Docstoc Legal Agreements
This General and Statutory Power of Attorney is intended to be used by an individual to
grant an agent powers with respect to his or her property and financial matters. It will
enable the agent to make decisions and act on behalf of the principal with broad powers or
the principal may list the specific powers granted to the agent. This power of attorney
becomes effective upon execution until the principal's death, disability or incapacity. This
document is useful for individuals located in Hawaii who wish to appoint an agent to act on
their behalf.
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GENERAL AND STATUTORY POWER OF ATTORNEY
KNOW ALL PERSONS BY THESE PRESENTS:
I, ________________________________ [Instruction: Insert the name of principal]
hereinafter termed as the “Principal”, residing at ___________________ [Instruction: Insert
the Address of Principal], County of ______________ [Instruction: Insert the County], State
of Hawaii, do hereby make, constitute and appoint ________________________________
[Instruction: Insert the name of attorney in fact/agent], hereinafter termed as “Agent”,
residing at ___________________ [Instruction: Insert the Address of attorney in fact], my
true and lawful attorney in fact for me and in my name and behalf.
My Agent shall have full power and authority to perform any act, power, duty, legal right, or
obligation whatsoever that I now have or may later acquire in connection with or relating to any
person, item, transaction, thing, business, property, real or personal, tangible, or intangible, or
matter whatsoever as I could do if personally present. I hereby ratify and confirm all acts that my
Agent, or my Agent’s substitute or substitutes, shall lawfully do or cause to be done by virtue of
this power of attorney and the rights hereby granted. My Agent’s powers and authority shall
include, but not be limited to:
(__)Real Estate property transactions;
(__)Tangible personal property transactions;
(__)Stock and bond transactions;
(__)Commodity and option transactions;
(__)Banking and other financial institution transactions;
(__)Business operating transactions;
(__)Insurance and annuity transactions;
(__)Estate, trust, and other beneficiary transactions;
(__)Claims and litigation;
(__)Personal and family maintenance;
(__)Benefits from social security, Medicare, Medicaid, or other governmental programs or civil
or military service;
(__)Retirement plan transactions;
(__)Tax matters, including any transactions with the Internal Revenue Service;
(__)Decisions regarding lifesaving and life prolonging medical treatment;
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(__)Decisions relating to medical treatment, surgical treatment, nursing care, medication,
hospitalization, institutionalization in a nursing home or other facility and home health care,
(__)Transfer of property or income as a gift to the principal's spouse for the purpose of
qualifying the principal for governmental medical assistance.
[Instruction: Mark an ‘X’ next to desired powers and draw a line through those you do not
wish to include]
IF NO POWER LISTED ABOVE IS CROSSED OUT, THIS DOCUMENT MAY BE
CONSTRUED AND INTERPRETED AS A GENERAL POWER OF ATTORNEY AND MY
AGENT (Attorney-in-Fact) MAY HAVE THE POWER AND AUTHORITY TO PERFORM
OR UNDERTAKE ANY ACTION I COULD PERFORM OR UNDERTAKE IF I WERE
PERSONALLY PRESENT.
SPECIAL INSTRUCTIONS: (Optional)
I grant my Agent the power to apply my property to make gifts, except that the amount of a gift
to an individual may not exceed the amount of annual exclusions allowed from the federal gift
tax for the calendar year of the gift.
[Comment: In the following space, the Principal may give special instructions limiting or
extending the powers granted to Agent].
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