New Hampshire General Power of Attorney
This General Power of Attorney is created pursuant to the laws of the State of New Hampshire and grants the person named herein the authority to act on behalf of the Principal within the broad and general powers outlined in the New Hampshire Revised Statutes Annotated (RSA) 564-E:201 to 564-E:217, as may be amended.
1. Principal Information
Full Name: ________________________________________
Address: __________________________________________
City, State, Zip: __________________________________
Phone Number: _____________________________________
Email Address: _____________________________________
2. Agent (Attorney-In-Fact) Information
Full Name: ________________________________________
Address: __________________________________________
City, State, Zip: __________________________________
Phone Number: _____________________________________
Email Address: _____________________________________
3. Powers Granted
The Principal grants the following powers to the Agent to act on the Principal's behalf in all matters that the Principal can do through an Agent, except as the Principal may otherwise limit in this document:
- Real estate transactions
- Banking and other financial institution transactions
- Stock and bond transactions
- Personal and family maintenance
- Insurance and annuity transactions
- Retirement plan transactions
- Social Security, employment, and military service benefits
- Tax matters
- Claims and litigation
- All other matters, subjects, and issues not expressly included herein
4. Third Party Reliance
Any third party who receives a copy of this document may act under it. Revocation of this power of attorney is effective as to a third party only upon receipt of actual notice.
5. Duration
This General Power of Attorney shall become effective immediately upon execution and shall remain in effect indefinitely unless a specific termination date is outlined below:
Termination Date (if applicable): _________________________
6. Signature of Principal
By signing below, the Principal acknowledges the authority granted to the Agent under this General Power of Attorney.
Date: _________________________
Signature: _____________________
7. Acknowledgment of Agent
By signing below, the Agent acknowledges acceptance of the authority granted by the Principal under this General Power of Attorney and swears to act in accordance with all applicable laws and for the benefit of the Principal.
Date: _________________________
Signature: _____________________
8. Witness Attestation
This document was signed by the Principal in the presence of the undersigned witnesses, who in turn, at the Principal's request and in the Principal's presence, and in the presence of each other, have hereunto subscribed our names as witnesses.
Witness 1 Name: _________________________
Witness 1 Signature: _____________________
Witness 1 Address: ______________________
Witness 2 Name: _________________________
Witness 2 Signature: _____________________
Witness 2 Address: ______________________
9. Notarization (if required)
This section should be completed by a notary public if notarization is required by law or desired by the Principal.
State of New Hampshire
County of ________________
On this __________ day of __________, 20__, before me, a notary public, personally appeared the above-named Principal, known to me (or satisfactorily proven) to be the person whose name is subscribed to the within instrument, and acknowledged that they executed the same for the purposes therein contained.
In witness whereof, I hereunto set my hand and official seal.
Notary Public Signature: _____________________________
My commission expires: ______________________________