Illinois Durable Power of Attorney
This document serves as a Durable Power of Attorney for Illinois, allowing you to designate an agent to make decisions on your behalf regarding financial and healthcare matters. It is important to understand that this document is governed by the Illinois Power of Attorney Act (755 ILCS 45/2-1 et seq.).
Principal Information:
- Name: _______________________________
- Address: _____________________________
- City, State, Zip: _____________________
Agent Information:
- Name: _______________________________
- Address: _____________________________
- City, State, Zip: _____________________
Durable Power of Attorney Statement:
I, the undersigned Principal, hereby appoint the above-named Agent as my attorney-in-fact to act in my name and on my behalf. This Durable Power of Attorney shall remain in effect even if I become incapacitated.
Powers Granted:
The Agent shall have the authority to perform the following acts on my behalf:
- Manage my financial affairs, including but not limited to banking, investments, and real estate transactions.
- Make decisions regarding my healthcare, including medical treatment and services.
- Access my safe deposit boxes and personal records.
- File my tax returns and manage tax-related matters.
Effective Date:
This Durable Power of Attorney shall become effective immediately upon execution, unless I specify otherwise here: ___________________________.
Revocation:
I understand that I can revoke this Durable Power of Attorney at any time by providing written notice to my Agent.
Signatures:
By signing below, I affirm that I am of sound mind and that I understand the contents of this Durable Power of Attorney.
Principal Signature: _______________________________
Date: ___________________________________________
Witness Signature: ________________________________
Date: ___________________________________________
Witness Signature: ________________________________
Date: ___________________________________________
Notary Public:
State of Illinois
County of ______________________
Subscribed and sworn to before me on this _____ day of __________, 20__.
Notary Public Signature: _________________________
My Commission Expires: ________________________