Financial LPA Template

FINANCIAL LASTING POWER OF ATTORNEY

This Financial Lasting Power of Attorney (the "LPA") appoints one or more attorneys to make decisions about the donor's property and financial affairs on the terms set out below.

Donor (Principal) Details

Donor Name:

Date of Birth:

Appointment of Attorney(s)

I appoint the following attorney(s) to act on my behalf in respect of my property and financial affairs:

Attorney 1 accepts appointment and will act in accordance with the duties and obligations imposed by law.

Accepted (typed name): Date:

Replacement Attorney(s)

Scope of Authority — Specific Powers

The donor grants the attorney(s) the power to do any act in relation to the donor's property and financial affairs which the donor could lawfully do, including but not limited to the following specific powers. For each power granted, check the corresponding box.

Manage, open, operate and close bank, deposit and savings accounts; endorse and negotiate cheques and other instruments; obtain statements and information from financial institutions.

Invest and reinvest funds, buy and sell securities, retain investments made by the donor, and exercise rights to vote or control corporate matters on behalf of the donor.

Acquire, lease, mortgage, manage, improve, insure and sell real property owned or to be acquired by the donor.

Prepare, sign and file tax returns, make tax elections, obtain tax information, and represent the donor in tax matters with any taxing authority.

Claim, transfer, surrender or otherwise deal with pensions, retirement accounts, social or other benefits and insurance proceeds.

Settle, commence or discontinue claims, disputes and legal proceedings relating to my property or financial affairs.

Borrow money, grant and discharge security over my property, and refinance or restructure debts in my name.

Make gifts and charitable donations on my behalf subject to the donor's known intentions and customary occasions. Annual individual gift limit:

Conduct, defend or settle litigation and engage professionals for legal representation in matters affecting my financial affairs.

Restrictions, Directions and Conditions

Commencement and Duration

The LPA shall come into effect as indicated below (select one or more options that apply).

Immediate effect: the attorney(s) may act on my behalf from the date this document is signed.

Effect upon my incapacity (certified by the appropriate professional).

Effect on a specified date:

Certification and Declarations

The certificate provider must confirm that, to the best of their knowledge, the donor understands the purpose and scope of this LPA and is not acting under undue influence. The certificate provider must be independent and qualified to make this certification.

Certificate Provider Declaration: I certify that I have met with the donor, have explained the purpose and effect of this LPA, and to the best of my knowledge the donor understands and is not acting under undue influence.

Certificate Provider (typed name): Date:

Notices, Revocation and Governing Law

The donor may revoke this LPA at any time provided the donor has capacity to do so. Revocation must be given in writing and communicated to the attorney(s) and any third parties acting under this LPA. The attorney(s) must act only within the authority granted and in the donor's best interests. This LPA is to be interpreted under the laws of the jurisdiction specified below.

Additional Terms

Witness Details (for donor signature)

Witness confirms that they witnessed the donor's signature and that to the witness's knowledge the donor appeared to understand the document and was not acting under duress.

Witness signature date:

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