Connecticut Statutory Short Form Power of Attorney
NOTICE: The powers granted by this document are broad and
sweeping. They are defined in Connecticut Statutory Short
Form Power of Attorney Act, sections 1-42 to 1-56,
inclusive, of the general statutes, which expressly permits
the use of any other or different form of power of attorney
desired by the parties concerned. The grantor of any power
of attorney or the attorney-in-fact may make application to
a court of probate for an accounting as provided in
subsection (b) of section 45a-175.
Know All Men by These Presents, which are intended to
constitute a GENERAL POWER OF ATTORNEY pursuant to
Connecticut Statutory Short Form Power of Attorney Act:
That I
________________________________________________________________
(insert name and address of the principal) do hereby
appoint
_____________________________________________________________________
(insert name and address of the agent, or each agent, if
more than one is designated) my attorney(s)- in-fact TO ACT
_________________
(If more than one agent is designated and the principal
wishes each agent alone to be able to exercise the power
conferred, insert in this blank the word "severally".
Failure to make any insertion or the insertion of the word
"jointly" shall require the agents to act jointly.)
First: 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 the
Connecticut Statutory Short Form Power of Attorney Act to
the extent that I am permitted by law to act through an
agent:
(Strike out and initial in the opposite box any one or more
of the subdivisions as to which the principal does NOT
desire to give the agent authority. Such elimination of any
one or more of subdivisions (A) to (L), inclusive, shall
automatically constitute an elimination also of subdivision
(M).)
To strike out any subdivision the principal must draw a
line through the text