Massachusetts Durable Power of Attorney
This Massachusetts Durable Power of Attorney is established in accordance with the Massachusetts Uniform Probate Code, specifically under M.G.L. c. 190B, §5-501. This legal instrument grants the designated agent the authority to act on behalf of the principal in various matters, should the principal become unable or unavailable to make decisions. The powers conferred by this document remain effective during any subsequent disability or incapacity of the principal.
Date: ____________
Principal’s Full Legal Name: ____________
Principal’s Address: ____________, ____________, MA, ____________
Agent’s Full Legal Name: ____________
Agent’s Address: ____________, ____________, MA, ____________
Grant of Power
I, ____________ (Principal), hereby appoint ____________ (Agent) as my true and lawful attorney-in-fact to act in my name, place, and stead in any way which I myself could do, with respect to the following matters as each is defined in the Massachusetts Uniform Probate Code, to the full extent allowed by law:
- 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 governmental programs or civil or military service
- Retirement plan transactions
- Tax matters
Special Instructions
If additional specific instructions are to be adhered to by the Agent, they are listed here: ____________
Effective Date and Durability
This Power of Attorney shall become effective immediately upon the date of signing and shall remain effective thereafter during any subsequent disability or incapacity I may suffer, thereby making this a Durable Power of Attorney.
Third Party Reliance
Third parties may rely upon the representations of my Agent as to all matters regarding powers granted to him/her. I agree to indemnify and hold harmless any third party for actions taken in good faith reliance on this Durable Power of Attorney.
Revocation
This Durable Power of Attorney may be revoked by me at any time, provided such revocation is in writing and communicated to any third party relying on this document.
IN WITNESS WHEREOF, I have executed this Durable Power of Attorney on the day and year first above written.
____________________
Principal’s Signature
____________________
Agent’s Signature
This document was prepared by:
Name: ____________
Address: ____________
Phone Number: ____________
Acknowledgement by Notary Public
State of Massachusetts)
County of ____________) ss.:
On this ____ day of ____________, 20__, before me, the undersigned notary public, personally appeared ____________ (Principal) known to me (or satisfactorily proven) to be the person whose name is subscribed to the within instrument, and acknowledged that he/she executed the same for the purposes therein contained.
In witness whereof, I hereunto set my hand and official seal.
____________________
Notary Public
My Commission Expires: ____________