MASSACHUSETTS GE ERAL DURABLE POWER OF ATTOR EY
THE POWERS YOU GRA T BELOW ARE EFFECTIVE
EVE IF YOU BECOME DISABLED OR I COMPETE T.
IMPORTA T I FORMATIO
This power of attorney authorizes another person (your agent) to make decisions
concerning your property for you (the principal). Your agent will be able to make
decisions and act with respect to your property (including your money) whether or not
you are able to act for yourself. The meaning of authority over subjects listed on this
form is explained in the Uniform Power of Attorney Act.
This power of attorney does not authorize the agent to make health-care decisions for
you.
You should select someone you trust to serve as your agent. Unless you specify
otherwise, generally the agent’s authority will continue until you revoke the power of
attorney or the agent resigns or is unable to act for you.
Your agent is entitled to reasonable compensation unless you state otherwise in the
Special Instructions.
This form provides for designation of one agent. If you wish to name more than one
agent you may name a coagent in the Special Instructions. Coagents are not required to
act together unless you include that requirement in the Special Instructions.
If your agent is unable or unwilling to act for you, your power of attorney will end unless
you have named a successor agent. You may also name a second successor agent.
This power of attorney becomes effective immediately unless you state otherwise in the
Special Instructions.
If you have questions about the power of attorney or the authority you are granting
to your agent, you should seek legal advice before signing this form.
DESIG ATIO OF AGE T
I _____________________________________________________ name the following
(Name of Principal)
person as my agent:
Name of Agent:
Agent’s Address:
Agent’s Telephone Number: