Tcdrs Durable Power Of Attorney
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4TCDRS-67
Explanation of TCDRS
Revised
10/2014
Durable Power of Attorney
Page 1 of 4
The durable power of attorney on the reverse side includes language acceptable to the Texas County & District
Retirement System (TCDRS). Please note the following requirements:
The authority granted under this power of attorney form is limited and relates only to an interest the member/annuitant
has in the retirement and optional death benefit programs administered by TCDRS.
The authority granted under this power of attorney form may be exercised by the attorney-in-fact on behalf of the
member/annuitant notwithstanding later disability or incompetence of the member/annuitant. Because this power of
attorney is not automatically terminated by disability, it is called a durable power of attorney.
To be effective this durable power of attorney must be signed by the principal and witnessed by a notary public.
This power of attorney form is forwarded as an example of a durable power of attorney that would be accepted by
TCDRS. The member/annuitant should talk with an attorney with respect to this document’s acceptability for other
purposes.
You may submit an original or a certified copy of the power of attorney. A photocopy is also acceptable provided it is
legible and shows all required seals and signatures. Any original or certified copies will be returned to you upon your
request.
Should the member/annuitant wish to revoke a power of attorney on file with TCDRS, a true and correct copy of a
written revocation signed by the principal must be filed with TCDRS.
Information provided to TCDRS is maintained for administration of your benefits. If you have questions about your
information, or believe that information provided to TCDRS may be incorrect, please call TCDRS Member Services.
The durable power of attorney must be filed with TCDRS to be valid.
The acceptance of appointment can be filed with TCDRS separately from the durable power of attorney.
A durable power of attorney filed with TCDRS is valid without a completed acceptance of appointment.
TCDRS
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P.O. Box 2034
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Austin, TX 78768-2034
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(512) 328-8889 or 800-823-7782
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Fax: (512) 328-8887
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