Fill and Sign the Durable Springing Power of Attorney Connecticut Form

Durable Springing Power of Attorney KNOW ALL MEN BY THESE PRESENTS, that I, of ____________________________ _______________________________________________ (street address, city, Connecticut, zip code) , a citizen of the United States, have made, constituted and appointed, and by these presents do make, constitute and appoint ____________________ (Name of Attorney-in-Fact) my true and lawful attorney, for me and in my name, place and stead to ask, demand, sue for, collect and receive all sums of money, dividends, interest, payments on account of debts and legacies and all property now due or which may hereafter become due and owing to me, and give good and valid receipts and discharges for such payments; to sell, assign and transfer stocks and bonds and securities standing in my name or belonging to me; to buy and sell securities of all kinds in my name and for my account and at such prices as shall seem good to my said attorney; to sign, execute, acknowledge and deliver in my name all transfers and assignments of securities; to consent in my name to reorganizations and mergers, and to the exchange of securities for new securities; to manage real property, to sell, convey, lease and mortgage realty including oil, gas and mineral interests, to foreclose mortgages and to take title to property in my name if my said attorney think proper, and to execute, acknowledge and deliver deeds of real property, mortgages, releases, satisfactions and other instruments relating to realty including oil, gas and mineral interests which my said attorney consider necessary; to place and effect insurance; to do business with banks, and particularly to endorse all checks and drafts made payable to my order and collect the proceeds; to sign in my name checks on all accounts standing in my name, and to withdraw funds from said accounts, to open accounts in my name, or in the name of my said attorney, as my attorney-in-fact; to make such payments and expenditures as may be necessary in connection with any of the foregoing matters or with the administration of my affairs; to retain counsel and attorneys on my behalf, to appear for me in all actions and proceedings to which I may be party in the courts of Connecticut or of any other state in the United States, or in the United States courts, to commence actions and proceedings in my name if necessary, to sign and verify in my name all complaints, petitions, answers and other pleadings of every description; to make and verify income tax returns, and to represent me in all income tax matters before any office of the Internal Revenue Service, within the limitations of the applicable Revenue Rulings and Procedures; hereby giving and granting to my said attorney full power and authority to do and perform all and every act and thing whatsoever necessary to be done in the premises, as fully to all intents and purposes as I might or could do if personally present, with full power of substitution and revocation, hereby ratifying and confirming all that my said attorney may do pursuant to this power. The rights, powers, and authority of my attorney-in-fact to exercise any and all of the rights and powers herein granted shall commence and be in full force and effect on ______________________ (date) , or upon the occurrence of my disability, incapacity, or adjudicated incompetence and such rights, powers, and authority shall remain in full force and effect thereafter until I specifically revoke, in writing, such rights, powers, and authority and until I give written notice of such revocation to my said attorney-in-fact; further, this power shall not be affected by my said disability, incapacity, or adjudged incompetency. Further, this power shall not be revoked by the mere passage of time from the date of execution but may be only revoked in accordance with the provisions herein. IN WITNESS WHEREOF, I have hereunto set my hand and seal this day of ____________________, 20_____. _________________________________ (Printed Name and Signature of Principal) ATTESTATION The hereinafter named Witnesses, each declare under penalty of perjury under the laws of the State of Connecticut, that the principal is personally known to us, that the principal signed and acknowledged this special power of attorney in our presence, that the principal appears to be of sound mind and under no duress, fraud or undue influence, that we are not the person appointed as attorney-in-fact by this document and that we witnessed this power of attorney in the presence of the principal. We are not related to the principal by blood, marriage or adoption, and to the best of our knowledge, are not entitled to any part of the estate of the principal upon the death of the principal under a will now existing or by operation of law. WITNESSES: ______________________________ Signature Print Name: ___________________________Address: ______________________________ City: ________________ State: ___________ Zip: ________________________________________ Signature Print Name: ___________________________Address: ______________________________ City: ________________ State: ___________ Zip: __________ State of Connecticut County of __________________ City or Town of ________________________ On this the ______ day of___ ___________ , 20_____, before me, ____________________ (Name of Notary) , the undersigned officer, personally appeared ________________________ ______________________ (Name of individual or individuals) , known to me (or satisfactorily proven) to be the person whose name is subscribed to the within instrument and acknowledged that he executed the same for the purposes therein contained. In witness whereof I hereunto set my hand. Date: ______________________ ___________________________________ Signature of Notary Public My Commission Expires: