Idaho Statutory Form Power Of Attorney Template Page 2

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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 Phone 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, chapter 12, title 15, Idaho Code:
(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 an 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.)
(
) Create, amend, revoke, or terminate an inter vivos trust
(
) Make a gift, subject to the limitations of the uniform power of attorney act, chapter 12, title 15,
Idaho Code, and any special instructions in this power of attorney
(
) Make a gift without limitations except any special instructions in this power of attorney
(
) Create or change rights of survivorship
(
) Create or change a beneficiary designation
(
) Authorize another person to exercise the authority granted under this power of attorney
(
)
Waive the principal's right to be a beneficiary of a joint and survivor annuity, including a
survivor benefit under a retirement plan
LIMITATION ON AGENT'S AUTHORITY
An agent that is not my ancestor, spouse, or descendant MAY NOT use my property to benefit the
agent or a person to whom the agent owes an obligation of support unless I have included that authority
in the Special Instructions.

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