Statutory Short Form of General Power of Attorney - North Carolina

North Carolina Statutory Short Form of General Power of
Attorney
NOTICE
THE POWERS GRANTED BY THIS DOCUMENT ARE BROAD AND SWEEPING.
THEY ARE DEFINED IN CHAPTER 32A OF THE NORTH CAROLINA GENERAL
STATUTES WHICH EXPRESSLY PERMITS THE USE OF ANY OTHER OR
DIFFERENT FORM OF POWER OF ATTORNEY DESIRED BY THE PARTIES
CONCERNED.
State of ______________
County of ____________
I ____________________________, appoint __________________ to be my
attorney-in-fact, to act in my name in any way which I could act for myself, with respect
to the following matters as each of them is defined in Chapter 32A of the North Carolina
General Statutes. (DIRECTIONS: Initial the line opposite any one or more of the
subdivisions as to which the principal desires to give the attorney-in-fact authority.)
______ (1) Real property transactions
______ (2) Personal property transactions
______ (3) Bond, share, stock, securities and commodity transactions
______ (4) Banking transactions
______ (5) Safe deposits
______ (6) Business operating transactions
______ (7) Insurance transactions
______ (8) Estate transactions
______ (9) Personal relationships and affairs
______ (10) Social security and unemployment
______ (11) Benefits from military service
______ (12) Tax matters
______ (13) Employment of agents
______ (14) Gifts to charities, and to individuals other than the attorney-in-fact
______ (15) Gifts to the named attorney-in-fact
(If power of substitution and revocation is to be given, add: 'I also give to such person
full power to appoint another to act as my attorney-in-fact and full power to revoke such
appointment.')
(If period of power of attorney is to be limited, add: 'This power
terminates______________, ________')
(If power of attorney is to be a durable power of attorney under the provision of Article 2
of Chapter 32A and is to continue in effect after the incapacity or mental incompetence of
the principal, add: 'This power of attorney shall not be affected by my subsequent
incapacity or mental incompetence.')
(If power of attorney is to take effect only after the incapacity or mental incompetence of
the principal, add: 'This power of attorney shall become effective after I become
incapacitated or mentally incompetent.')
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