VERMONT STATUTORY FORM POWER OF ATTORNEY IMPORTANT INFORMATION
This power of attorney authorizes another person (your agent) to take actions for you (the principal) in connection with a real estate transaction (sale, purchase, mortgage, or gift). Your agent will be able to make decisions and act with respect to a specific parcel of land whether or not you are able to act for yourself. The meaning of authority over subjects listed on this form is explained in the Vermont Uniform Power of Attorney Act, 14 V.S.A. chapter 127.
DESIGNATION OF AGENT
I/we and _________________________________________ (Name(s) of Principal) appoint the following person as my (our) agent:
Name of Agent: _________________________________________
Name of Alternate Agent: _________________________________________
Address of Property that is the subject of this power of attorney
(Street):, (Municipality)_________________________________________
_______________________________________________________________________, Vermont.
Transaction for which the power of attorney is given:
[ ] Sale
[ ] Purchase or Acquisition
[ ] Mortgage
[ ] Finance and/or Mortgage
[ ] Gift
GRANT OF AUTHORITY
I/we grant my (our) agent and any alternate agent authority named in this power of attorney to act for me/us with respect to a real estate transaction involving the property with the address stated above, including, but not limited to, the powers described in 14 V.S.A. § 4034(2), (3), and (4) as provided in the Vermont Uniform Power of Attorney Act, 14 V.S.A. chapter 127.
POWER TO DELEGATE
[ ] If this box is checked, each agent appointed in this power of attorney may delegate the authority to act to another person. Any delegation shall be in writing and executed in the same manner as this power of attorney.
TERM
This power of attorney commences when fully executed and continues until the real estate transaction for which it was given is complete.
SELF HEALING
[ ] If this box is checked, the agent named in this power of attorney may convey the subject real estate with or without consideration to the agent, individually, in trust, or to one or more persons with the agent.
CHOICE OF LAW
This power of attorney and the effect hereof shall be determined by the application of Vermont law and the Vermont Uniform Power of Attorney Act.
SIGNATURE AND ACKNOWLEDGMENT
_______________________________________________________________________ Your Name Printed
_______________________________________________________________________ Your Address
_______________________________________________________________________ Your Telephone Number_______________________________________________________________________
State of_________________________________________
County of_________________________________________
This document was acknowledged before me on _________________________________________(Date) by _______________________________________________________________________ (Name of Principal)
_________________________________________(Seal, if any)
Signature of Notary_________________________________________
My Commission expires:_________________________________________
14 V.S.A. § 4052