West Virginia General Power of Attorney
This Power of Attorney authorizes another person (your agent) to make decisions concerning your property for you (the principal). The power of attorney is governed by the laws of the state of West Virginia.
THE POWERS YOU GRANT BELOW ARE EFFECTIVE ONLY IF YOU BECOME DISABLED OR INCOMPETENT.
Notice: The powers granted by this document are broad and sweeping. They are defined in the West Virginia Uniform Power of Attorney Act (Chapter 39B of the West Virginia Code). If you have any questions about these powers, obtain competent legal advice. This document does not authorize anyone to make medical and other health-care decisions for you.
1. Principals Information
Name: ___________________________________________________
Address: _________________________________________________
City, State, Zip: _________________________________________
Phone Number: ____________________________________________
2. Agent's Information
Name: ___________________________________________________
Address: _________________________________________________
City, State, Zip: _________________________________________
Phone Number: ____________________________________________
3. Assigning Authority to Your Agent
By this document, I, the principal, grant my agent the authority to act on my behalf and in my name, in any way I could do so myself, to the extent allowed by the law of West Virginia, for the following purposes:
- Real estate transactions
- Banking and other financial institution transactions
- Stock and bond transactions
- Tangible personal property transactions
- Insurance and annuity transactions
- Estate, trust, and other beneficiary transactions
- Claims and litigation
- Personal and family maintenance
- Benefits from social security, Medicare, Medicaid, or other governmental programs, or military service
- Retirement plan transactions
- Tax matters
4. Special Instructions
In the space below, you may give special instructions limiting or extending the powers granted to your agent.
_________________________________________________________
_________________________________________________________
_________________________________________________________
5. Term
This General Power of Attorney begins on the date signed below and remains effective until it is revoked or until the principal dies.
6. Signature and Acknowledgment
Principal's Signature: ______________________ Date: _____________
Agent's Signature: _________________________ Date: _____________
This document was acknowledged before me on _______________ (date) by ________________________________________________ (name of principal).
_________________________________________________________
(Seal)
Name of Notary: _________________________________________
Commission expires: _____________________________________