Indiana Durable Power of Attorney Template
This Durable Power of Attorney is created pursuant to the laws of Indiana to grant specific powers to your chosen representative, also known as an "agent." This document remains effective even if the principal becomes incapacitated.
Principal Information:
- Full Name: _______________________________
- Address: _______________________________
- City: _______________________________
- State: _______________________________
- Zip Code: _______________________________
Agent Information:
- Full Name: _______________________________
- Address: _______________________________
- City: _______________________________
- State: _______________________________
- Zip Code: _______________________________
Effective Date:
This Durable Power of Attorney becomes effective upon the signing of this document, or it may become effective upon the determination of incapacity of the principal, as indicated by a licensed physician.
Powers Granted:
The principal grants the agent the authority to act on their behalf in the following matters (check all that apply):
- Real Estate Transactions
- Banking Transactions
- Personal Property Transactions
- Health Care Decisions
- Tax Matters
- Insurance Transactions
Signature of Principal:
_______________________________
Date: _______________________________
Witness Information:
- Witness Name: _______________________________
- Witness Address: _______________________________
- Witness Signature: _______________________________
This document does not require notarization in the State of Indiana but may be beneficial for additional legal protection.
It is highly advisable to consult with an attorney to ensure that your Durable Power of Attorney meets your unique needs and complies with current laws.