Massachusetts Durable Power of Attorney
This Durable Power of Attorney is executed in accordance with Massachusetts General Laws, Chapter 231E.
Principal Information:
- Name: ____________________________
- Address: _________________________
- City, State, Zip: ________________
- Date of Birth: ___________________
Agent Information:
- Name: ____________________________
- Address: _________________________
- City, State, Zip: ________________
Statement of Authority:
I, ____________________________ (the “Principal”), designate the above-named Agent as my attorney-in-fact to act in my name and on my behalf.
This durable power of attorney grants my Agent the authority to manage my financial affairs, including but not limited to:
- Accessing my bank accounts;
- Paying my bills;
- Managing my real estate;
- Investing my funds;
- Filing my taxes.
Effective Date:
This Durable Power of Attorney shall become effective immediately upon execution and shall remain in effect if I become incapacitated.
Revocation of Prior Powers of Attorney:
Any prior Durable Power of Attorney executed by me is hereby revoked.
Signatures:
Principal’s Signature: _________________________ Date: _____________
Agent’s Signature: _____________________________ Date: _____________
Witnesses:
- Witness Name: _____________________________ Signature: ______________ Date: _____________
- Witness Name: _____________________________ Signature: ______________ Date: _____________
Notary Public:
State of Massachusetts, County of ______________
On this _____ day of ____________, 20__, before me, a Notary Public, personally appeared ___________________________ who is known to me to be the person whose name is subscribed to the foregoing instrument and acknowledged that he/she executed the same.
Notary Public Signature: ______________________ My Commission Expires: _____________