Statutory Form Power Of Attorney - Utah printable pdf download

Utah Code

Effective 5/10/2016

75-9-301 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 chapter.STATUTORY FORM POWER

OF ATTORNEY

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 Title 75, Chapter 9,

Uniform Power of Attorney Act.

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.

DESIGNATION OF AGENT

I ________________________________________________________ name the following

(Name of Principal)

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 Title 75, Chapter 9, Uniform Power of Attorney Act:

(INITIAL each subject you want to include in the agent's general authority. If you wish to grant

general authority over all of the subjects you may initial "All Preceding Subjects" instead of initialing

each subject.)

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Statutory Form Power Of Attorney - Utah

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