Colo. Rev. Stat. § 15-14-742

Current through Chapter 123 of the 2024 Legislative Session

Section 15-14-742 - Certification

The following optional form may be used by an agent to certify facts concerning a power of attorney.

AGENT'S CERTIFICATION AS TO THE VALIDITY OF

POWER OF ATTORNEY AND AGENT'S AUTHORITY

State of __________________________________ County of __________________________________

I, __________________________________ (Name of agent), certify under penalty of perjury that __________________________________ (Name of principal) granted me authority as an agent or successor agent in a power of attorney dated __________________________________.

I further certify that to my knowledge:

(1) The principal is alive and has not revoked the power of attorney or my authority to act under the power of attorney and the power of attorney and my authority to act under the power of attorney have not terminated;

(2) If the power of attorney was drafted to become effective upon the happening of an event or contingency, the event or contingency has occurred;

(3) If I was named as a successor agent, the prior agent is no longer able or willing to serve; and

(4) ______________________________________________________________

______________________________________________________________

______________________________________________________________

______________________________________________________________

______________________________________________________________

(Insert other relevant statements)

SIGNATURE AND ACKNOWLEDGMENT

_______________________ _____________

Agent signature Date

_______________________

Agent's name printed

_______________________

_______________________

Agent's address

_______________________

Agent's telephone number

This document was acknowledged before me on ________________________,

(Date)

by ________________________.

(Name of agent)

__________________________(Seal, if any)

Signature of notary

My commission expires:________________________

This document prepared by:

___________________________________________

C.R.S. § 15-14-742

L. 2009: Entire part added, (HB 09-1198), ch. 106, p. 417, §1, effective April 9.

OFFICIAL COMMENT

This section provides an optional form that may be used by an agent to certify facts concerning a power of attorney. Although the form contains statements of fact about which persons commonly request certification, other factual statements may be added to the form for the purpose of providing an agent certification pursuant to Section 15-14-719.