Durable Power Of Attorney Form printable pdf download

DURABLE POWER OF ATTORNEY

I, (Put Missionary’s name here), of City, County, State do hereby make, constitute and

appoint my father, (Father’s name), or if he is unable to serve for any reason, my mother, (Mother’s

name), as my true and lawful agent and attorney-in-fact, for me and in my name, place and stead, to do

and perform such of the following acts which my agent in my agent’s sole discretion shall deem

necessary, expedient or desirable, binding me and my property, real, personal and mixed, as fully to all

intents and purposes as I might or could do if personally present:

Property Interests in General.

To sell, convey, assign, transfer, disclaim,

exchange, purchase, acquire, hold, manage, control, vote, lend, license, lease, encumber by mortgage,

pledge or in any other manner, and otherwise deal with and exercise any right of ownership with

respect to all or any part or interest in property of every nature whatsoever, real, personal or mixed,

tangible or intangible, legal or equitable, and wheresoever situated, which I do now, or may at any time

hereafter, own, possess or be entitled to (hereinafter referred to as a “Property Interest”), at such prices

and on such terms and conditions as my agent shall deem proper or expedient, and to make, execute

and deliver all documents and instruments necessary or appropriate in connection therewith;

Gift Transfers to Family. To gift a Property Interest to my spouse, or to my

descendants, using my annual gift tax exclusion, my lifetime estate tax exemption and my generation-

skipping transfer tax exemption to the extent applicable, either directly or to an existing trust, or by the

exercise of the right to designate a beneficiary of an insurance or annuity contract, IRS, retirement plan

or similar contractual arrangement or in any other way, either per stirpes (i.e., in equal shares to those

of the same generation) or in accordance with the pattern of gifting previously established by me or as

I may have otherwise made known my intentions, such as but not limited to, by the provisions of a

current will or trust agreement or lifetime gifting plan (provided such gifts to my children or their

descendants should ordinarily be in an equal amount, unless my agent, in its discretion, deems

otherwise);

For purposes of my receiving Medicaid assistance, should I need care in a

nursing home or other care facility, my agent shall specifically have the complete and

unfettered power to engage in any planning techniques designed to secure or accelerate my

eligibility for Medicaid assistance, including, but not limited to, the transfer of my home, asset

transfers, annuities, the purchase of exempt assets and other Medicaid planning techniques;

Gift Transfers to Charity.

To donate a Property Interest to charitable

organizations, in accordance with the pattern of gifting previously established by me or as I may have

otherwise made known my intentions, such as but not limited to, by the provisions of a current will or

trust agreement or lifetime gifting plan;

Real Estate Instruments. To make, execute, acknowledge and deliver all deeds,

conveyances, plats, trust deeds, trust deed notes, mortgages, promissory notes, leases, real estate

contracts, bills of sale, assignments, stock and bond powers, proxies to vote or act, certificates and

written instruments of every kind and nature pertaining to real property, regardless of the duration of

the legal obligation created by any such instrument;

Durable Power Of Attorney Form