Nebraska General Power of Attorney Template
This legal document grants powers from the Principal, the individual creating the Power of Attorney, to the Agent or Attorney-in-Fact, the individual authorized to act on the Principal's behalf. This document complies with the Nebraska Uniform Power of Attorney Act and becomes effective as soon as all parties sign it, unless otherwise stated.
Notice: This Power of Attorney remains effective until the Principal becomes incapacitated, revokes the Power of Attorney, or passes away, unless a durable type of Power of Attorney is specified. For advice on a durable Power of Attorney or for more complicated matters, consulting with an attorney is recommended.
1. Principal Information
Name: _____________________________________________________
Address: __________________________________________________
City, State, Zip: ____________________, Nebraska, ___________
Phone Number: _____________________________________________
2. Agent/Attorney-in-Fact Information
Name: _____________________________________________________
Address: __________________________________________________
City, State, Zip: ____________________, Nebraska, ___________
Phone Number: _____________________________________________
3. Powers Granted
Select the powers to be granted to the Agent by initialing next to each power. You may grant all powers listed by initialing the "All of the Above Powers" line.
- Real 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
- All of the above powers
4. Special Instructions
Include any special instructions limiting or extending the powers granted to your Agent:
________________________________________________________________
________________________________________________________________
5. Execution
This Power of Attorney will be governed by the laws of the state of Nebraska. It becomes effective immediately upon the signatures of all parties, unless a different effective date is noted below.
Effective Date: ___________________________________________
Signatures
Principal's Signature: ___________________________________ Date: _______________
Agent's Signature: _____________________________________ Date: _______________
This document was signed in the presence of a notary public, affirming the identities of both the Principal and Agent.
Notary Public Signature: ________________________________ Date: _______________
My commission expires: _____________________________________