New Hampshire Power of Attorney
This Power of Attorney ("POA") document grants certain legal rights and powers from the Principal to the Attorney-in-Fact. It is governed by the laws of the State of New Hampshire, specifically under the New Hampshire Revised Statutes Chapter 564-E: Uniform Power of Attorney Act.
NOTICE: The powers granted by this document are broad and sweeping. If you have any questions about these powers, obtain competent legal advice. This document does not authorize anyone to make medical and other health-care decisions for you. You may revoke this power of attorney if you later wish to do so.
1. Principal Information
Full Name: ______________________________________________
Address: ________________________________________________
City, State, Zip: ________________________________________
Contact Number: ________________________________________
2. Attorney-in-Fact Information
Full Name: ______________________________________________
Address: ________________________________________________
City, State, Zip: ________________________________________
Contact Number: ________________________________________
3. Powers Granted
This Power of Attorney grants the Attorney-in-Fact general authority to act on the Principal's behalf in the following matters:
- Real Property transactions
- Tangible Personal Property transactions
- Stock and Bond transactions
- Commodity and Option transactions
- Banking and other Financial Institution transactions
- Business Operating transactions
- Insurance and Annuity transactions
- Estate, Trust, and other Beneficiary transactions
- Claims and Litigation
- Personal and Family Maintenance
- Benefits from Social Security, Medicare, Medicaid, or other governmental programs, or military service
- Retirement Plan transactions
- Tax matters
4. Special Instructions
Special instructions to limit or extend the powers granted to the Attorney-in-Fact may be placed here: ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
5. Effective Date and Duration
This Power of Attorney shall become effective on ___________________________________, and, unless revoked earlier, shall remain in effect until ___________________________________.
6. Third Party Reliance
Third parties may rely upon the representations of the Attorney-in-Fact as to all matters relating to any power granted to them. This document or a copy of it should be given to any third party on request.
7. Revocation
The Principal may revoke this Power of Attorney at any time by notifying the Attorney-in-Fact and any third party relying on it in writing.
8. Governing Law
This Power of Attorney will be governed by the laws of the state of New Hampshire without regard to its conflicts of laws provisions.
9. Signature
Principal's Signature: ____________________________________ Date: _________________
Attorney-in-Fact's Signature: ______________________________ Date: _________________
State of New Hampshire
County of ___________________
Subscribed, sworn to, or affirmed before me on _____________(date) by ________________________________(name of Principal) and ________________________________(name of Attorney-in-Fact).
Notary Public: ___________________________________________
My Commission Expires: __________________________________