Connecticut Power of Attorney Template
This Power of Attorney ("POA") document grants certain legal rights and powers from one person, known as the Principal, to another, known as the Agent or Attorney-in-Fact, in accordance with the Connecticut Uniform Power of Attorney Act (CUPOAA).
Principal Information
- Full Name: ___________________________
- Address: _____________________________
- City, State, Zip: _________________________
- Phone Number: ___________________________
- Email Address: ___________________________
Agent / Attorney-in-Fact Information
- Full Name: ___________________________
- Address: _____________________________
- City, State, Zip: _________________________
- Phone Number: ___________________________
- Email Address: ___________________________
This POA is effective upon the signature of the Principal and shall remain in effect until it is revoked. The powers granted by this document can be broad or limited, depending on the desires of the Principal.
The powers granted herein include, but are not limited to:
- Real Estate Transactions
- Financial Matters and Transactions
- Healthcare Decisions
- Personal and Family Maintenance
- Business Operations
Special Instructions (if any): __________________________________________________________
These powers are subject to any specifications or limitations noted by the Principal. It is crucial to detail these instructions clearly to ensure they are understood and followed precisely.
Signatures
This document must be signed in the presence of a Notary Public or two witnesses to be legally binding. Witnesses cannot be the Agent, related to the Principal, or have any interest in the Principal's estate.
Principal's Signature: _______________________________ Date: ________________
Agent's Signature: _______________________________ Date: ________________
State of Connecticut, County of ___________________
Subscribed, sworn to, and acknowledged before me by the Principal, _______________________ (name of Principal), and _________________________ (name of Agent/Attorney-in-fact), on this ____ day of ______________, 20__.
Notary Public: __________________________________
My Commission Expires: _________________________
This template is provided as a general guide and is not to be used as legal advice. It is crucial to consult with a legal professional to ensure that your Power of Attorney complies with current Connecticut law and is appropriately customized to your specific circumstances.