Fillable Power Of Attorney - (Poa) Forms And Templates (Page 2 of 2) in pdf

POWER OF ATTORNEY

GENERAL INFORMATION

PURPOSE OF FORM

A Power of Attorney (POA) is a legal document authorizing someone to act as your representative. You, the party entitled

to claim property held by the State of Idaho, must complete, sign, and return this form if you wish to grant power of

attorney to an accountant, attorney, family member or anyone else to act on your behalf with the Idaho State Treasurer.

This form can be used for any matter affecting a property held by the Idaho State Treasurer, including property transferred

to the Idaho State Treasurer by a private person or entity. It doesn’t apply to property held by other state or federal

agencies. This form is effective on the date signed and will remain in effect until the expiration date, if specifically

designated, or until you revoke it, whichever is earlier.

SUBMITTING A POA

You can appoint, change, or add representative(s) at any time by submitting a POA. If you previously filed a POA with the

Idaho State Treasurer, submitting another POA with the same matters identified will automatically replace and revoke all

previous POAs on file. If you want to add a representative, but not replace or revoke the previous POA(s), check the box

in Section 5 and attach a copy of all POAs that are to remain in effect.

REVOKING OR WITHDRAWING A POA

You may revoke a POA or the representative may withdraw at any time by submitting a copy of the previously executed

POA with “REVOKE” written across the top of the form with your signature and date. You can also submit a written

statement specifying your intention to revoke a POA or withdraw as the representative. You must sign and date the

statement and include the name, address, and SSN/EIN of the taxpayer and the name and address of the representatives

whose authority is being revoked or withdrawn.

EXPIRATION

A Idaho State Treasurer POA is valid until:

•

It expires on a date designated on the POA. (See Section 5).

•

It is revoked by the claimant or withdrawn by the representative.

•

The claimant becomes incapacitated and unable to make his own decisions.

•

The claimant’s death.

•

If the claimant is a corporation, partnership, LLC or other legal entity, the dissolution or other legal termination of

the entity.

WHO MUST SIGN

•

Individuals: The parties identified in Section 1 must sign.

•

Corporation or Association: An officer having authority to bind the corporation or association must sign.

•

Partnership or LLC: A partner or member who is authorized to act in the name of the partnership or LLC must

sign.

•

Estate, Trust, or Fiduciary: The personal representative, trustee or other fiduciary must sign.

FILING THIS FORM

If you are working with a specific employee of the Idaho State Treasurer, mail or fax the completed POA to that employee.

Otherwise, mail or fax the completed form to:

Idaho State Treasurer

Telephone:

(208) 332-2942

Unclaimed Property

Toll Free:

(877) 388-2942

P.O. Box 83720

Web site:

sto.idaho.gov

Boise, Idaho 83720-9101

Fax: (208) 332-2970

Power Of Attorney - (Poa) Forms And Templates Page 2

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