Statutory Short Form Power of Attorney - Minnesota

Page 2 of 3 Minnesota Uniform Conveyancing Blanks Form 100.1.1
I (the above named Principal) appoint the above named Attorney(s)-in-Fact to act as my attorney(s)-in-fact:
FIRST: To act for me in any way that I could act with respect to the following matters, as each of them is defined in Minnesota Statutes,
section 523.24:
(To grant to the attorney-in-fact any of the following powers, make a check or “x” on the line in front of each power being granted. You
may, but need not, cross out each power not granted. Failure to make a check or “x” on the line in front of the power will have the effect of
deleting the power unless the line in front of the power of (N) is checked or “x”-ed.)
Check or “x”
(A) real property transactions;
I choose to limit this power to real property in County, Minnesota, described as
follows: (Use legal description. Do not use street address.)
(If more space is needed, continue on an attachment.)
(B) tangible personal property transactions;
(C) bond, share, and commodity transactions;
(D) banking transactions;
(E) business operating transactions;
(F) insurance transactions;
(G) beneficiary transactions;
(H) gift transactions;
(I) fiduciary transactions;
(J) claims and litigation;
(K) family maintenance;
(L) benefits from military service;
(M) records, reports, and statements;
(N) all of the powers listed in (A) through (M) above and all other matters.
SECOND: (You must indicate below whether or not this Power of Attorney will be effective if you become incapacitated or incompetent.
Make a check or “x” on the line in front of the statement that expresses your intent.)
This power of attorney shall continue to be effective if I become incapacitated or incompetent.
This power of attorney shall not be effective if I become incapacitated or incompetent.
THIRD: (You must indicate below whether or not this power of attorney authorizes the attorney-in-fact to transfer your property to the
attorney-in-fact. Make a check or “x” on the line in front of the statement that expresses your intent.)
This power of attorney authorizes the attorney-in-fact to transfer my property to the attorney-in-fact.
This power of attorney does not authorize the attorney-in-fact to transfer my property to the attorney-in-fact.
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Statutory Short Form Power of Attorney - Minnesota PDF

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