKE HEALTH CARE DECISIONS FOR YOU. 4. THE PERSON YOU DESIGNATE IN THIS DOCUMENT HAS A DUTY TO ACT CONSISTENT WITH YOUR DESIRES AS STATED IN THIS DOCUMENT OR OTHERWISE MADE KNOWN OR, IF YOUR DESIRES ARE UNKNOWN, TO ACT IN YOUR BEST INTERESTS. 5. YOU SHOULD SELECT SOMEONE YOU TRUST TO SERVE AS YOUR AGENT. UNLESS YOU SPECIFY OTHERWISE, GENERALLY THE AGENT'S AUTHORITY WILL CONTINUE UNTIL YOU DIE OR REVOKE THE POWER OF ATTORNEY OR THE AGENT RESIGNS OR IS UNABLE TO ACT FOR YOU. 6. YOUR AGENT IS ENTITLED TO REASONABLE COMPENSATION UNLESS YOU STATE OTHERWISE IN THE SPECIAL INSTRUCTIONS. 7. THIS FORM PROVIDES FOR DESIGNATION OF ONE AGENT. IF YOU WISH TO NAME MORE THAN ONE AGENT YOU MAY NAME A CO-AGENT IN THE SPECIAL INSTRUCTIONS. COAGENTS ARE NOT REQUIRED TO ACT TOGETHER UNLESS YOU INCLUDE THAT REQUIREMENT IN THE SPECIAL INSTRUCTIONS. 8. IF YOUR AGENT IS UNABLE OR UNWILLING TO ACT FOR YOU, YOUR POWER OF ATTORNEY WILL END UNLESS YOU HAVE NAMED A SUCCESSOR AGENT. YOU MAY ALSO NAME A SECOND SUCCESSOR AGENT. 9. YOU HAVE THE RIGHT TO REVOKE THE AUTHORITY GRANTED TO THE PERSON DESIGNATED IN THIS DOCUMENT. 10. THIS DOCUMENT REVOKES ANY PRIOR DURABLE POWER OF ATTORNEY. 11. IF THERE IS ANYTHING IN THIS DOCUMENT THAT YOU DO NOT UNDERSTAND, YOU SHOULD ASK A LAWYER TO EXPLAIN IT TO YOU. 1. DESIGNATION OF AGENT. I, .......................................................................................................... (insert your name) do hereby designate and appoint: Name: ............................................................................................. Address: ......................................................................................... Telephone Number: ........................................................................ as my agent to make decisions for me and in my name, place and stead and for my use and benefit and to exercise the powers as authorized in this document. 2. DESIGNATION OF ALTERNATE AGENT. (You are not required to designate any alternative agent but you may do so. Any alternative agent you designate will be able to make the same decisions as the agent designated above in the event that he or she is unable or unwilling to act as your agent. Also, if the agent designated in paragraph 1 is your spouse, his or her designation as your agent is automatically revoked by law if your marriage is dissolved.) American LegalNet, Inc. www.FormsWorkFlow.com If my agent is unable or unwilling to act for me, then I designate the following person(s) to serve as my agent as authorized in this document, such person(s) to serve in the order listed below: A. First Alternative Agent Name: Address: Telephone Number:.............................................................................. B. Second Alternative Agent Name: Address: Telephone Number:.............................................................................. 3. OTHER POWERS OF ATTORNEY. This Power of Attorney is intended to, and does, revoke any prior Power of Attorney for financial matters I have previously executed. 4. NOMINATION OF GUARDIAN. If, after execution of this Power of Attorney, incompetency proceedings are initiated either for my estate or my person, I hereby nominate as my guardian or conservator for consideration by the court my agent herein named, in the order named. 5. GRANT OF GENERAL AUTHORITY. I grant my agent and any successor agent(s) general authority to act for me with respect to the following subjects: (INITIAL each subject you want to include in the agent's general authority. If you wish to grant general authority over all of the subjects you may initial "All Preceding Subjects" instead of initialing each subject.) [.....] [.....] [.....] [.....] [.....] [.....] [.....] [.....] [.....] [.....] [.....] [.....] [.....] [.....] [.....] Real Property Tangible Personal Property Stocks and Bonds Commodities and Options Banks and Other Financial Institutions Safe Deposit Boxes Operation of Entity or Business Insurance and Annuities Estates, Trusts and Other Beneficial Interests Legal Affairs, Claims and Litigation Personal Maintenance Benefits from Governmental Programs or Civil or Military Service Retirement Plans Taxes All Preceding Subjects 6. GRANT OF SPECIFIC AUTHORITY. My agent MAY NOT do any of the following specific acts for me UNLESS I have INITIALED the specific authority listed below: (CAUTION: Granting any of the following will give your agent the authority to take actions that could significantly reduce your property or change how your property is distributed at your death. INITIAL ONLY the specific authority you WANT to give your agent.) [.....] [.....] [.....] [.....] Create, amend, revoke or terminate an inter vivos, family, living, irrevocable or revocable trust Make a gift, subject to the limitations of NRS and any special instructions in this Power of Attorney Create or change rights of survivorship Create or change a beneficiary designation American LegalNet, Inc. www.FormsWorkFlow.com [.....] Waive the principal's right to be a beneficiary of a joint and survivor annuity, including a survivor benefit under a retirement plan [.....] Exercise fiduciary powers that the principal has authority to delegate [.....] Disclaim or refuse an interest in property, including a power of appointment 7. LIMITATION ON AGENT'S AUTHORITY. An agent that is not my spouse MAY NOT use my property to benefit the agent or a person to whom the agent owes an obligation of support unless I have included that authority in the Special Instructions. 8. SPECIAL INSTRUCTIONS OR OTHER OR ADDITIONAL AUTHORITY GRANTED TO AGENT: 9. DURABILITY AND EFFECTIVE DATE. (INITIAL the clause(s) that applies.) [.....] DURABLE. This Power of Attorney shall not be affected by my subsequent disability or incapac