Power Of Attorney printable pdf download

, §633B.301

633B.301 Power of attorney — form.

A document substantially in the following form may be used to create a statutory power of

attorney that has the meaning and effect prescribed by

this

chapter:

IOWA STATUTORY POWER OF ATTORNEY FORM

1. POWER OF ATTORNEY

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 but not limited to 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 Iowa Uniform Power

of Attorney Act, Iowa Code

chapter

633B.

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 not entitled to compensation unless you state

otherwise in the optional 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 optional

Special Instructions. Coagents must act by majority rule unless you

provide otherwise in the optional 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 upon

signature and acknowledgment unless you state otherwise in the

optional Special Instructions.

If you have questions about this power of attorney or the

authority you are granting to your agent, you should seek legal

advice before signing this form.

DESIGNATION OF AGENT

I _________________________ (name of principal) name the

following person as my agent:

Name of Agent ____________________________________________

Agent’s Address __________________________________________

Agent’s Telephone Number _________________________________

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 ________________

GRANT OF GENERAL AUTHORITY

I grant my agent and any successor agent general authority to

act for me with respect to the following subjects as defined in the

Iowa Uniform Power of Attorney Act, Iowa Code

chapter

633B:

Thu May 19 10:21:01 2016

Iowa Code 2016, Section 633B.301 (6, 1)

Power Of Attorney

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