Statutory Short Form Power of Attorney - North Carolina

G.S. 32A-1 Page 1
Chapter 32A.
Powers of Attorney.
Article 1.
Statutory Short Form Power of Attorney.
§ 32A-1. Statutory Short Form of General Power of Attorney.
The use of the following form in the creation of a power of attorney is lawful, and, when
used, it shall be construed in accordance with the provisions of this Chapter.
"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 ..................................................... _________
(16) Renunciation of an interest in or power over property to
benefit persons other than the attorney-in-fact.................................... _________
(17) Renunciation of an interest in or power over property
to benefit persons including the 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.')
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