Form Statutory Power Of Attorney - State Of Colorado

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STATE OF COLORADO
STATUTORY POWER OF ATTORNEY
(Colorado Revised Statutes, 15-14-741. Statutory form - power of attorney. A document substantially in the
following form may be used to create a statutory form power of attorney that has the meaning and effect
prescribed by this part 7.) (Uniform Power of Attorney Act is effective January 1, 2010)
IMPORTANT INFORMATION
This power of attorney authorizes another person (your agent) to make decisions concerning your property for
you (the principal). Your agent will be able to make decisions and act with respect to your property (including your
money) whether or not you are able to act for yourself. The meaning of authority over subjects listed on this form
is explained in the "Uniform Power of Attorney Act", part 7 of article 14 of title 15, Colorado Revised Statutes.
This power of attorney does not authorize the agent to make health care decisions for you.
You should select someone you trust to serve as your agent. Unless you specify otherwise, generally the agent's
authority will continue until you die or revoke the power of attorney or the agent resigns or is unable to act for you.
Your agent is entitled to reasonable compensation unless you state otherwise in the special instructions.
This form provides for designation of one agent. If you wish to name more than one agent you may name a
coagent in the special instructions. Coagents are not required to act together unless you include that requirement
in the special instructions.
If your agent is unable or unwilling to act for you, your power of attorney will end unless you have named a
successor agent. You may also name a second successor agent.
This power of attorney becomes effective immediately unless you state otherwise in the special instructions.
If you have questions about the power of attorney or the authority you are granting to your agent, you
should seek legal advice before signing this form.
1.
DESIGNATION OF AGENT
I ______________________________ (name of principal) name the following person as my agent:
Name of agent: ______________________________
Agent's address: ____________________________________________________________
Agent's telephone number: ______________________________
2. DESIGNATION OF SUCCESSOR AGENT(S) (OPTIONAL)
If my agent is unable or unwilling to act for me, I name as my successor agent:
Name of successor agent: ______________________________
Successor agent's address: ____________________________________________________________
Successor agent's telephone number: ______________________________
If my successor agent is unable or unwilling to act for me, I name as my second successor agent:
Name of second successor agent: ______________________________
Second successor agent's address: ____________________________________________________________
Second successor agent's telephone number: ______________________________

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