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A person who wishes to designate another as agent by a power of attorney may execute a statutory power of attorney set out in substantially the following form:
GENERAL POWER OF ATTORNEY
THE POWERS GRANTED FROM THE PRINCIPAL TO THE AGENT OR AGENTS IN THE
FOLLOWING DOCUMENT ARE VERY BROAD. THEY MAY INCLUDE THE POWER TO
DISPOSE, SELL, CONVEY, AND ENCUMBER YOUR REAL AND PERSONAL PROPERTY.
ACCORDINGLY, THE FOLLOWING DOCUMENT SHOULD ONLY BE USED AFTER CAREFUL
CONSIDERATION. IF YOU HAVE ANY QUESTIONS ABOUT THIS DOCUMENT, YOU SHOULD
SEEK COMPETENT ADVICE.
YOU MAY REVOKE THIS POWER OF ATTORNEY AT ANY TIME.
Pursuant to AS 13.26.625 - 13.26.640, and 13.26.655 — 13.26.695,
I, __(Name of principal)__,
of ____(Address of principal)____,
do hereby appoint ____(Name and address of agent or agents)____,
my agent(s) to act as indicated below in my name, place, and stead in
any way which I myself could do, if I were personally present, with respect to the
following matters, as each of them is defined in AS 13.26.665, to the full extent
that I am permitted by law to act through an agent:
MARK THE BOXES BELOW TO INDICATE THE POWERS YOU WANT TO GIVE YOUR AGENT OR AGENTS
MARK THE BOX FOR “YES” THAT IS OPPOSITE A CATEGORY BELOW TO GIVE YOUR AGENT OR AGENTS
THE POWER IN THAT CATEGORY.
IF YOU DO NOT MARK A BOX OPPOSITE A CATEGORY, YOUR AGENT OR AGENTS WILL NOT HAVE THE POWER IN THAT CATEGORY.
(A) real estate transactions ( )
(B) transactions involving tangible personal property,
chattels, and goods ( )
(C) bonds, shares, and commodities transactions ( )
(D) banking transactions ( )
(E) business operating transactions ( )
(F) insurance transactions ( )
(G) estate transactions ( )
(H) retirement plans ( )
(I) claims and litigation ( )
(J) personal relationships and affairs ( )
(K) benefits from government programs and civil or military
service ( )
(L) records, reports, and statements ( )
(M) voter registration and absentee ballot requests ( )
(N) all other matters, including those specified as follows: ( )
GRANT OF SPECIFIC AUTHORITY (OPTIONAL)
The agent or agents you have appointed WILL NOT have the power to do any of the following acts UNLESS you MARK the box opposite that category: create, amend, revoke, or terminate an inter vivos trust; make a gift, subject to the limitations of AS 13.26.665(q) and any special instructions in this power of attorney; create or change a beneficiary designation; revoke a transfer on death deed made under AS 13.48; create or change rights of survivorship; delegate authority granted under the power of attorney; waive the principal's right to be a beneficiary of a joint and survivor annuity, including a survivor benefit under a retirement plan; exercise fiduciary powers that the principal has authority to delegate; exercise authority over the content of electronic communications, as that term is defined in 18 U.S.C. 2510(12), sent or received by the principal
IF YOU HAVE APPOINTED MORE THAN ONE AGENT, MARK ONE OF THE FOLLOWING:
( ) Each agent may exercise the powers conferred separately,
without the consent of any other agent.
( ) All agents shall exercise the powers conferred jointly,
with the consent of all other agents.
TO INDICATE WHEN THIS DOCUMENT SHALL BECOME EFFECTIVE, CHECK ONE OF THE
FOLLOWING:
( ) This document shall become effective upon the date of my
signature.
( ) This document shall become effective upon the date of my
incapacity and shall not otherwise be affected by my incapacity.
IF YOU HAVE INDICATED THAT THIS DOCUMENT SHALL BECOME EFFECTIVE ON THE
DATE OF YOUR SIGNATURE, MARK ONE OF THE FOLLOWING:
( ) This document shall not be affected by my subsequent disability.
( ) This document shall be revoked by my subsequent disability.
IF YOU HAVE INDICATED THAT THIS DOCUMENT SHALL BECOME EFFECTIVE UPON
THE DATE OF YOUR SIGNATURE AND WANT TO LIMIT THE TERM OF THIS
DOCUMENT, COMPLETE THE FOLLOWING:
This document shall only continue in effect for ________ ( )
years from the date of my signature.
NOTICE OF REVOCATION OF THE POWERS GRANTED IN THIS DOCUMENT
You may revoke one or more of the powers granted in this document.
Unless otherwise provided in this document, you may revoke a specific
power granted in this power of attorney by completing a special power
of attorney that includes the specific power in this document that you
want to revoke. Unless otherwise provided in this document, you may
revoke all the powers granted in this power of attorney by completing a
subsequent power of attorney.
NOTICE TO THIRD PARTIES
A third party who relies on the reasonable representations of an
agent as to a matter relating to a power granted by a
properly executed statutory form power of attorney does not incur any
liability to the principal or to the principal's heirs, assigns, or
estate as a result of permitting the agent to exercise the
authority granted by the power of attorney. A third party who fails to
honor a properly executed statutory form power of attorney may be
liable to the principal, the attorney-in-fact, the principal's heirs,
assigns, or estate for a civil penalty, plus damages, costs, and fees
associated with the failure to comply with the statutory form power of
attorney. If the power of attorney is one which becomes effective upon
the incapacity of the principal, the incapacity of the principal is
established by an affidavit, as required by law.
IN WITNESS WHEREOF,
I have hereunto signed my name this ______ day of __________, ________.
___________________________________________________________
Acknowledged before me at
__________________________ on ______________________________.
______________________________________
If a person other than the principal executes the signature for the principal, the person may not be a person who is appointed an agent in the power of attorney, and the following signature line and notary verification must also be completed:
IN WITNESS WHEREOF, I have hereunto signed my name this _________ day of _________,
____________________________________________________________Signature of person signing at the request of ____________________________________________________________Printed name of person signing ____________________________________________________________Form of identification of person signing ____________________________________________________________Acknowledged before me at__________________________ on ______________________________.
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Note to HTML Version:
This version of the Alaska Statutes is current through December, 2022. The Alaska Statutes were automatically converted to HTML from a plain text format. Every effort has been made to ensure their accuracy, but this can not be guaranteed. If it is critical that the precise terms of the Alaska Statutes be known, it is recommended that more formal sources be consulted. For statutes adopted after the effective date of these statutes, see, Alaska State Legislature If any errors are found, please e-mail Touch N' Go systems at E-mail. We hope you find this information useful.