Indiana Durable Power of Attorney
This Durable Power of Attorney is executed in accordance with the laws of the State of Indiana. It grants authority to the designated agent to make decisions on behalf of the principal as specified herein.
Principal Information:
- Name: ___________________________
- Address: _________________________
- City: ____________________________
- State: Indiana
- Zip Code: ______________________
Agent Information:
- Name: ___________________________
- Address: _________________________
- City: ____________________________
- State: ___________________________
- Zip Code: ______________________
Durability of Power of Attorney:
This Durable Power of Attorney shall remain in effect even if I become incapacitated. The authority granted herein shall not be affected by my subsequent disability or incapacity.
Powers Granted:
The agent shall have the authority to act on my behalf in the following matters:
- Manage my financial affairs.
- Make health care decisions.
- Handle real estate transactions.
- Access my safe deposit boxes.
- File my tax returns.
Effective Date:
This Durable Power of Attorney shall become effective immediately upon execution unless otherwise specified below:
Effective Date: ______________________
Revocation:
This Durable Power of Attorney may be revoked at any time by providing written notice to the agent and any relevant third parties.
Signature:
By signing below, I acknowledge that I am of sound mind and that I understand the nature and purpose of this Durable Power of Attorney.
Principal's Signature: ___________________________
Date: ________________________________________
Witness Information:
- Name: ___________________________
- Address: _________________________
- City: ____________________________
- State: ___________________________
- Zip Code: ______________________
Witness Signature: ___________________________
Date: ________________________________________