Financial Power Of Attorney Template (Page 5 of 5) in pdf

MASTER FINANCIAL POA SHORT FORM

USE FOR ILLUSTRATION PURPOSES ONLY

ACCEPTANCE OF APPOINTMENT

STATE OF GEORGIA

_(insert County where Appointment is signed)

COUNTY OF

I, _(insert name of Agent)__ am the person identified in the attached Financial POA as the

Agent for _(insert name of Principal)__, the Principal named therein and I hereby acknowledge the

following duties and responsibilities:

•

I owe a duty of loyalty and good faith to the Principal, and must use the powers granted to me

only for the benefit of the Principal.

•

I must keep the Principal’s funds and other assets separate and apart from my own funds and

other assets and titled in the name of the Principal.

•

I must not transfer title to any of the Principal’s funds or other assets into my name alone. My

name must not be added to the title of any funds or other assets of the Principal, unless I am

specifically designated as Agent for the Principal in the title.

•

I must protect, conserve, and exercise prudence and caution in my dealings with the Principal’s

funds and other assets.

•

I must keep a full and accurate record of my acts, receipts, and disbursements on behalf of the

Principal, and be ready to account to the Principal for such acts, receipts, and disbursements at

all times.

•

I must provide an annual accounting to the Principal of my acts, receipts, and disbursements,

and must furnish an accounting of such acts, receipts, and disbursements to the personal

representative of the Principal's estate within 90 days after the date of death of the Principal.

•

I have read the Compensation of Agent paragraph in the Power of Attorney and will abide by it.

•

I acknowledge my authority to act on behalf of the Principal ceases at the death of the Principal.

•

I hereby accept the foregoing appointment as Agent for the Principal with full knowledge of the

responsibilities imposed on me, and I will faithfully carry out my duties to the best of my

ability.

(insert full name of Agent), Agent

Sworn to and subscribed before me by the Agent, (insert full name of Agent), this (insert date

of execution) day of (insert month of execution), 201_.

(insert name of notary public), Notary Public

[NOTARY SEAL OR STAMP]

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Financial Power Of Attorney Template Page 5