AS 13.26.332. Statutory Form Power of Attorney.
A person who wishes to designate another as attorney-in-fact or
agent by a power of attorney may execute a statutory power of attorney set out
in substantially the following form:
GENERAL POWER OF ATTORNEY
THE POWERS GRANTED FROM THE PRINCIPAL TO THE AGENT OR AGENTS IN
THE
FOLLOWING DOCUMENT ARE VERY BROAD. THEY MAY INCLUDE THE POWER TO
DISPOSE, SELL, CONVEY, AND ENCUMBER YOUR REAL AND PERSONAL
PROPERTY.
ACCORDINGLY, THE FOLLOWING DOCUMENT SHOULD ONLY BE USED AFTER
CAREFUL
CONSIDERATION. IF YOU HAVE ANY QUESTIONS ABOUT THIS DOCUMENT, YOU
SHOULD
SEEK COMPETENT ADVICE.
YOU MAY REVOKE THIS POWER OF ATTORNEY AT ANY TIME.
Pursuant to AS 13.26.338 - 13.26.353,
I, __(Name of principal)__,
of ____(Address of principal)____,
do hereby appoint ____(Name and address of agent or agents)____,
my attorney(s)-in-fact to act as indicated below in my name,
place, and stead in
any way which I myself could do, if I were personally present,
with respect to the
following matters, as each of them is defined in AS 13.26.344, to the full extent
that I am permitted by law to act through an agent:
THE AGENT OR AGENTS YOU HAVE APPOINTED WILL HAVE ALL THE POWERS
LISTED
BELOW UNLESS YOU DRAW A LINE THROUGH A CATEGORY; AND INITIAL THE
BOX
OPPOSITE THAT CATEGORY
(A) real estate
transactions
( )
(B) transactions
involving tangible personal property,
chattels, and
goods
( )
(C) bonds, shares, and
commodities
transactions
( )
(D) banking
transactions
( )
(E) business operating
transactions
( )
(F) insurance
transactions
( )
(G) estate
transactions
( )
(H) gift
transactions
( )
(I) claims and
litigation
( )
(J) personal
relationships and
affairs
( )
(K) benefits from
government programs and military
service
( )
(L) records, reports,
and
statements
( )
(M)
delegation
( )
(N) voter registration
and absentee ballot
requests
( )
(O) all other matters,
including those specified as follows: ( )
IF YOU HAVE APPOINTED MORE THAN ONE AGENT, CHECK ONE OF THE
FOLLOWING:
( ) Each agent may exercise the powers conferred separately,
without the consent of any other agent.
( ) All agents shall exercise the powers conferred jointly,
with the consent of all other agents.
TO INDICATE WHEN THIS DOCUMENT SHALL BECOME EFFECTIVE, CHECK ONE
OF THE
FOLLOWING:
( ) This document shall become effective upon the date of my
signature.
( ) This document shall become effective upon the date of my
disability and shall not otherwise be
affected by my disability.
IF YOU HAVE INDICATED THAT THIS DOCUMENT SHALL BECOME EFFECTIVE ON
THE
DATE OF YOUR SIGNATURE, CHECK ONE OF THE FOLLOWING:
( ) This document shall not be affected by my subsequent
disability.
( ) This document shall be revoked by my subsequent
disability.
IF YOU HAVE INDICATED THAT THIS DOCUMENT SHALL BECOME EFFECTIVE
UPON
THE DATE OF YOUR SIGNATURE AND WANT TO LIMIT THE TERM OF THIS
DOCUMENT, COMPLETE THE FOLLOWING:
This document shall only continue in effect for
________ ( )
years from the date of my signature.
NOTICE OF REVOCATION OF THE POWERS GRANTED IN THIS DOCUMENT
You may revoke one or more of the powers
granted in this document.
Unless otherwise provided in this document, you
may revoke a specific
power granted in this power of attorney by
completing a special power
of attorney that includes the specific power in
this document that you
want to revoke. Unless otherwise provided in
this document, you may
revoke all the powers granted in this power of
attorney by completing a
subsequent power of attorney.
NOTICE TO THIRD PARTIES
A third party who relies on the reasonable
representations of an
attorney-in-fact as to a matter relating to a
power granted by a
properly executed statutory power of attorney
does not incur any
liability to the principal or to the
principal's heirs, assigns, or
estate as a result of permitting the
attorney-in-fact to exercise the
authority granted by the power of attorney. A
third party who fails to
honor a properly executed statutory form power
of attorney may be
liable to the principal, the attorney-in-fact,
the principal's heirs,
assigns, or estate for a civil penalty, plus
damages, costs, and fees
associated with the failure to comply with the
statutory form power of
attorney. If the power of attorney is one which
becomes effective upon
the disability of the principal, the disability
of the principal is
established by an affidavit, as required by
law.
IN WITNESS WHEREOF,
I have hereunto signed my name this ______ day of __________,
________.
___________________________________________________________
Signature of Principal
Acknowledged before me at
__________________________ on ______________________________.
____________________________________________________________
Signature of Officer or Notary