Kentucky Durable Power of Attorney
This Durable Power of Attorney is executed in accordance with the laws of the Commonwealth of Kentucky.
Principal Information:
- Name: _______________________________
- Address: _____________________________
- City, State, Zip Code: ________________
- Date of Birth: ________________________
Agent Information:
- Name: _______________________________
- Address: _____________________________
- City, State, Zip Code: ________________
- Phone Number: ________________________
Durable Power of Attorney Grant:
I, the undersigned Principal, hereby appoint the above-named Agent as my Attorney-in-Fact. This authority shall remain in effect even if I become incapacitated.
Scope of Authority:
The Agent shall have the authority to act on my behalf in the following matters:
- Financial Transactions
- Real Estate Transactions
- Legal Matters
- Tax Matters
- Health Care Decisions
Effective Date:
This Durable Power of Attorney shall become effective immediately upon execution.
Revocation:
This Durable Power of Attorney may be revoked by me at any time, provided that I notify my Agent and any relevant third parties in writing.
Signature:
Principal Signature: ___________________________
Date: _______________________________________
Witnesses:
Witness 1 Signature: _________________________
Witness 2 Signature: _________________________
Notarization:
State of Kentucky
County of ________________________________
Subscribed and sworn before me this _____ day of ______________, 20__.
Notary Public Signature: ______________________
My commission expires: ______________________