Enduring Power of Attorney Short Form
This legal document gives the attorney power to act on the principal’s behalf when he/she loses capacity to make decisions. The principal can appoint the same attorney for both financial and personal matters. It is advisable to choose someone you trust. Below is a sample of enduring power of attorney short form.
Sample Enduring Power of Attorney Short Form
I, ______________________ (full name), of ______________ (address), appoint _________________ (full name of your attorney), of ___________________ (address) as my attorney(s), for (tick one box only):
Financial matters [ ]
Personal/health matters [ ]
Financial and personal/health matters [ ]
Terms on which the attorney may or may not act include
____________________________________________________________________
_____________________________________________________________________
The enduring powers of attorney commence on _______________ (date), or on _____________ occasion.
Statement of understanding
I fully understand that by signing this document, I give power to the attorney mentioned in the clause to make decision on my behalf about matters mentioned in the same clause.
Principals name _______________
Signature _____________________
Date _________________________
Witness
Name __________________________
Signature _________________________
Attorneys Acceptance
I ________________________ (full name) state that: I have read and understand that by signing this document I take on the responsibility of exercising the power given in the document.
(Signature) ___________________
(Date) _______________________
Category: Power of Attorney forms
