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Example - Delaware Notice To Principal Form
Delaware Durable Personal Power of Attorney
Notice to Principal
As the person signing this durable power of attorney, you are the Principal. The purpose of this power of attorney is to give the person you designate (your "Agent") broad powers to handle your property, which may include powers to sell, dispose of, or encumber any real or personal property without advance notice to you or approval by you.
This power of attorney does not authorize your Agent to make health- care decisions for you.
Unless you specify otherwise, your Agent's authority will continue even if you become incapacitated, or until you die or revoke the power of attorney, or until your Agent resigns or is unable to act for you. You should select someone you trust to serve as your Agent.
This power of attorney does not impose a duty on your Agent to exercise granted powers, but when powers are exercised, your Agent must use due care to act for your benefit and in accordance with this power of attorney.
Your Agent must keep your funds and other property separate from your Agent's funds and other property.
A court can take away the powers of your Agent if it finds your Agent is not acting properly.
The powers and duties of an Agent under a durable power of attorney are explained more fully in Delaware Code, Title 12, Chapter 49A, Section
If there is anything about this form that you do not understand, you should ask a lawyer of your own choosing to explain it to you.
I have read or had explained to me this notice and I understand its contents.
________________________ ______________
PrincipalDate
Durable Personal Power of Attorney Form
As the person completing this form, you are the Principal. This form gives another person the power to act on your behalf. The other person is your Agent.
This form allows you to designate:
(1)one Agent at a time and up to two Agents in succession;
(2)two or more Agents who may act independently of each other (Concurrent Agents); or
(3)two or more Agents who must act together (Joint Agents).
If your Agent is unable or unwilling to act for you, your power of attorney will end unless you have named a successor Agent(s).
IF YOU HAVE QUESTIONS ABOUT THIS POWER OF ATTORNEY OR THE AUTHORITY YOU ARE GRANTING TO YOUR AGENT(S), YOU SHOULD SEEK LEGAL ADVICE BEFORE COMPLETING AND SIGNING THIS FORM.
Designation of Agent
I, ________________________, name the following person(s) as my
(Name of Principal)
Agent(s):
Name of Agent:___________________________________________
Agent's Address:__________________________________________
Agent's Telephone Number:_________________________________
DESIGNATION OF ADDITIONAL OR SUCCESSOR AGENTS (OPTIONAL) Name of Agent:___________________________________________
Agent's Address:__________________________________________
Agent's Telephone Number:_________________________________
Name of Agent:___________________________________________
Agent's Address:__________________________________________
Agent's Telephone Number:_________________________________
EFFECTIVE OCTOBER 1, 2010 |
2 |
If more than one Agent has been named above, I intend for those Agents to:
________ Act successively, one after the other.
________ Act concurrently, independent of each other.
________ Act jointly, such that neither may act alone.
You must sign ONE of these two choices:
______________________________ |
This power of attorney is effective |
Sign here if this is your choice |
immediately, and shall not be affected |
|
by my subsequent incapacity. |
______________________________ |
This power of attorney is effective only |
Sign here if this is your choice |
if and while I am incapacitated as |
|
determined under 12 Del. C. § 49A- |
|
109(c). |
Grant of General Authority
You should READ the terms of each category of power or authority listed below before granting any of them to your Agent(s). A full explanation of each power or authority is in the Delaware Code. The Delaware Code is available online.
Search: Delaware Code, Title 12, Chapter 49A, and then go to the number next to
the category. Example: Real Property, Section (§)
I grant my Agent(s) general authority to act for me with respect to the following categories of powers. INITIAL each category you want to include in the Agent's general authority. CROSS OUT each category you do not want to include in the Agent's general authority.
If you do not initial a category listed below, powers associated with that category will NOT be included as part of your Agent's general authority.
____ Real Property §
____ Tangible Personal Property §
____ Stocks and Bonds §
____ Commodities and Options §
____ Banks and Other Financial Institutions §
____ Operation of Entity or Business §
____ Insurance and Annuities §
____ Estates, Trusts, and Other Beneficial Interests §
____ Claims and Litigation §
____ Personal and Family Maintenance §
____ Benefits from Governmental Programs or Civil or Military Service §
____ Retirement Plans §
____ Taxes §
____ Gifts §
EFFECTIVE OCTOBER 1, 2010 |
3 |
Grant of Specific Authority
Giving your Agent(s) any of the following powers will give your Agent(s) the authority to take actions that could significantly reduce your property or change how and to whom your property is distributed at your death.
You should READ the terms describing each power before granting any of them to your Agent(s). INITIAL each power you want to include in the Agent's authority. CROSS OUT each power you do not want to include in the Agent's authority.
If you do not initial a power listed below, it will NOT be included as part of your Agent's specific authority.
____ Create, amend, revoke, or terminate an inter vivos trust
____ Make a gift in excess of the limitations provided in the Durable Personal
Power of Attorney Act, 12 Del. C. §
____ Create or change rights of survivorship
____ Create or change a beneficiary designation
____ Delegate authority granted under the power of attorney when all successor
Agents have resigned, died, become incapacitated, are no longer qualified to serve, or have declined to serve
____ Exercise fiduciary powers that the Principal has authority to delegate
____ Reject, renounce, disclaim, release, or consent to a reduction in or
modification of a share in or payment from estate, trust, or other beneficial interest
Any person, including my Agent(s), may rely upon this power of attorney or a copy of it unless that person knows it has terminated or is invalid.
Revocation of Prior Power of Attorney
If you have previously executed a power of attorney granting authority covered in this document, indicate below whether or not you wish to revoke the prior power of attorney. Initial your selection below:
________All my previously executed powers of attorney are hereby revoked.
________My previously executed powers of attorney hereby remain in effect.
________Other. Explain.______________________________________________
___________________________________________________________________
_________________________________________________________________
EFFECTIVE OCTOBER 1, 2010 |
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IF YOU HAVE QUESTIONS ABOUT THIS POWER OF ATTORNEY OR THE AUTHORITY YOU ARE GRANTING TO YOUR AGENT(S), YOU SHOULD SEEK LEGAL ADVICE BEFORE SIGNING THIS FORM.
IN WITNESS WHEREOF, I have hereunto set my Hand and Seal this ____ day of
____________, 20____ .
_______________________________
Principal’s Signature
_______________________________
Print Principal’s Name
SIGNED, SEALED, AND DECLARED by the Principal, ________________,
as his/her Durable Personal Power of Attorney in the presence of the following witness, who has signed in the presence of and at the request of the Principal on the day and year appearing above.
I, the witness, swear that I am not related to the Principal by blood, marriage, civil union, or adoption; and that I am not entitled to any portion of the estate of the Principal under the Principal's current will or codicil, or under any current trust instrument of the Principal.
________________________________ of ________________________________
(Seal) Witness Signature
________________________________
Print name
STATE OF DELAWARE :: SS.
COUNTY OF _________________ :
This Durable Power of Attorney was signed by the Principal, witnessed by the person aforesaid, and acknowledged before me, the Subscriber, a Notary Public, this
________ day of ______________ 20____.
______________________________
Notary Public
EFFECTIVE OCTOBER 1, 2010 |
5 |
Statement to Agent
Agent’s Duties
When you accept the authority granted under this power of attorney, a special legal relationship is created between you and the Principal. This relationship imposes upon you legal duties that continue until you resign or the power of attorney is terminated or revoked. You must:
(1)do what you know the Principal reasonably expects you to do with the Principal's property or, if you do not know the Principal's expectations, act in the Principal's best interest;
(2)act in good faith;
(3)do nothing beyond the authority granted in this power of attorney;
(4)disclose your identity as an Agent whenever you act for the Principal by writing or printing the name of the Principal and signing your own name as "Agent" in the following manner:
(Principal's Name) by (Your Signature) as Agent
and
(5)to the extent reasonably practicable under the circumstances, keep in regular contact and communication with the principal.
Except as otherwise provided in the power of attorney, you must also:
(1)not act for your own benefit;
(2)avoid conflicts that would impair your ability to act in the Principal's best interest;
(3)act with care, competence, and diligence;
(4)keep a record of all receipts, disbursements, and transactions made on behalf of the Principal;
(5)cooperate with any person who has authority to make
(6)not act in a manner inconsistent with the Principal's testamentary plan.
Termination of Agent's Authority
You must stop acting on behalf of the Principal if you learn of any event that terminates this power of attorney or your authority under this power of attorney. Events that terminate this power of attorney or your authority to act under it include:
(1)death of the Principal;
(2)the Principal's revocation of the power of attorney or your authority;
(3)the occurrence of a termination event stated in the power of attorney;
(4)the purpose of the power of attorney is fully accomplished; or
(5)an action is filed with a court for your separation, annulment, or divorce from the Principal, unless the Principal otherwise provided in the power of attorney that such action will not terminate your authority.
EFFECTIVE OCTOBER 1, 2010 |
6 |
Liability of Agent
The authority granted to you is specified in the Durable Personal Power of Attorney Act, Delaware Code, Title 12, Chapter 49A. If you violate the Act, or act outside the scope of the authority granted, you may be liable for any damages caused by your violation.
If there is anything about this document or your powers, authority, or duties as Agent that you do not understand, you should seek legal advice.
Agent’s Certification
I, ________________________, have read the attached durable power of attorney
and the foregoing statement, and I am the person identified as the Agent for the Principal. To the best of my knowledge, this power has not been revoked. I hereby acknowledge that, in the absence of a specific provision to the contrary in the durable power of attorney, when I act as Agent:
I shall exercise my powers for the benefit of the Principal.
I shall keep the assets of the Principal separate from my assets. I shall exercise reasonable caution and prudence.
I shall keep a full and accurate record of all actions, receipts and disbursements on behalf of the Principal.
I shall, to the extent reasonably practicable under the circumstances, keep in regular contact with the Principal and communicate with the Principal.
__________________________ |
__________________________ |
Agent Signature |
Date |
Effective October 1, 2010
EFFECTIVE OCTOBER 1, 2010 |
7 |
Delaware Notice To Principal: Usage Guide
Completing the Delaware Notice to Principal form is an important step in designating someone to act on your behalf. This document allows you to empower an Agent with specific responsibilities regarding your property and financial matters. It is crucial to fill out the form carefully, ensuring that all necessary information is accurate and complete.
- Read the Form Thoroughly: Take your time to understand each section of the form before you begin filling it out. This will help you make informed decisions about the powers you wish to grant your Agent.
- Fill in Your Name: In the designated space, write your full name as the Principal.
- Designate Your Agent: Provide the name, address, and telephone number of the person you are appointing as your Agent. Ensure that this is someone you trust.
- Optional Successor Agents: If you wish to name additional or successor Agents, fill in their names, addresses, and telephone numbers in the corresponding sections.
- Choose Agent Authority: Indicate whether your Agents will act successively, concurrently, or jointly by checking the appropriate box.
- Sign the Authority Section: You must choose whether the power of attorney is effective immediately or only when you become incapacitated. Sign next to your choice.
- Grant General Authority: Initial each category of power you want to grant your Agent. Cross out any categories you do not wish to include.
- Grant Specific Authority: Similarly, initial any specific powers you want to grant. Cross out those you do not want to include.
- Revocation of Prior Powers: If applicable, indicate whether you wish to revoke any prior powers of attorney. Initial your selection.
- Sign and Date the Form: At the bottom of the form, sign your name and date it. Ensure that you follow the instructions regarding witnesses and notary public requirements.
After you have completed the form, it is advisable to keep a copy for your records. You may also want to discuss the completed document with your Agent to ensure they understand their responsibilities. If you have any questions or concerns, seeking legal advice can provide clarity and peace of mind.
Documents used along the form
The Delaware Notice to Principal form is an important document that provides essential information to individuals who are granting powers of attorney. Alongside this form, several other documents are frequently utilized to ensure that the powers granted are clear and comprehensive. Below is a list of related forms and documents that may be needed in conjunction with the Delaware Notice to Principal.
- Durable Personal Power of Attorney Form: This form allows a Principal to designate an Agent to act on their behalf, granting them specific powers related to property and financial matters. It is crucial for outlining the scope of authority given to the Agent.
- Revocation of Power of Attorney: This document is used to formally cancel a previously executed power of attorney. It ensures that the Agent's authority is terminated, providing peace of mind to the Principal.
- Designation of Health Care Agent: This form designates an individual to make health care decisions on behalf of the Principal if they become incapacitated. It is separate from the financial powers granted in the Durable Personal Power of Attorney.
- Living Will: A living will outlines the Principal's wishes regarding medical treatment in situations where they cannot communicate their preferences. This document works alongside the health care agent designation.
- FedEx Bill of Lading: This document is essential in the shipping process, providing a binding agreement between the shipper and FedEx, detailing the terms of transportation. For more information, visit smarttemplates.net.
- HIPAA Authorization: This form allows the Principal to authorize specific individuals to access their medical records and health information. It is important for ensuring that the health care agent can make informed decisions.
- Financial Disclosure Statement: This document provides a detailed account of the Principal’s financial situation. It can be helpful for the Agent to understand the Principal's assets and liabilities.
- Agent's Acceptance of Appointment: This form is used by the Agent to acknowledge their acceptance of the responsibilities granted to them under the power of attorney. It formalizes the Agent's role.
- Witness Affidavit: This document is used to affirm that the signing of the power of attorney was conducted in accordance with legal requirements, often including witness signatures to validate the process.
- Notary Acknowledgment: A notary public may be required to acknowledge the signing of the power of attorney, providing an additional layer of verification and legal standing to the document.
These documents collectively contribute to a comprehensive understanding of the powers being granted and ensure that the Principal's wishes are respected and legally upheld. It is advisable for individuals to consult with a legal professional to ensure all necessary documents are correctly completed and executed.
Key takeaways
When filling out the Delaware Notice To Principal form, remember that you are designating an Agent to act on your behalf. This Agent will have significant authority over your property.
It is crucial to select someone you trust as your Agent. They will have broad powers, including the ability to sell or encumber your property without needing your approval.
The power granted to your Agent remains effective even if you become incapacitated, unless you specify otherwise. This underscores the importance of careful consideration in your selection.
Your Agent is required to act with due care and must keep your assets separate from their own. This duty is essential to protect your interests.
If your Agent fails to act properly, a court has the authority to revoke their powers. This serves as a safeguard for your assets and intentions.
Understand the various categories of powers you can grant. You must initial each category you wish to include, as failing to do so means those powers will not be granted to your Agent.
If you have previously executed a power of attorney, you need to clarify whether you wish to revoke it. This step is necessary to avoid confusion about which document holds authority.
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File Details
| Fact Name | Details |
|---|---|
| Principal Definition | The person signing the Durable Power of Attorney is referred to as the Principal. |
| Agent Authority | The form allows the Principal to designate an Agent who can manage property and financial matters on their behalf. |
| Durability of Power | The Agent's authority continues even if the Principal becomes incapacitated unless revoked by the Principal. |
| Health Care Exclusion | This power of attorney does not grant the Agent authority to make health care decisions for the Principal. |
| Legal Reference | The powers and duties of the Agent are governed by Delaware Code, Title 12, Chapter 49A, Sections 49A-114 and 49A-201 to 49A-217. |
| Legal Advice Recommendation | It is advised to seek legal advice if there are any questions regarding the powers granted in this form. |