A person who wishes to designate another as attorney-in-fact or agent by a power of attorney may execute a statutory power of attorney set out in substantially the following form:
GENERAL POWER OF ATTORNEY
THE POWERS GRANTED FROM THE PRINCIPAL TO THE AGENT OR AGENTS IN THE
FOLLOWING DOCUMENT ARE VERY BROAD. THEY MAY INCLUDE THE POWER TO
DISPOSE, SELL, CONVEY, AND ENCUMBER YOUR REAL AND PERSONAL PROPERTY.
ACCORDINGLY, THE FOLLOWING DOCUMENT SHOULD ONLY BE USED AFTER CAREFUL
CONSIDERATION. IF YOU HAVE ANY QUESTIONS ABOUT THIS DOCUMENT, YOU
SHOULD SEEK COMPETENT ADVICE.
YOU MAY REVOKE THIS POWER OF ATTORNEY AT ANY TIME.
Pursuant to AS 13.26.338 - 13.26.353, I, (Name of principal)
, of (Address of principal) , do hereby appoint (Name and
address of agent or agents) , my attorney(s)-in-fact to act as
indicated below in my name, place, and stead in any way which I myself
could do, if I were personally present, with respect to the following
matters, as each of them is defined in AS 13.26.344 , to the full extent
that I am permitted by law to act through an agent:
THE AGENT OR AGENTS YOU HAVE APPOINTED WILL HAVE ALL THE POWERS
LISTED BELOW UNLESS YOU
DRAW A LINE THROUGH A CATEGORY; AND
INITIAL THE BOX OPPOSITE THAT CATEGORY
(A) real estate transactions ( )
(B) transactions involving tangible personal
property, chattels, and goods ( )
(C) bonds, shares, and commodities transactions ( )
(D) banking transactions ( )
(E) business operating transactions ( )
(F) insurance transactions ( )
(G) estate transactions ( )
(H) gift transactions ( )
(I) claims and litigation ( )
(J) personal relationships and affairs ( )
(K) benefits from government programs and military service ( )
(L) records, reports, and statements ( )
(M) delegation ( )
(N) voter registration and absentee ballot requests ( )
(O) all other matters, including those specified as follows: ( )
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
IF YOU HAVE APPOINTED MORE THAN ONE AGENT, CHECK ONE OF THE
FOLLOWING:
( ) Each agent may exercise the powers conferred separately,
without the consent of any other agent.
( ) All agents shall exercise the powers conferred jointly,
with the consent of all other agents.
TO INDICATE WHEN THIS DOCUMENT SHALL BECOME EFFECTIVE, CHECK ONE
OF THE FOLLOWING:
( ) This document shall become effective upon the date of my
signature.
( ) This document shall become effective upon the date of my
disability and shall not otherwise be affected by my disability.
IF YOU HAVE INDICATED THAT THIS DOCUMENT SHALL BECOME EFFECTIVE
ON THE DATE OF YOUR SIGNATURE, CHECK ONE OF THE FOLLOWING:
( ) This document shall not be affected by my subsequent
disability.
( ) This document shall be revoked by my subsequent disability.
IF YOU HAVE INDICATED THAT THIS DOCUMENT SHALL BECOME EFFECTIVE
UPON THE DATE OF YOUR SIGNATURE AND WANT TO LIMIT THE TERM OF THIS
DOCUMENT, COMPLETE THE FOLLOWING:
This document shall only continue in effect for ________ ( )
years from the date of my signature.
NOTICE OF REVOCATION OF THE POWERS GRANTED IN THIS DOCUMENT
You may revoke one or more of the powers granted in this
document. Unless otherwise provided in this document, you may revoke a
specific power granted in this power of attorney by completing a
special power of attorney that includes the specific power in this
document that you want to revoke. Unless otherwise provided in this
document, you may revoke all the powers granted in this power of
attorney by completing a subsequent power of attorney.
NOTICE TO THIRD PARTIES
A third party who relies on the reasonable representations of an
attorney-in-fact as to a matter relating to a power granted by a
properly executed statutory power of attorney does not incur any
liability to the principal or to the principal's heirs, assigns, or
estate as a result of permitting the attorney-in-fact to exercise the
authority granted by the power of attorney. A third party who fails to
honor a properly executed statutory form power of attorney may be
liable to the principal, the attorney-in-fact, the principal's heirs,
assigns, or estate for a civil penalty, plus damages, costs, and fees
associated with the failure to comply with the statutory form power of
attorney. If the power of attorney is one which becomes effective upon
the disability of the principal, the disability of the principal is
established by an affidavit, as required by law.
IN WITNESS WHEREOF, I have hereunto signed my name this ____ day
of _______________, ____.
_______________________________________________________________
Signature of Principal
Acknowledged before me at ______________________________________
__________________________ on ______________________________.
Signature of Officer or Notary
Section: Previous 13.26.325 13.26.332 13.26.335 13.26.338 13.26.341 13.26.344 13.26.347 13.26.350 13.26.353 13.26.356 13.26.358 NextLast modified: November 15, 2016