Idaho Statutory Power of Attorney

Idaho Statutory Form Power of Attorney

AFTER RECORDING MAIL TO:

Important Information

This power of attorney authorizes another person (your agent) to make decisions concerning your property for you (the principal). Your agent can make decisions and act with respect to your property (including your money) whether or not you are able to act for yourself.

This form provides for designation of one agent. If you wish to name more than one agent, you may name a co-agent in the Special Instructions. If your agent is unable or unwilling to act for you, your power of attorney will end unless you have named a successor agent.

Designation of Agent

I, , name the following person as my agent:

Name of Agent:

Agent's Address:

Agent's Phone Number:

Designation of Successor Agent(s) (Optional)

If my agent is unable or unwilling to act for me, I name as my successor agent:

Name of Successor Agent:

Successor Agent's Address:

Successor Agent's Phone Number:

Name of Second Successor Agent:

Second Successor Agent's Address:

Second Successor Agent's Phone Number:

Grant of General Authority

I grant my agent and any successor agent general authority to act for me with respect to the following subjects:

Real Property

Tangible Personal Property

Stocks and Bonds

Commodities and Options

Banks and Other Financial Institutions

Operation of an Entity or Business

Insurance and Annuities

Estates, Trusts, and Other Beneficial Interests

Claims and Litigation

Personal and Family Maintenance

Benefits from Governmental Programs or Civil or Military Service

Retirement Plans

Taxes

All Preceding Subjects

Grant of Specific Authority (Optional)

My agent may not do any of the following specific acts unless I have initialed the specific authority listed below:

Create, amend, revoke, or terminate an inter vivos trust

Make a gift, subject to the limitations of the act

Make a gift without limitations except any special instructions

Create or change rights of survivorship

Create or change a beneficiary designation

Authorize another person to exercise the authority granted under this power of attorney

Waive the principal's right to be a beneficiary of a joint and survivor annuity

Limitation on Agent's Authority

An agent that is not my ancestor, spouse, or descendant may not use my property to benefit the agent or a person to whom the agent owes an obligation of support unless I have included that authority in the Special Instructions.

Special Instructions (Optional)

On the following lines you may give special instructions:

Effective Date

This power of attorney is effective immediately unless I have stated otherwise in the Special Instructions.

Nomination of Conservator (Optional)

If it becomes necessary for a court to appoint a conservator of my estate, I nominate the following person(s) for appointment:

Name of Nominee:

Nominee's Address:

Nominee's Phone Number:

Reliance on This Power of Attorney

Any person, including my agent, may rely upon the validity of this power of attorney or a copy of it unless that person knows it is terminated or invalid.

Date:

Your Name Printed:

Your Address:

Your Phone Number:

Signature and Acknowledgment

(Option One - If You Are Able to Sign On Your Own)

Your Name Printed:

Your Address:

Your Phone Number:

Notary - Required for Recording and for Real Property

State of SS.

County of

On this day of , , before me, a Notary Public in and for said State, personally appeared , known or identified to me to be the person(s) whose name(s) is/are subscribed to the within instrument, and acknowledged to me that he/she/they executed the same.

Option Two - If You Are Unable to Sign On Your Own and Direct the Notary To

Signature of person by notary:

Witness Signature:

Signature affixed by notary in the presence of (Name of person and witness):

State of Idaho

County of

On this day of , in the year , before me, personally appeared , known or identified to me to be the person whose name is subscribed to the within instrument, and acknowledged to me that he executed the same by directing the undersigned notary to affix his signature thereto.

(official signature and seal)

My commission expires on:

Important Information for Agent

Agent's Duties

When you accept the authority granted under this power of attorney, a special legal relationship is created between you and the principal.

(4) Disclose your identity as an agent whenever you act for the principal by signing the name of the principal and signing your own name as "agent" in the following manner:

by as agent

Termination of Agent's Authority

You must stop acting on behalf of the principal if you learn of any event that terminates this power of attorney or your authority under this power of attorney.

Liability of Agent

The meaning of the authority granted to you is defined in the act. If you violate the act or act outside the authority granted, you may be liable for any damages caused by your violation.

Agent's Certification as to the Validity of Power of Attorney and Agent's Authority

State of SS.

County of

I, , certify under penalty of perjury that granted me authority as an agent or successor agent in a Power of Attorney dated

(4) (Insert other relevant statements):

Signature and Acknowledgment

Agent's Name Printed:

Agent's Address:

Agent's Phone Number:

This document was acknowledged before me on , by

Notary Public for

Residing at:

My commission expires on: