LOUISIANA DURABLE POWER OF ATTORNEY
This Durable Power of Attorney is created in accordance with the Louisiana Revised Statutes, specifically under the provisions of Title 9: Civil Code Ancillaries, RS 9:951 et seq. It is designed to grant the designated agent a broad or limited range of legal powers to act on the principal's behalf should the principal become incapacitated or unable to act personally.
Principal's Information:
- Full Name: ___________________________
- Address: ___________________________
- City: ___________________________
- State: Louisiana
- Zip Code: ___________________________
- Phone Number: ___________________________
Agent's Information:
- Full Name: ___________________________
- Address: ___________________________
- City: ___________________________
- State: ___________________________
- Zip Code: ___________________________
- Phone Number: ___________________________
Powers Granted
This Durable Power of Attorney grants the following powers to the named agent, which remain in effect in the event of the principal's incapacity. Initial beside each power you wish to grant.
- ____ Real property transactions
- ____ Tangible personal property transactions
- ____ Stock and bond transactions
- ____ Commodity and option transactions
- ____ Banking and financial service transactions
- ____ Business operating transactions
- ____ Insurance and annuity transactions
- ____ Estate, trust, and other beneficiary transactions
- ____ Claims and litigation
- ____ Personal and family maintenance
- ____ Benefits from social security, medicare, and other governmental programs, or civil or military service
- ____ Retirement plan transactions
- ____ Tax matters
This document does not authorize the agent to make health care decisions for the principal.
Effective Date and Signature
This Durable Power of Attorney becomes effective immediately upon signing and remains in effect indefinitely unless a specific expiration date is noted here: ___________________________.
To be valid, this document must be signed and dated in the presence of a notary public.
Principal's Signature: ___________________________ Date: _____________
Agent's Signature: ___________________________ Date: _____________
Notary Public’s Acknowledgment:
State of Louisiana
Parish of _____________________
On this day, __________, before me appeared ___________________ as Principal and ___________________ as Agent, known to me (or satisfactorily proven) to be the persons whose names are 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: ___________________________
Seal:
