Statutory Form Power Of Attorney - State Of Colorado (Page 5 of 6) in pdf

Statutory Form Power Of Attorney - State Of Colorado Page 5

STATE OF COLORADO

)

) ss.

___________ COUNTY OF _________

)

The foregoing instrument was acknowledged before me this ____ day of ____________,

20___, by _____________________________________, principal.

Witness my hand and official seal.

My commission expires: ________________.

Notary Public

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 must:

(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;

(3)

Act with care, competence, and diligence;

(4) Keep a record of all receipts, disbursements, and transactions made on behalf of the

principal;

(5)

Cooperate with any person that has authority to make health care decisions for the

principal to do what you know the principal reasonably expects or, if you do not know the principal’s

expectations, to act in the principal’s best interest; and

STATE OF COLORADO STATUTORY FORM POWER OF ATTORNEY

Page 5 of 6

Statutory Form Power Of Attorney - State Of Colorado Page 5