Nevada Power of Attorney Template
This Power of Attorney (POA) document authorizes the person named below as the Agent or Attorney-in-Fact to act on the behalf of the Principal in the manner described herein, in accordance with the Nevada Durable Power of Attorney Act, NRS 162A.200 to 162A.660.
1. Principal Information
Full Name: _______________________
Address: _________________________
City: _____________ State: Nevada Zip: ____
Telephone: _______________________
2. Agent/Attorney-in-Fact Information
Full Name: _______________________
Address: _________________________
City: _____________ State: _______ Zip: ____
Telephone: _______________________
3. Powers Granted
Check the box next to each power you are granting to your Agent. If granting all powers listed, you may simply check "All Powers".
- [_] All Powers
- [_] Real property transactions
- [_] Tangible personal property transactions
- [_] Stock and bond transactions
- [_] Commodity and option transactions
- [_] Banking and other financial institution 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, Medicaid, or other governmental programs, or military service
- [_] Retirement plan transactions
- [_] Tax matters
4. Special Instructions
Use the space below to give special instructions limiting or extending the powers granted to your Agent.
Instructions: __________________________________________________________
_______________________________________________________________________
5. Effective Date and Duration
This Power of Attorney is effective upon the date of signature and remains in effect indefinitely unless a specific termination date is listed below or the Principal revokes it.
Termination Date (if applicable): ___________________
6. Signature of Principal
Signature: _______________________________
Date: ____________________________________
7. Acknowledgment of Agent/Attorney-in-Fact
I, ________________ (Agent), acknowledge that on this day I accept the appointment and responsibilities of acting as the Attorney-in-Fact for __________________ (Principal), in accordance with the powers granted to me.
Signature of Agent: ___________________ Date: ___________________
8. Witness or Notarization (If required by state law or desired)
This section should be completed in compliance with Nevada state requirements, which may require notarization or witnesses. Seek legal advice to ensure compliance.
9. Acceptance by Third Party
I, ________________ (Third Party), acknowledge and agree to honor the powers granted by the Principal to the Agent under this Power of Attorney.
Signature of Third Party: ______________________ Date: ________________