Statutory Form Power Of Attorney - State Of Colorado (Page 2 of 6) in pdf

Statutory Form Power Of Attorney - State Of Colorado Page 2

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 Uniform Power of Attorney Act, part 7 of article 14 of title 15,

Colorado Revised Statutes:

(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.)

(___) Real property

(___) Tangible personal property

(___) Stocks and bonds

(___) Commodities and options

(___) Banks and other financial institutions

(___) Operation of entity or business

(___) Insurance and annuities

(___) Estates, trusts, and other beneficial interests

(___) Claims and litigation

(___) Personal and family maintenance

(___) Benefits from governmental programs or civil or military service

(___) Retirement plans

(___) Taxes

(___) All preceding subjects

GRANT OF SPECIFIC AUTHORITY (OPTIONAL)

My agent MAY NOT do any of the following specific acts for me UNLESS I have INITIALED

the specific authority listed below:

(CAUTION: Granting any of the following will give your agent the authority to take actions that could

significantly reduce your property or change how your property is distributed at your death. INITIAL

ONLY the specific authority you WANT to give your agent.)

STATE OF COLORADO STATUTORY FORM POWER OF ATTORNEY

Page 2 of 6

Statutory Form Power Of Attorney - State Of Colorado Page 2