General Power of Attorney for Financial Affairs - Vermont

GENERAL POWER OF ATTORNEY FOR FINANCIAL AFFAIRS
Page 1 Vermont Legal Aid, Inc. Initial Page:_______
APPOINTMENT OF AGENT
Your Name:____________________________________ Date of Birth:____________
Address: _____________________________________________________________________
______________________________________________________________________
City State zip code
I appoint the following person as my Agent:
Name: ________________________________________________________________________
Address: ______________________________________________________________________
To act in my name, place and stead in any way which I myself could do, if I were personally
present, with respect to the matters and powers specified in this power of attorney, to the extent
that I am permitted by law to act through an agent.
GENERAL POWERS
I give my Agent the full authority to handle my personal and financial affairs. This includes but is
not limited to managing all my financial matters, including banking, investments, pensions,
retirement accounts, taxes, trusts, and insurance; accessing all my information, accounts, and
property; and performing any act relating to any matter, account, transaction or property, now
owned or later acquired by me, as I have the right to manage, access or perform myself.
A Power of Attorney for Financial Affairs lets you designate someone to help you manage your
money and property. You designate a person to be your Aagent@. You can give your agent broad
powers to handle your property during your lifetime, or you can limit what your agent can do.
This is your decision, and you can decide how you want your agent to act.
This document does not authorize anyone to make medical or other health care decisions for
you. To do that, You need to execute an Advance Directive for health care decisions. That is a
separate form you need to fill out and sign with witnesses.
This power of attorney may be revoked by you at any time. You can revoke it in writing, by
telling your agent, or by tearing it up or crossing it out or any other act that shows you want it
revoked. Tell your agent that you are revoking the power of attorney. You should also tell your
bank and other financial institutions.
If there is anything about this form that you do not understand, you should ask a lawyer to
explain it to you. This form does not provide for all options allowed by the law. You may also
wish to consult a lawyer to consider other options or to ensure that your power of attorney meets
your needs. This document is intended to create a general power of attorney pursuant to 14
V.S.A. '3501 et seq. with full authority to act on my behalf.
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