Indiana Durable Power of Attorney
This Durable Power of Attorney is created by the undersigned, _______________ (the "Principal"), with a mailing address of _______________, City of _______________, State of Indiana, on this day _______________, 20___. This document grants to _______________ (the "Agent"), located at _______________, City of _______________, State of Indiana, the power to act in my stead and on my behalf in any way that I could do so personally to ensure that my affairs are handled in accordance with my wishes in the event that I become unable to participate in decision-making processes. This Durable Power of Attorney shall become effective immediately and shall remain effective even in the event of my subsequent disability or incapacity.
Pursuant to the Indiana Durable Power of Attorney Act, this document grants the Agent the following powers:
- To enter into financial transactions on behalf of the Principal,
- To buy or sell real estate and personal property,
- To handle banking transactions,
- To claim, transfer, or disburse benefits of social security, Medicare, or other governmental programs, insurance, or pensions,
- To conduct business transactions and operations,
- To make decisions regarding health care services, including the ability to access medical records, make medical decisions, and authorize admission to medical, nursing, or similar facilities.
This Durable Power of Attorney shall not be affected by the Principal's subsequent disability or incapacity. The Principal has the right to revoke this document at any time, so long as the Principal is not incapacitated, by providing written notice to the Agent.
This document is executed under the laws of the State of Indiana, and all acts performed under the authority of this Durable Power of Attorney during any period of disability or incapacity of the Principal are as binding upon the Principal and the Principal’s heirs, assigns, and legal representatives as if the Principal were competent and not disabled.
In witness whereof, the Principal has executed this Durable Power of Attorney on the date first above written.
___________________
Principal's Signature
___________________
Principal's Printed Name
State of Indiana )
County of ____________) ss:
Subscribed and sworn to (or affirmed) before me on this ___ day of ____________, 20___, by _______________, proved to me on the basis of satisfactory evidence to be the person(s) who appeared before me.
___________________
Notary Public
My Commission Expires: __________
This document is prepared as a general template. It is advisable to consult with a legal professional to ensure that all specific needs and legal requirements are met.