This Durable Power of Attorney is created in accordance with the New Jersey Durable Power of Attorney Act (N.J.S.A. 46:2B-8.1 et seq.) and allows the person making it (the "Principal") to authorize another person (the "Agent") to act on the Principal’s behalf in financial and legal matters, even if the Principal becomes incapacitated.
1. Principal Information:
Name: ________________________________
Address: ______________________________
City: ____________________ State: NJ Zip Code: ________
Telephone: ____________________________
2. Agent Information:
Name: ________________________________
Address: ______________________________
City: ____________________ State: NJ Zip Code: ________
Telephone: ____________________________
3. Alternate Agent (Optional):
To act if the primary Agent is unwilling, unable, or disqualified to serve.
Name: ________________________________
Address: ______________________________
City: ____________________ State: NJ Zip Code: ________
Telephone: ____________________________
4. Powers Granted:
This Durable Power of Attorney grants the Agent the following powers, which include, but are not limited to:
- 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 social security, Medicare, Medicaid, or other governmental programs, or military service
- Retirement plan transactions
- Tax matters
5. Special Instructions: (Optional)
________________________________________________________________________________
________________________________________________________________________________
6. Durable: This Power of Attorney is durable and will remain in effect even if I become incapacitated, unless it is revoked by me or by my death.
7. Governing Law: This Durable Power of Attorney will be governed by the laws of the State of New Jersey.
8. Signatures:
Principal's Signature: ____________________ Date: ____________
Agent's Signature: ______________________ Date: ____________
Alternate Agent’s Signature (if applicable): ______________________ Date: ____________
9. Acknowledgment by Notary Public:
This section to be completed by a Notary Public.