D.C. Code § 21-2603.02

Current through codified legislation effective June 1, 2024

Section 21-2603.02 - Agent's 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

District of Columbia ____________________________

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 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's 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 was prepared by: ________________________________________________

D.C. Code § 21-2603.02

Added by D.C. Law 24-236,§ 2, 69 DCR 014660, eff. 2/23/2023.