Statutory Form Power Of Attorney - Utah (Page 3 of 4) in pdf

Utah Code

If it becomes necessary for a court to appoint a conservator of my estate or guardian of my person,

I nominate the following person(s) for appointment:

Name of Nominee for conservator of my estate: _____________________________________

Nominee's Address:____________________________________________________________

Nominee's Telephone Number:___________________________________________________

Name of Nominee for guardian of my person: _______________________________________

Nominee's Address: ___________________________________________________________

Nominee's Telephone Number:___________________________________________________

RELIANCE ON THIS POWER OF ATTORNEY

Any person, including my agent, may rely upon the validity of this power of attorney or a copy of it

unless that person knows it has terminated or is invalid.

SIGNATURE AND ACKNOWLEDGMENT

____________________________________________

_______________

Your Signature

Date

____________________________________________

Your Name Printed

____________________________________________

Your Address

____________________________________________

Your Telephone Number

State of ____________________________

County of___________________________

This document was acknowledged before me on __________________________,

(Date)

by______________________________________.

(Name of Principal)

____________________________________________ (Seal, if any)

Signature of Notary

My commission expires: ________________________

[This document prepared by:

__________________________________________________________________

__________________________________________________________________]

IMPORTANT INFORMATION FOR AGENT

Agent's Duties

When you accept the authority granted under this power of attorney, a special legal relationship

is created between you and the principal. This relationship imposes upon you legal duties that

continue until you resign or the power of attorney is terminated or revoked. You shall:

(1) do what you know the principal reasonably expects you to do with the principal's property or, if

you do not know the principal's expectations, act in the principal's best interest;

(2) act in good faith;

(3) do nothing beyond the authority granted in this power of attorney; and

(4) disclose your identity as an agent whenever you act for the principal by writing or printing the

name of the principal and signing your own name as "agent" in the following manner:

(Principal's Name) by (Your Signature) as Agent

Unless the Special Instructions in this power of attorney state otherwise, you must also:

(1) act loyally for the principal's benefit;

(2) avoid conflicts that would impair your ability to act in the principal's best interest;

Page 3

Statutory Form Power Of Attorney - Utah Page 3

Related Articles

Related forms

Related Categories