New Hampshire Durable Power of Attorney Template
This Durable Power of Attorney document grants certain legal powers from one person (the principal) to another (the agent) and is compliant with the New Hampshire Revised Statutes Annotated (RSA) 506:6. It is designed to stay in effect even if the principal becomes incapacitated.
By completing and signing this document, the principal allows the agent to make decisions on their behalf regarding financial, health, and personal matters. It's crucial to choose an agent who is trustworthy and capable of handling these responsibilities in the principal's best interest.
Principal Information
Name: _________________________________________________________
Address: ______________________________________________________
City, State, ZIP: _______________________________________________
Phone Number: _________________________________________________
Agent Information
Name: _________________________________________________________
Address: ______________________________________________________
City, State, ZIP: _______________________________________________
Phone Number: _________________________________________________
Alternate Agent Information (Optional)
Name: _________________________________________________________
Address: ______________________________________________________
City, State, ZIP: _______________________________________________
Phone Number: _________________________________________________
Authority Granted
This document grants the agent the authority to act on the principal's behalf in the following matters:
- Banking and other financial transactions
- Real estate and property transactions
- Government benefits and tax filings
- Healthcare decisions, if this authority is specifically granted
- Legal matters and proceedings
- Personal and family maintenance
Special Instructions
The principal may list any special instructions or limitations to the agent's power here:
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
Effective Date and Signatures
This Durable Power of Attorney becomes effective immediately upon signing, unless otherwise specified:
Effective Date: ________________________________________________
In witness whereof, I have executed this Durable Power of Attorney on this day:
Date: ________________
Principal's Signature: __________________________________________
Principal's Printed Name: ______________________________________
This document must be signed in the presence of a notary public or two adult witnesses who are not the agent or related to the agent or principal.
Notarization (if applicable)
State of New Hampshire)
County of _______________ )
On this __________ day of _______________, 20____, before me, _______________________________ (name of notary), personally appeared _____________________________ (name of principal), known to me (or satisfactorily proven) to be the person whose name is subscribed to the within instrument, and acknowledged that they executed the same for the purposes therein contained.
In witness whereof, I hereunto set my hand and official seal.
Notary Public's Signature: ______________________________________
My commission expires: ________________________________________