Minnesota Power of Attorney Template
This Power of Attorney ("POA") template is designed in accordance with the Minnesota Statutory Short Form Power of Attorney, Minnesota Statutes, Section 523.23. It enables you (the "Principal") to appoint someone you trust (the "Agent" or "Attorney-in-fact") to manage your affairs in specific situations. It is crucial to choose someone who is reliable and capable, as this person will act with the same legal authority you would have in the matters you delegate.
Principal Information
Full Name: ___________________________________________________
Address: _____________________________________________________
City, State, Zip: _____________________________________________
Telephone Number: ____________________________________________
Agent/Attorney-in-fact Information
Full Name: ___________________________________________________
Address: _____________________________________________________
City, State, Zip: _____________________________________________
Telephone Number: ____________________________________________
Alternate Agent/Attorney-in-fact Information (Optional)
Full Name: ___________________________________________________
Address: _____________________________________________________
City, State, Zip: _____________________________________________
Telephone Number: ____________________________________________
Powers Granted
To ensure that your wishes are carried out as intended, clearly specify the powers you are granting to your Agent. Check the appropriate boxes below to indicate which areas your Agent will have the authority to act in on your behalf.
- _____ Real Property Transactions
- _____ Personal Property Transactions
- _____ Financial Institution 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
- _____ Tax Matters
- _____ All of the above
Special Instructions (Optional)
In this section, you can provide any special instructions or limitations that you wish to apply to the powers granted to your Agent. If you do not specify any limitations here, your Agent will have the authority to act broadly within the powers granted.
________________________________________________________________________________________________________
________________________________________________________________________________________________________
________________________________________________________________________________________________________
Term
This Power of Attorney will become effective on the date of signing and, unless previously revoked, will continue until:
- _____ A specified date: _________________________________________
- _____ The occurrence of a specified event: ____________________________
- _____ If no date or event is specified, this Power of Attorney will continue indefinitely.
Signatures
The success of this document in expressing your wishes depends on the completeness and accuracy of the information provided. By signing below, you and your Agent/Attorney-in-fact affirm that you understand and agree to the terms laid out in this document.
Principal's Signature: ___________________________ Date: _____________
Agent/Attorney-in-fact's Signature: ___________________________ Date: _____________
Notarization
This document must be notarized to ensure its validity. Ensure that it is signed in the presence of a notary public.
Notary Public's Signature: ___________________________ Date: _____________
My commission expires: ___________________
Conclusion
Creating a Power of Attorney is a significant step that requires thoughtful consideration. This template provides a framework, but it is essential to consult with a legal professional to ensure that your specific needs and circumstances are adequately addressed. The choices you make will affect how your affairs are managed in your absence, so choose wisely.