Power of Attorney North Carolina

DESIGNATION OF AGENT

 

I, ___________________________________________, name the following person as my agent:

(Name of Principal)

 

Name of Agent: ____________________________________________________________

 

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: ______________________________________________________

 

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

 

Name of Second Successor Agent: ________________________________________________

 

INITIAL below if you want to give an agent the power to name a successor agent.

 

(____) I give to my acting agent the full power to appoint another to act as my agent, and full power to revoke such appointment, if no agent named by me above is willing or able to act.

 

GRANT OF GENERAL AUTHORITY

 

I grant my agent and any successor agent general authority to act for me with respect to the following subjects as defined in the North Carolina Uniform Power of Attorney Act, Chapter 32C of the General Statutes:

 

(INITIAL each subject you want to include in the agent's general authority. If you wish to grant general authority over all of the subjects you may initial "All Preceding Subjects" instead of initialing each subject.)

 

(____) Real Property

 

(____) Tangible Personal Property

 

(____) Stocks and Bonds

 

(____) Commodities and Options

 

(____) Banks and Other Financial Institutions

 

(____) Operation of Entity

 

(____) 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 for me UNLESS I have INITIALED the specific authority listed below:

 

(CAUTION: Granting any of the following will give your agent the authority to take actions that could significantly reduce your property or change how your property is distributed at your death. INITIAL ONLY the specific authority you WANT to give your agent.)

 

(____) Make a gift, subject to the limitations provided in G.S. 32C-2-217

 

(____) 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 my right to be a beneficiary of a joint and survivor annuity, including a survivor benefit under a retirement plan

 

(____) Exercise fiduciary powers that I have authority to delegate

 

(____) Disclaim or refuse an interest in property, including a power of appointment

 

(____) Access the content of electronic communications

 

EXERCISE OF SPECIFIC AUTHORITY IN FAVOR OF AGENT

(OPTIONAL)

 

(____) UNLESS INITIALED, my agent MAY NOT exercise any of the grants of specific authority initialed above in favor of the agent or an individual to whom the agent owes a legal obligation of support.

 

ADDITIONAL PROVISIONS AND EXCLUSIONS

(OPTIONAL)

 

(____) ________________________________________________________________________

 

________________________________________________________________________

 

EFFECTIVE DATE

 

This power of attorney is effective immediately.

 

NOMINATION OF GUARDIAN

(OPTIONAL)

 

INITIAL below ONLY if you WANT your acting agent to be your Guardian.

 

(____) If it becomes necessary for a court to appoint a guardian of my estate or a general guardian, I nominate my agent acting under this power of attorney to be the guardian to serve without bond or other security.

 

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 has terminated or is invalid.

 

MEANING AND EFFECT

 

The meaning and effect of this power of attorney shall for all purposes be determined by the law of the State of North Carolina.

 

SIGNATURE AND ACKNOWLEDGEMENT

 

_____________________________________   ________________________

Your Signature        Date

 

_____________________________________

Your Name Printed

State of ______________________, County of _______________________

 

I certify that the following person personally appeared before me this day, acknowledging to me that he or she signed the foregoing document: ___________________________________.

 

Date: __________________   _______________________________________

Signature of Notary Public

 (Official Seal)

___________________________, Notary Public

Printed or typed name

 

My commission expires: __________________

 

 

 

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.  This relationship imposes upon you legal duties that continue until you resign or your authority is terminated or the power of attorney is terminated or revoked.  You must:

 

1. Do what you know the principal reasonably expects you to do with the principal's property or, if you do not know the principal's expectations, act in the principal's best interest;

 

2. Act in good faith;

 

3. Do nothing beyond the authority granted in this power of attorney; and

 

4. Disclose your identity as an agent whenever you act for the principal by writing or printing the name of the principal and signing your own name as "agent" in the following manner: (Principal's Name) by (Your Signature) as Agent.

 

Unless the Additional Provisions and Exclusions in this power of attorney state otherwise, you must also:

 

1. Act loyally for the principal's benefit;

 

2. Avoid conflicts that would impair your ability to act in the principal's best interest;

 

3. Act with care, competence, and diligence;

 

4. Keep a record of all receipts, disbursements, and transactions  made  on behalf of the principal;

 

5. Cooperate with any person that has authority to make health care decisions for the principal to do what you know the principal reasonably expects, or if you do not know the principal's expectations, to act in the principal's best interest;

 

6. Attempt to preserve the principal's estate plan if you know the plan and preserving the plan is consistent with the principal's best interest; and

 

7. Account to the principal (or a person designated by the principal (if any)) in the Additional Provisions and Exclusions.

 

Termination of Agent's Authority

 

You must stop acting on behalf of the principal if you learn of any event that terminated or revoked this power of attorney or your authority under this power of attorney.  Events that terminate a power of attorney or your authority to act under a power of attorney include:

 

1. Death of the principal;

 

2. The principal's revocation of the power of attorney or the termination of your authority;

 

3. The occurrence of a termination event stated in the power of attorney;

 

4. The purpose of the power of attorney is fully accomplished;

 

5. If you are married to the principal, your divorce from the principal, unless the Additional Provisions and Exclusions in this power of attorney state that your divorce from the principal will not terminate your authority; or

 

6. A guardian of the principal's estate or the principal's general guardian revokes the power of attorney or terminates your authority.

 

Liability of Agent

 

The meaning of the authority granted to you is defined in the North Carolina Uniform Power of Attorney Act as set forth in Chapter 32C of the North Carolina General Statutes.  If you violate the North Carolina Uniform Power of Attorney Act or act outside the authority granted, you may be liable for any damages caused by your violation.

 

If there is anything about this document or your duties that you do not understand, you should seek legal advice.