Maryland 2022 Regular Session

Maryland House Bill HB92 Compare Versions

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33 EXPLANATION: CAPITALS INDICATE MAT TER ADDED TO EXISTIN G LAW.
44 [Brackets] indicate matter deleted from existing law.
5- Underlining indicates amendments to bill.
6- Strike out indicates matter stricken from the bill by amendment or deleted from the law by
7-amendment.
85 *hb0092*
96
107 HOUSE BILL 92
118 N2 2lr0391
129 HB 870/21 – JUD (PRE–FILED)
1310 By: Delegate Hill
1411 Requested: August 18, 2021
1512 Introduced and read first time: January 12, 2022
1613 Assigned to: Judiciary
17-Committee Report: Favorable
18-House action: Adopted
19-Read second time: February 15, 2022
2014
21-CHAPTER ______
15+A BILL ENTITLED
2216
2317 AN ACT concerning 1
2418
2519 Maryland General and Limited Power of Attorney Act – Assistance With 2
2620 Governmental Benefits and Programs 3
2721
2822 FOR the purpose of altering certain statutory forms for a power of attorney to include 4
2923 certain provisions relating to the authority of an agent to perform certain acts 5
3024 relating to eligibility and qualifications for certain governmental benefits or 6
3125 programs; altering a certain provision in a certain statutory form for a limited power 7
3226 of attorney relating to the authority of an agent to make a gift of part or all of a 8
3327 principal’s property or to take certain actions with respect to certain trusts under 9
3428 certain circumstances; and generally relating to powers of attorney. 10
3529
3630 BY repealing and reenacting, with amendments, 11
3731 Article – Estates and Trusts 12
3832 Section 17–202 and 17–203 13
3933 Annotated Code of Maryland 14
4034 (2017 Replacement Volume and 2021 Supplement) 15
4135
4236 SECTION 1. BE IT ENACTED BY THE GENERAL ASSEMBLY OF MARYLAND, 16
4337 That the Laws of Maryland read as follows: 17
4438
4539 Article – Estates and Trusts 18
4640
4741 17–202. 19
42+
43+“MARYLAND STATUTORY FORM 20
44+
45+PERSONAL FINANCIAL POWER OF ATTORNEY 21
46+
47+IMPORTANT INFORMATION AND WARNING 22
4848 2 HOUSE BILL 92
4949
5050
51-“MARYLAND STATUTORY FORM 1
51+You should be very careful in deciding whether or not to sign this document. The powers 1
52+granted by you (the principal) in this document are broad and sweeping. This power of 2
53+attorney authorizes another person (your agent) to make decisions concerning your 3
54+property for you (the principal). Your agent will be able to make decisions and act with 4
55+respect to your property (including your money) whether or not you are able to act for 5
56+yourself. 6
5257
53-PERSONAL FINANCIAL POWER OF ATTORNEY 2
58+You should select someone you trust to serve as your agent. Unless you specify otherwise, 7
59+generally the agent’s authority will continue until you die or revoke the power of attorney 8
60+or the agent resigns or is unable to act for you. 9
5461
55-IMPORTANT INFORMATION AND WARNING 3
62+You need not grant all of the powers listed below. If you choose to grant less than all of the 10
63+listed powers, you may instead use a Maryland Statutory Form Limited Power of Attorney 11
64+and mark on that Maryland Statutory Form Limited Power of Attorney which powers you 12
65+intend to delegate to your attorney–in–fact (the Agent) and which you do not want the 13
66+Agent to exercise. 14
5667
57-You should be very careful in deciding whether or not to sign this document. The powers 4
58-granted by you (the principal) in this document are broad and sweeping. This power of 5
59-attorney authorizes another person (your agent) to make decisions concerning your 6
60-property for you (the principal). Your agent will be able to make decisions and act with 7
61-respect to your property (including your money) whether or not you are able to act for 8
62-yourself. 9
68+This power of attorney becomes effective immediately unless you state otherwise in the 15
69+Special Instructions. 16
6370
64-You should select someone you trust to serve as your agent. Unless you specify otherwise, 10
65-generally the agent’s authority will continue until you die or revoke the power of attorney 11
66-or the agent resigns or is unable to act for you. 12
71+You should obtain competent legal advice before you sign this power of attorney if you have 17
72+any questions about the document or the authority you are granting to your agent. 18
6773
68-You need not grant all of the powers listed below. If you choose to grant less than all of the 13
69-listed powers, you may instead use a Maryland Statutory Form Limited Power of Attorney 14
70-and mark on that Maryland Statutory Form Limited Power of Attorney which powers you 15
71-intend to delegate to your attorney–in–fact (the Agent) and which you do not want the 16
72-Agent to exercise. 17
74+DESIGNATION OF AGENT 19
7375
74-This power of attorney becomes effective immediately unless you state otherwise in the 18
75-Special Instructions. 19
76+This section of the form provides for designation of one agent. 20
7677
77-You should obtain competent legal advice before you sign this power of attorney if you have 20
78-any questions about the document or the authority you are granting to your agent. 21
78+If you wish to name coagents, skip this section and use the next section (“Designation of 21
79+Coagents”). 22
7980
80-DESIGNATION OF AGENT 22
81+I, ___________________________________________________________________________, 23
8182
82-This section of the form provides for designation of one agent. 23
83+(Name of Principal) 24
8384
84-If you wish to name coagents, skip this section and use the next section (“Designation of 24
85-Coagents”). 25
85+Name the following person as my agent: 25
8686
87-I, ___________________________________________________________________________, 26
87+Name of Agent: _______________________________________________________________ 26
8888
89-(Name of Principal) 27
89+Agent’s Address: ______________________________________________________________ 27
9090
91-Name the following person as my agent: 28
91+Agent’s Telephone Number: ___________________________________________________ 28
9292
93-Name of Agent: _______________________________________________________________ 29
93+DESIGNATION OF COAGENTS (OPTIONAL) 29
9494
95-Agent’s Address: ______________________________________________________________ 30
96-
97-Agent’s Telephone Number: ___________________________________________________ 31 HOUSE BILL 92 3
95+This section of the form provides for designation of two or more coagents. Coagents are 30
96+required to act together unanimously unless you otherwise provide in this form. 31
97+ HOUSE BILL 92 3
9898
9999
100+I, ___________________________________________________________________________, 1
100101
101-DESIGNATION OF COAGENTS (OPTIONAL) 1
102+(Name of Principal) 2
102103
103-This section of the form provides for designation of two or more coagents. Coagents are 2
104-required to act together unanimously unless you otherwise provide in this form. 3
104+Name the following persons as coagents: _______________________________________ 3
105105
106-I, ___________________________________________________________________________, 4
106+Name of Coagent: ____________________________________________________________ 4
107107
108-(Name of Principal) 5
108+Coagent’s Address: ___________________________________________________________ 5
109109
110-Name the following persons as coagents: _______________________________________ 6
110+Coagent’s Telephone Number: _________________________________________________ 6
111111
112112 Name of Coagent: ____________________________________________________________ 7
113113
114114 Coagent’s Address: ___________________________________________________________ 8
115115
116116 Coagent’s Telephone Number: _________________________________________________ 9
117117
118-Name of Coagent: ____________________________________________________________ 10
118+Special Instructions Regarding Coagents: _______________________________________ 10
119+___________________________________________________________________________________ 11
120+___________________________________________________________________________________ 12
121+____________________________________________________________________ 13
119122
120-Coagent’s Address: ___________________________________________________________ 11
123+DESIGNATION OF SUCCESSOR AGENT(S) (OPTIONAL) 14
121124
122-Coagent’s Telephone Number: _________________________________________________ 12
125+If my agent is unable or unwilling to act for me, I name as my successor agent: 15
123126
124-Special Instructions Regarding Coagents: _______________________________________ 13
125-___________________________________________________________________________________ 14
126-___________________________________________________________________________________ 15
127-____________________________________________________________________ 16
127+Name of Successor Agent: _____________________________________________________ 16
128128
129-DESIGNATION OF SUCCESSOR AGENT(S) (OPTIONAL) 17
129+Successor Agent’s 17
130+Address: _____________________________________________________________________ 18
130131
131-If my agent is unable or unwilling to act for me, I name as my successor agent: 18
132+Successor Agent’s 19
133+Telephone Number: ___________________________________________________________ 20
132134
133-Name of Successor Agent: _____________________________________________________ 19
135+If my successor agent is unable or unwilling to act for me, I name as my second successor 21
136+agent: 22
134137
135-Successor Agent’s 20
136-Address: _____________________________________________________________________ 21
138+Name of Second 23
139+Successor Agent: _____________________________________________________________ 24
137140
138-Successor Agent’s 22
139-Telephone Number: ___________________________________________________________ 23
141+Second Successor 25
142+Agent’s Address: ______________________________________________________________ 26
140143
141-If my successor agent is unable or unwilling to act for me, I name as my second successor 24
142-agent: 25
143-
144-Name of Second 26
145-Successor Agent: _____________________________________________________________ 27
144+Second Successor Agent’s 27
145+Telephone Number: ___________________________________________________________ 28
146146 4 HOUSE BILL 92
147147
148148
149-Second Successor 1
150-Agent’s Address: ______________________________________________________________ 2
149+GRANT OF GENERAL AUTHORITY 1
151150
152-Second Successor Agent’s 3
153-Telephone Number: ___________________________________________________________ 4
151+I (“the principal”) grant my agent and any successor agent, with respect to each subject 2
152+listed below, the authority to do all acts that I could do to: 3
154153
155-GRANT OF GENERAL AUTHORITY 5
154+ (1) Contract with another person, on terms agreeable to the agent, to 4
155+accomplish a purpose of a transaction and perform, rescind, cancel, terminate, reform, 5
156+restate, release, or modify the contract or another contract made by or on behalf of the 6
157+principal; 7
156158
157-I (“the principal”) grant my agent and any successor agent, with respect to each subject 6
158-listed below, the authority to do all acts that I could do to: 7
159+ (2) Execute, acknowledge, seal, deliver, file, or record any instrument or 8
160+communication the agent considers desirable to accomplish a purpose of a transaction; 9
159161
160- (1) Contract with another person, on terms agreeable to the agent, to 8
161-accomplish a purpose of a transaction and perform, rescind, cancel, terminate, reform, 9
162-restate, release, or modify the contract or another contract made by or on behalf of the 10
163-principal; 11
162+ (3) Seek on the principal’s behalf the assistance of a court or other 10
163+governmental agency to carry out an act authorized in this power of attorney; 11
164164
165- (2) Execute, acknowledge, seal, deliver, file, or record any instrument or 12
166-communication the agent considers desirable to accomplish a purpose of a transaction; 13
165+ (4) Initiate, participate in, submit to alternative dispute resolution, settle, 12
166+oppose, or propose or accept a compromise with respect to a claim existing in favor of or 13
167+against the principal or intervene in litigation relating to the claim; 14
167168
168- (3) Seek on the principal’s behalf the assistance of a court or other 14
169-governmental agency to carry out an act authorized in this power of attorney; 15
169+ (5) Engage, compensate, and discharge an attorney, accountant, 15
170+discretionary investment manager, expert witness, or other advisor; 16
170171
171- (4) Initiate, participate in, submit to alternative dispute resolution, settle, 16
172-oppose, or propose or accept a compromise with respect to a claim existing in favor of or 17
173-against the principal or intervene in litigation relating to the claim; 18
172+ (6) Prepare, execute, and file a record, report, or other document to 17
173+safeguard or promote the principal’s interest under a statute or regulation and 18
174+communicate with representatives or employees of a government or governmental 19
175+subdivision, agency, or instrumentality, on behalf of the principal; and 20
174176
175- (5) Engage, compensate, and discharge an attorney, accountant, 19
176-discretionary investment manager, expert witness, or other advisor; 20
177+ (7) Do lawful acts with respect to the subject and all property related to the 21
178+subject. 22
177179
178- (6) Prepare, execute, and file a record, report, or other document to 21
179-safeguard or promote the principal’s interest under a statute or regulation and 22
180-communicate with representatives or employees of a government or governmental 23
181-subdivision, agency, or instrumentality, on behalf of the principal; and 24
180+SUBJECTS AND AUTHORITY 23
182181
183- (7) Do lawful acts with respect to the subject and all property related to the 25
184-subject. 26
182+My agent’s authority shall include the authority to act as stated below with regard to each 24
183+of the following subjects: 25
185184
186-SUBJECTS AND AUTHORITY 27
187-
188-My agent’s authority shall include the authority to act as stated below with regard to each 28
189-of the following subjects: 29
190-
191-Real property – With respect to this subject, I authorize my agent to: demand, buy, sell, 30
192-convey, lease, receive, accept as a gift or as security for an extension of credit, or otherwise 31
193-acquire or reject an interest in real property or a right incident to real property; pledge or 32
194-mortgage an interest in real property or right incident to real property as security to borrow 33
195-money or pay, renew, or extend the time of payment of a debt of the principal or a debt 34 HOUSE BILL 92 5
185+Real property – With respect to this subject, I authorize my agent to: demand, buy, sell, 26
186+convey, lease, receive, accept as a gift or as security for an extension of credit, or otherwise 27
187+acquire or reject an interest in real property or a right incident to real property; pledge or 28
188+mortgage an interest in real property or right incident to real property as security to borrow 29
189+money or pay, renew, or extend the time of payment of a debt of the principal or a debt 30
190+guaranteed by the principal, including a reverse mortgage; release, assign, satisfy, or 31
191+enforce by litigation or otherwise a mortgage, deed of trust, conditional sale contract, 32
192+encumbrance, lien, or other claim to real property that exists or is asserted; and manage or 33
193+conserve an interest in real property or a right incident to real property owned or claimed 34
194+to be owned by the principal, including: (1) insuring against liability or casualty or other 35
195+loss; (2) obtaining or regaining possession of or protecting the interest or right by litigation 36 HOUSE BILL 92 5
196196
197197
198-guaranteed by the principal, including a reverse mortgage; release, assign, satisfy, or 1
199-enforce by litigation or otherwise a mortgage, deed of trust, conditional sale contract, 2
200-encumbrance, lien, or other claim to real property that exists or is asserted; and manage or 3
201-conserve an interest in real property or a right incident to real property owned or claimed 4
202-to be owned by the principal, including: (1) insuring against liability or casualty or other 5
203-loss; (2) obtaining or regaining possession of or protecting the interest or right by litigation 6
204-or otherwise; (3) paying, assessing, compromising, or contesting taxes or assessments or 7
205-applying for and receiving refunds in connection with them; and (4) purchasing supplies, 8
206-hiring assistance or labor, and making repairs or alterations to the real property. 9
198+or otherwise; (3) paying, assessing, compromising, or contesting taxes or assessments or 1
199+applying for and receiving refunds in connection with them; and (4) purchasing supplies, 2
200+hiring assistance or labor, and making repairs or alterations to the real property. 3
207201
208-Stocks and bonds – With respect to this subject, I authorize my agent to: buy, sell, and 10
209-exchange stocks and bonds; establish, continue, modify, or terminate an account with 11
210-respect to stocks and bonds; pledge stocks and bonds as security to borrow, pay, renew, or 12
211-extend the time of payment of a debt of the principal; receive certificates and other 13
212-evidences of ownership with respect to stocks and bonds; exercise voting rights with respect 14
213-to stocks and bonds in person or by proxy, enter into voting trusts, and consent to 15
214-limitations on the right to vote. 16
202+Stocks and bonds – With respect to this subject, I authorize my agent to: buy, sell, and 4
203+exchange stocks and bonds; establish, continue, modify, or terminate an account with 5
204+respect to stocks and bonds; pledge stocks and bonds as security to borrow, pay, renew, or 6
205+extend the time of payment of a debt of the principal; receive certificates and other 7
206+evidences of ownership with respect to stocks and bonds; exercise voting rights with respect 8
207+to stocks and bonds in person or by proxy, enter into voting trusts, and consent to 9
208+limitations on the right to vote. 10
215209
216-Banks and other financial institutions – With respect to this subject, I authorize my agent 17
217-to: continue, modify, transact all business in connection with, and terminate an account or 18
218-other banking arrangement made by or on behalf of the principal; establish, modify, 19
219-transact all business in connection with, and terminate an account or other banking 20
220-arrangement with a bank, trust company, savings and loan association, credit union, thrift 21
221-company, brokerage firm, or other financial institution selected by the agent; contract for 22
222-services available from a financial institution, including renting a safe deposit box or space 23
223-in a vault; deposit by check, money order, electronic funds transfer, or otherwise with, or 24
224-leave in the custody of, a financial institution money or property of the principal; withdraw, 25
225-by check, money order, electronic funds transfer, or otherwise, money or property of the 26
226-principal deposited with or left in the custody of a financial institution; receive statements 27
227-of account, vouchers, notices, and similar documents from a financial institution and act 28
228-with respect to them; enter a safe deposit box or vault and withdraw or add to the contents; 29
229-borrow money and pledge as security personal property of the principal necessary to borrow 30
230-money or pay, renew, or extend the time of payment of a debt of the principal or a debt 31
231-guaranteed by the principal; make, assign, draw, endorse, discount, guarantee, and 32
232-negotiate promissory notes, checks, drafts, and other negotiable or nonnegotiable paper of 33
233-the principal or payable to the principal or the principal’s order, transfer money, receive 34
234-the cash or other proceeds of those transactions; and apply for, receive, and use credit cards 35
235-and debit cards, electronic transaction authorizations, and traveler’s checks from a 36
236-financial institution. 37
210+Banks and other financial institutions – With respect to this subject, I authorize my agent 11
211+to: continue, modify, transact all business in connection with, and terminate an account or 12
212+other banking arrangement made by or on behalf of the principal; establish, modify, 13
213+transact all business in connection with, and terminate an account or other banking 14
214+arrangement with a bank, trust company, savings and loan association, credit union, thrift 15
215+company, brokerage firm, or other financial institution selected by the agent; contract for 16
216+services available from a financial institution, including renting a safe deposit box or space 17
217+in a vault; deposit by check, money order, electronic funds transfer, or otherwise with, or 18
218+leave in the custody of, a financial institution money or property of the principal; withdraw, 19
219+by check, money order, electronic funds transfer, or otherwise, money or property of the 20
220+principal deposited with or left in the custody of a financial institution; receive statements 21
221+of account, vouchers, notices, and similar documents from a financial institution and act 22
222+with respect to them; enter a safe deposit box or vault and withdraw or add to the contents; 23
223+borrow money and pledge as security personal property of the principal necessary to borrow 24
224+money or pay, renew, or extend the time of payment of a debt of the principal or a debt 25
225+guaranteed by the principal; make, assign, draw, endorse, discount, guarantee, and 26
226+negotiate promissory notes, checks, drafts, and other negotiable or nonnegotiable paper of 27
227+the principal or payable to the principal or the principal’s order, transfer money, receive 28
228+the cash or other proceeds of those transactions; and apply for, receive, and use credit cards 29
229+and debit cards, electronic transaction authorizations, and traveler’s checks from a 30
230+financial institution. 31
237231
238-Insurance and annuities – With respect to this subject, I authorize my agent to: continue, 38
239-pay the premium or make a contribution on, modify, exchange, rescind, release, or 39
240-terminate a contract procured by or on behalf of the principal that insures or provides an 40
241-annuity to either the principal or another person, whether or not the principal is a 41
242-beneficiary under the contract; procure new, different, and additional contracts of 42
243-insurance and annuities for the principal and select the amount, type of insurance or 43
244-annuity, and mode of payment; pay the premium or make a contribution on, modify, 44 6 HOUSE BILL 92
232+Insurance and annuities – With respect to this subject, I authorize my agent to: continue, 32
233+pay the premium or make a contribution on, modify, exchange, rescind, release, or 33
234+terminate a contract procured by or on behalf of the principal that insures or provides an 34
235+annuity to either the principal or another person, whether or not the principal is a 35
236+beneficiary under the contract; procure new, different, and additional contracts of 36
237+insurance and annuities for the principal and select the amount, type of insurance or 37
238+annuity, and mode of payment; pay the premium or make a contribution on, modify, 38
239+exchange, rescind, release, or terminate a contract of insurance or annuity procured by the 39
240+agent; apply for and receive a loan secured by a contract of insurance or annuity; surrender 40
241+and receive the cash surrender value on a contract of insurance or annuity; exercise an 41
242+election; exercise investment powers available under a contract of insurance or annuity; 42
243+change the manner of paying premiums on a contract of insurance or annuity; change or 43
244+convert the type of insurance or annuity with respect to which the principal has or claims 44 6 HOUSE BILL 92
245245
246246
247-exchange, rescind, release, or terminate a contract of insurance or annuity procured by the 1
248-agent; apply for and receive a loan secured by a contract of insurance or annuity; surrender 2
249-and receive the cash surrender value on a contract of insurance or annuity; exercise an 3
250-election; exercise investment powers available under a contract of insurance or annuity; 4
251-change the manner of paying premiums on a contract of insurance or annuity; change or 5
252-convert the type of insurance or annuity with respect to which the principal has or claims 6
253-to have authority described in this section; apply for and procure a benefit or assistance 7
254-under a statute or regulation to guarantee or pay premiums of a contract of insurance on 8
255-the life of the principal; collect, sell, assign, hypothecate, borrow against, or pledge the 9
256-interest of the principal in a contract of insurance or annuity; select the form and timing of 10
257-the payment of proceeds from a contract of insurance or annuity; pay, from proceeds or 11
258-otherwise, compromise or contest, and apply for refunds in connection with a tax or 12
259-assessment levied by a taxing authority with respect to a contract of insurance or annuity 13
260-or the proceeds or liability from the contract of insurance or annuity accruing by reason of 14
261-the tax or assessment. 15
247+to have authority described in this section; apply for and procure a benefit or assistance 1
248+under a statute or regulation to guarantee or pay premiums of a contract of insurance on 2
249+the life of the principal; collect, sell, assign, hypothecate, borrow against, or pledge the 3
250+interest of the principal in a contract of insurance or annuity; select the form and timing of 4
251+the payment of proceeds from a contract of insurance or annuity; pay, from proceeds or 5
252+otherwise, compromise or contest, and apply for refunds in connection with a tax or 6
253+assessment levied by a taxing authority with respect to a contract of insurance or annuity 7
254+or the proceeds or liability from the contract of insurance or annuity accruing by reason of 8
255+the tax or assessment. 9
262256
263-Claims and litigation – With respect to this subject, I authorize my agent to: assert and 16
264-maintain before a court or administrative agency a claim, claim for relief, cause of action, 17
265-counterclaim, offset, recoupment, or defense, including an action to recover property or 18
266-other thing of value, recover damages sustained by the principal, eliminate or modify tax 19
267-liability, or seek an injunction, specific performance, or other relief; act for the principal 20
268-with respect to bankruptcy or insolvency, whether voluntary or involuntary, concerning the 21
269-principal or some other person, or with respect to a reorganization, receivership, or 22
270-application for the appointment of a receiver or trustee that affects an interest of the 23
271-principal in property or other thing of value; pay a judgment, award, or order against the 24
272-principal or a settlement made in connection with a claim or litigation; and receive money 25
273-or other thing of value paid in settlement of or as proceeds of a claim or litigation. 26
257+Claims and litigation – With respect to this subject, I authorize my agent to: assert and 10
258+maintain before a court or administrative agency a claim, claim for relief, cause of action, 11
259+counterclaim, offset, recoupment, or defense, including an action to recover property or 12
260+other thing of value, recover damages sustained by the principal, eliminate or modify tax 13
261+liability, or seek an injunction, specific performance, or other relief; act for the principal 14
262+with respect to bankruptcy or insolvency, whether voluntary or involuntary, concerning the 15
263+principal or some other person, or with respect to a reorganization, receivership, or 16
264+application for the appointment of a receiver or trustee that affects an interest of the 17
265+principal in property or other thing of value; pay a judgment, award, or order against the 18
266+principal or a settlement made in connection with a claim or litigation; and receive money 19
267+or other thing of value paid in settlement of or as proceeds of a claim or litigation. 20
274268
275-Benefits from governmental programs or civil or military service (including any benefit, 27
276-program, or assistance provided under a statute or regulation including Social Security, 28
277-Medicare, and Medicaid) – With respect to this subject, I authorize my agent to: execute 29
278-vouchers in the name of the principal for allowances and reimbursements payable by the 30
279-United States or a foreign government or by a state or subdivision of a state to the principal; 31
280-PERFORM THE ACTS NEC ESSARY TO ENABLE THE PRINCIPAL TO QUALIFY FOR A 32
281-BENEFIT OR PROGRAM , INCLUDING OBTAINING PERSONAL AND FINANCI AL 33
282-RECORDS AND , TO THE EXTENT AUTHOR IZED IN THE SPECIAL INSTRUCTIO NS 34
283-BELOW, TO TRANSFER OR GIFT THE PRINCIPAL ’S PROPERTY; enroll in, apply for, 35
284-select, reject, change, amend, or discontinue, on the principal’s behalf, a benefit or program; 36
285-prepare, file, and maintain a claim of the principal for a benefit or assistance, financial or 37
286-otherwise, to which the principal may be entitled under a statute or regulation; initiate, 38
287-participate in, submit to alternative dispute resolution, settle, oppose, or propose or accept 39
288-a compromise with respect to litigation concerning a benefit or assistance the principal may 40
289-be entitled to receive under a statute or regulation; and receive the financial proceeds of a 41
290-claim described above and conserve, invest, disburse, or use for a lawful purpose anything 42
291-so received. 43
269+Benefits from governmental programs or civil or military service (including any benefit, 21
270+program, or assistance provided under a statute or regulation including Social Security, 22
271+Medicare, and Medicaid) – With respect to this subject, I authorize my agent to: execute 23
272+vouchers in the name of the principal for allowances and reimbursements payable by the 24
273+United States or a foreign government or by a state or subdivision of a state to the principal; 25
274+PERFORM THE ACTS NEC ESSARY TO ENABLE THE PRINCIPAL TO QUALIFY FOR A 26
275+BENEFIT OR PROGRAM , INCLUDING OBTAINING PERSONAL AND FINANCI AL 27
276+RECORDS AND , TO THE EXTENT AUTHOR IZED IN THE SPECIAL INSTRUCTIONS 28
277+BELOW, TO TRANSFER OR GIFT THE PRINCIPAL ’S PROPERTY; enroll in, apply for, 29
278+select, reject, change, amend, or discontinue, on the principal’s behalf, a benefit or program; 30
279+prepare, file, and maintain a claim of the principal for a benefit or assistance, financial or 31
280+otherwise, to which the principal may be entitled under a statute or regulation; initiate, 32
281+participate in, submit to alternative dispute resolution, settle, oppose, or propose or accept 33
282+a compromise with respect to litigation concerning a benefit or assistance the principal may 34
283+be entitled to receive under a statute or regulation; and receive the financial proceeds of a 35
284+claim described above and conserve, invest, disburse, or use for a lawful purpose anything 36
285+so received. 37
292286
293-Retirement plans (including a plan or account created by an employer, the principal, or 44 HOUSE BILL 92 7
287+Retirement plans (including a plan or account created by an employer, the principal, or 38
288+another individual to provide retirement benefits or deferred compensation of which the 39
289+principal is a participant, beneficiary, or owner, including a plan or account under the 40
290+following sections of the Internal Revenue Code: (1) an individual retirement account under 41
291+Internal Revenue Code Section 408, 26 U.S.C. § 408; (2) a Roth individual retirement 42
292+account under Internal Revenue Code Section 408A, 26 U.S.C. § 408A; (3) a deemed 43
293+individual retirement account under Internal Revenue Code Section 408(q), 26 U.S.C. § 44 HOUSE BILL 92 7
294294
295295
296-another individual to provide retirement benefits or deferred compensation of which the 1
297-principal is a participant, beneficiary, or owner, including a plan or account under the 2
298-following sections of the Internal Revenue Code: (1) an individual retirement account under 3
299-Internal Revenue Code Section 408, 26 U.S.C. § 408; (2) a Roth individual retirement 4
300-account under Internal Revenue Code Section 408A, 26 U.S.C. § 408A; (3) a deemed 5
301-individual retirement account under Internal Revenue Code Section 408(q), 26 U.S.C. § 6
302-408(q); (4) an annuity or mutual fund custodial account under Internal Revenue Code 7
303-Section 403(b), 26 U.S.C. § 403(b); (5) a pension, profit–sharing, stock bonus, or other 8
304-retirement plan qualified under Internal Revenue Code Section 401(a), 26 U.S.C. § 401(a); 9
305-(6) a plan under Internal Revenue Code Section 457(b), 26 U.S.C. § 457(b); and (7) a 10
306-nonqualified deferred compensation plan under Internal Revenue Code Section 409A, 26 11
307-U.S.C. § 409A) – With respect to this subject, I authorize my agent to: select the form and 12
308-timing of payments under a retirement plan and withdraw benefits from a plan; make a 13
309-rollover, including a direct trustee–to–trustee rollover, of benefits from one retirement plan 14
310-to another; establish a retirement plan in the principal’s name; make contributions to a 15
311-retirement plan; exercise investment powers available under a retirement plan; borrow 16
312-from, sell assets to, or purchase assets from a retirement plan. I recognize that granting 17
313-my agent the authority to create or change a beneficiary designation for a retirement plan 18
314-may affect the benefits that I may receive if that authority is exercised. If I grant my agent 19
315-the authority to designate the agent, the agent’s spouse, or a dependent of the agent as a 20
316-beneficiary of a retirement plan, the grant may constitute a taxable gift by me and may 21
317-make the property subject to that authority taxable as a part of the agent’s estate. 22
318-Therefore, if I wish to authorize my agent to create or change a beneficiary designation for 23
319-any retirement plan, and in particular if I wish to authorize the agent to designate as my 24
320-beneficiary the agent, the agent’s spouse, or a dependent of the agent, I will explicitly state 25
321-this authority in the Special Instructions section that follows or in a separate power of 26
322-attorney. 27
296+408(q); (4) an annuity or mutual fund custodial account under Internal Revenue Code 1
297+Section 403(b), 26 U.S.C. § 403(b); (5) a pension, profit–sharing, stock bonus, or other 2
298+retirement plan qualified under Internal Revenue Code Section 401(a), 26 U.S.C. § 401(a); 3
299+(6) a plan under Internal Revenue Code Section 457(b), 26 U.S.C. § 457(b); and (7) a 4
300+nonqualified deferred compensation plan under Internal Revenue Code Section 409A, 26 5
301+U.S.C. § 409A) – With respect to this subject, I authorize my agent to: select the form and 6
302+timing of payments under a retirement plan and withdraw benefits from a plan; make a 7
303+rollover, including a direct trustee–to–trustee rollover, of benefits from one retirement plan 8
304+to another; establish a retirement plan in the principal’s name; make contributions to a 9
305+retirement plan; exercise investment powers available under a retirement plan; borrow 10
306+from, sell assets to, or purchase assets from a retirement plan. I recognize that granting 11
307+my agent the authority to create or change a beneficiary designation for a retirement plan 12
308+may affect the benefits that I may receive if that authority is exercised. If I grant my agent 13
309+the authority to designate the agent, the agent’s spouse, or a dependent of the agent as a 14
310+beneficiary of a retirement plan, the grant may constitute a taxable gift by me and may 15
311+make the property subject to that authority taxable as a part of the agent’s estate. 16
312+Therefore, if I wish to authorize my agent to create or change a beneficiary designation for 17
313+any retirement plan, and in particular if I wish to authorize the agent to designate as my 18
314+beneficiary the agent, the agent’s spouse, or a dependent of the agent, I will explicitly state 19
315+this authority in the Special Instructions section that follows or in a separate power of 20
316+attorney. 21
323317
324-Taxes – With respect to this subject, I authorize my agent to: prepare, sign, and file federal, 28
325-state, local, and foreign income, gift, payroll, property, federal insurance contributions act, 29
326-and other tax returns, claims for refunds, requests for extension of time, petitions regarding 30
327-tax matters, and other tax–related documents, including receipts, offers, waivers, consents, 31
328-including consents and agreements under Internal Revenue Code Section 2032(A), 26 32
329-U.S.C. § 2032(A), closing agreements, and other powers of attorney required by the Internal 33
330-Revenue Service or other taxing authority with respect to a tax year on which the statute 34
331-of limitations has not run and the following 25 tax years; pay taxes due, collect refunds, 35
332-post bonds, receive confidential information, and contest deficiencies determined by the 36
333-Internal Revenue Service or other taxing authority; exercise elections available to the 37
334-principal under federal, state, local, or foreign tax law; and act for the principal in all tax 38
335-matters for all periods before the Internal Revenue Service, or other taxing authority. 39
318+Taxes – With respect to this subject, I authorize my agent to: prepare, sign, and file federal, 22
319+state, local, and foreign income, gift, payroll, property, federal insurance contributions act, 23
320+and other tax returns, claims for refunds, requests for extension of time, petitions regarding 24
321+tax matters, and other tax–related documents, including receipts, offers, waivers, consents, 25
322+including consents and agreements under Internal Revenue Code Section 2032(A), 26 26
323+U.S.C. § 2032(A), closing agreements, and other powers of attorney required by the Internal 27
324+Revenue Service or other taxing authority with respect to a tax year on which the statute 28
325+of limitations has not run and the following 25 tax years; pay taxes due, collect refunds, 29
326+post bonds, receive confidential information, and contest deficiencies determined by the 30
327+Internal Revenue Service or other taxing authority; exercise elections available to the 31
328+principal under federal, state, local, or foreign tax law; and act for the principal in all tax 32
329+matters for all periods before the Internal Revenue Service, or other taxing authority. 33
336330
337-Digital assets – With respect to this subject, in accordance with the Maryland Fiduciary 40
338-Access to Digital Assets Act, my agent shall have authority over and the right to access: (1) 41
339-the content of any of my electronic communications; (2) any catalogue of electronic 42
340-communications sent or received by me; and (3) any other digital asset in which I have a 43
341-right or interest. 44
342- 8 HOUSE BILL 92
331+Digital assets – With respect to this subject, in accordance with the Maryland Fiduciary 34
332+Access to Digital Assets Act, my agent shall have authority over and the right to access: (1) 35
333+the content of any of my electronic communications; (2) any catalogue of electronic 36
334+communications sent or received by me; and (3) any other digital asset in which I have a 37
335+right or interest. 38
336+
337+SPECIAL INSTRUCTIONS (OPTIONAL) 39
338+
339+YOU MAY GIVE SPECIAL INSTRUCTIONS ON THE FOLL OWING LINES: 40
340+
341+___________________________________________________________________________________ 41
342+___________________________________________________________________________________ 42 8 HOUSE BILL 92
343343
344344
345-SPECIAL INSTRUCTIONS (OPTIONAL) 1
346-
347-YOU MAY GIVE SPECIAL INSTRUCTIONS ON THE FOLLOWING LINES: 2
348-
345+___________________________________________________________________________________ 1
346+___________________________________________________________________________________ 2
349347 ___________________________________________________________________________________ 3
350348 ___________________________________________________________________________________ 4
351349 ___________________________________________________________________________________ 5
352-___________________________________________________________________________________ 6
353-___________________________________________________________________________________ 7
354-___________________________________________________________________________________ 8
355-___________________________________________________________________________________ 9
356-___________________________________________ 10
350+___________________________________________ 6
357351
358-EFFECTIVE DATE 11
352+EFFECTIVE DATE 7
359353
360-This power of attorney is effective immediately unless I have stated otherwise in the Special 12
361-Instructions. 13
354+This power of attorney is effective immediately unless I have stated otherwise in the Special 8
355+Instructions. 9
362356
363-TERMINATION DATE (OPTIONAL) 14
357+TERMINATION DATE (OPTIONAL) 10
364358
365-This power of attorney shall terminate on ______________________________, 20____. 15
366- (Use a specific calendar date) 16
359+This power of attorney shall terminate on ______________________________, 20____. 11
360+ (Use a specific calendar date) 12
367361
368-NOMINATION OF GUARDIAN (OPTIONAL) 17
362+NOMINATION OF GUARDIAN (OPTIONAL) 13
369363
370-If it becomes necessary for a court to appoint a guardian of my property or guardian of my 18
371-person, I nominate the following person(s) for appointment: 19
364+If it becomes necessary for a court to appoint a guardian of my property or guardian of my 14
365+person, I nominate the following person(s) for appointment: 15
372366
373-Name of nominee for guardian of my property: __________________________________ 20
374-Nominee’s address: ___________________________________________________________ 21
375-Nominee’s telephone number: _________________________________________________ 22
376-Name of nominee for guardian of my person: ____________________________________ 23
377-Nominee’s address: ___________________________________________________________ 24
378-Nominee’s telephone number: _________________________________________________ 25
367+Name of nominee for guardian of my property: __________________________________ 16
368+Nominee’s address: ___________________________________________________________ 17
369+Nominee’s telephone number: _________________________________________________ 18
370+Name of nominee for guardian of my person: ____________________________________ 19
371+Nominee’s address: ___________________________________________________________ 20
372+Nominee’s telephone number: _________________________________________________ 21
379373
380-DESIGNATION OF AGENT TO MAKE ELECTION TO TAKE ELECTIVE SHARE 26
381-(OPTIONAL) 27
374+DESIGNATION OF AGENT TO MAKE ELECTION TO TAKE ELECTIVE SHARE 22
375+(OPTIONAL) 23
382376
383-If I am incapacitated within the meaning of § 17–101 of the Estates and Trusts Article, I 28
384-designate the following person as my agent for purposes of making the election to take an 29
385-elective share of an estate subject to election under § 3–403 of the Estates and Trusts 30
386-Article: 31
377+If I am incapacitated within the meaning of § 17–101 of the Estates and Trusts Article, I 24
378+designate the following person as my agent for purposes of making the election to take an 25
379+elective share of an estate subject to election under § 3–403 of the Estates and Trusts 26
380+Article: 27
387381
388-Name of designated agent: _____________________________________________________ 32
389-Designated agent’s address: ____________________________________________________ 33
390-Designated agent’s telephone number: __________________________________________ 34
391- HOUSE BILL 92 9
382+Name of designated agent: _____________________________________________________ 28
383+Designated agent’s address: ____________________________________________________ 29
384+Designated agent’s telephone number: __________________________________________ 30
385+
386+SIGNATURE AND ACKNOWLEDGMENT 31
387+
388+________________________________________ __________________________ 32
389+Your Signature Date 33
390+
391+______________________________________________________________________________ 34 HOUSE BILL 92 9
392392
393393
394-SIGNATURE AND ACKNOWLEDGM ENT 1
394+Your Name Printed 1
395395
396-________________________________________ __________________________ 2
397-Your Signature Date 3
396+___________________________________________________________________________________ 2
397+_________________________________________________________________________ 3
398+Your Address 4
398399
399-______________________________________________________________________________ 4
400-Your Name Printed 5
400+______________________________________________________________________________ 5
401+Your Telephone Number 6
401402
402-___________________________________________________________________________________ 6
403-_________________________________________________________________________ 7
404-Your Address 8
403+STATE OF MARYLAND 7
404+(COUNTY) OF _______________________________________________________________ 8
405405
406-______________________________________________________________________________ 9
407-Your Telephone Number 10
406+This document was acknowledged before me on 9
408407
409-STATE OF MARYLAND 11
410-(COUNTY) OF _______________________________________________________________ 12
408+__________________________ 10
409+(Date) 11
411410
412-This document was acknowledged before me on 13
411+By ______________________________________ to be his/her act. 12
412+ (Name of Principal) 13
413413
414-__________________________ 14
415-(Date) 15
414+____________________________________________ (SEAL, IF ANY) 14
415+Signature of Notary 15
416+My commission expires: _____________________ 16
416417
417-By ______________________________________ to be his/her act. 16
418- (Name of Principal) 17
418+WITNESS ATTESTATION 17
419419
420-____________________________________________ (SEAL, IF ANY) 18
421-Signature of Notary 19
422-My commission expires: _____________________ 20
420+The foregoing power of attorney was, on the date written above, published and declared by 18
423421
424-WITNESS ATTESTATION 21
422+____________________________________________ 19
423+(Name of Principal) 20
425424
426-The foregoing power of attorney was, on the date written above, published and declared by 22
425+in our presence to be his/her power of attorney. We, in his/her presence and at his/her 21
426+request, and in the presence of each other, have attested to the same and have signed our 22
427+names as attesting witnesses. 23
427428
428-____________________________________________ 23
429-(Name of Principal) 24
429+____________________________________________ 24
430+Witness #1 Signature 25
431+____________________________________________ 26
432+Witness #1 Name Printed 27
433+____________________________________________ 28
434+____________________________________________ 29
435+Witness #1 Address 30
436+____________________________________________ 31
437+Witness #1 Telephone Number 32
430438
431-in our presence to be his/her power of attorney. We, in his/her presence and at his/her 25
432-request, and in the presence of each other, have attested to the same and have signed our 26
433-names as attesting witnesses. 27
434-
435-____________________________________________ 28
436-Witness #1 Signature 29
437-____________________________________________ 30
438-Witness #1 Name Printed 31
439-____________________________________________ 32
440-____________________________________________ 33 10 HOUSE BILL 92
439+____________________________________________ 33
440+Witness #2 Signature 34 10 HOUSE BILL 92
441441
442442
443-Witness #1 Address 1
444-____________________________________________ 2
445-Witness #1 Telephone Number 3
443+____________________________________________ 1
444+Witness #2 Name Printed 2
445+____________________________________________ 3
446+____________________________________________ 4
447+Witness #2 Address 5
448+____________________________________________ 6
449+Witness #2 Telephone Number” 7
446450
447-____________________________________________ 4
448-Witness #2 Signature 5
449-____________________________________________ 6
450-Witness #2 Name Printed 7
451-____________________________________________ 8
452-____________________________________________ 9
453-Witness #2 Address 10
454-____________________________________________ 11
455-Witness #2 Telephone Number” 12
451+17–203. 8
456452
457-17–203. 13
453+“MARYLAND STATUTORY FORM LIMITED POWER OF ATTORNEY 9
458454
459-“MARYLAND STATUTORY FORM LIMITED POWER OF ATTORNEY 14
455+PLEASE READ CAREFULLY 10
460456
461-PLEASE READ CAREFULLY 15
457+This power of attorney authorizes another person (your agent) to make decisions concerning 11
458+your property for you (the principal). You need not give to your agent all the authorities 12
459+listed below and may give the agent only those limited powers that you specifically indicate. 13
460+This power of attorney gives your agent the right to make limited decisions for you. You 14
461+should very carefully weigh your decision as to what powers you give your agent. Your 15
462+agent will be able to make decisions and act with respect to your property (including your 16
463+money) whether or not you are able to act for yourself. 17
462464
463-This power of attorney authorizes another person (your agent) to make decisions concerning 16
464-your property for you (the principal). You need not give to your agent all the authorities 17
465-listed below and may give the agent only those limited powers that you specifically indicate. 18
466-This power of attorney gives your agent the right to make limited decisions for you. You 19
467-should very carefully weigh your decision as to what powers you give your agent. Your 20
468-agent will be able to make decisions and act with respect to your property (including your 21
469-money) whether or not you are able to act for yourself. 22
465+If you choose to make a grant of limited authority, you should check the boxes that identify 18
466+the specific authorization you choose to give your agent. 19
470467
471-If you choose to make a grant of limited authority, you should check the boxes that identify 23
472-the specific authorization you choose to give your agent. 24
468+This power of attorney does not authorize the agent to make health care decisions for you. 20
473469
474-This power of attorney does not authorize the agent to make health care decisions for you. 25
470+You should select someone you trust to serve as your agent. Unless you specify otherwise, 21
471+generally the agent’s authority will continue until you die or revoke the power of attorney 22
472+or the agent resigns or is unable to act for you. 23
475473
476-You should select someone you trust to serve as your agent. Unless you specify otherwise, 26
477-generally the agent’s authority will continue until you die or revoke the power of attorney 27
478-or the agent resigns or is unable to act for you. 28
474+Your agent is not entitled to compensation unless you indicate otherwise in the special 24
475+instructions of this power of attorney. If you indicate that your agent is to receive 25
476+compensation, your agent is entitled to reasonable compensation or compensation as 26
477+specified in the Special Instructions. 27
479478
480-Your agent is not entitled to compensation unless you indicate otherwise in the special 29
481-instructions of this power of attorney. If you indicate that your agent is to receive 30
482-compensation, your agent is entitled to reasonable compensation or compensation as 31
483-specified in the Special Instructions. 32
479+This form provides for designation of one agent. If you wish to name more than one agent 28
480+you may name a coagent in the Special Instructions. Coagents are required to act together 29
481+unanimously unless you specify otherwise in the Special Instructions. 30
484482
485-This form provides for designation of one agent. If you wish to name more than one agent 33
486-you may name a coagent in the Special Instructions. Coagents are required to act together 34
487-unanimously unless you specify otherwise in the Special Instructions. 35
483+If your agent is unavailable or unwilling to act for you, your power of attorney will end 31
484+unless you have named a successor agent. You may also name a second successor agent. 32
488485
489-If your agent is unavailable or unwilling to act for you, your power of attorney will end 36 HOUSE BILL 92 11
486+This power of attorney becomes effective immediately unless you state otherwise in the 33
487+Special Instructions. 34
488+
489+If you have questions about the power of attorney or the authority you are granting to your 35 HOUSE BILL 92 11
490490
491491
492-unless you have named a successor agent. You may also name a second successor agent. 1
492+agent, you should seek legal advice before signing this form. 1
493493
494-This power of attorney becomes effective immediately unless you state otherwise in the 2
495-Special Instructions. 3
494+DESIGNATION OF AGENT 2
496495
497-If you have questions about the power of attorney or the authority you are granting to your 4
498-agent, you should seek legal advice before signing this form. 5
496+This section of the form provides for designation of one agent. 3
499497
500-DESIGNATION OF AGENT 6
498+If you wish to name coagents, skip this section and use the next section (“Designation of 4
499+Coagents”). 5
501500
502-This section of the form provides for designation of one agent. 7
501+I, ___________________________________________________, name the following person 6
502+ (Name of Principal) 7
503+as my agent: 8
503504
504-If you wish to name coagents, skip this section and use the next section (“Designation of 8
505-Coagents”). 9
505+Name of 9
506+Agent: _______________________________________________________________________ 10
507+Agent’s 11
508+Address: _____________________________________________________________________ 12
509+Agent’s Telephone 13
510+Number: _____________________________________________________________________ 14
506511
507-I, ___________________________________________________, name the following person 10
508- (Name of Principal) 11
509-as my agent: 12
512+DESIGNATION OF COAGENTS (OPTIONAL) 15
510513
511-Name of 13
512-Agent: _______________________________________________________________________ 14
513-Agent’s 15
514-Address: _____________________________________________________________________ 16
515-Agent’s Telephone 17
516-Number: _____________________________________________________________________ 18
514+This section of the form provides for designation of two or more coagents. Coagents are 16
515+required to act together unanimously unless you otherwise provide in this form. 17
517516
518-DESIGNATION OF COAGENTS (OPTIONAL) 19
517+I, ___________________________________________________________________________, 18
519518
520-This section of the form provides for designation of two or more coagents. Coagents are 20
521-required to act together unanimously unless you otherwise provide in this form. 21
519+(Name of Principal) 19
522520
523-I, ___________________________________________________________________________, 22
521+Name the following persons as coagents: 20
524522
525-(Name of Principal) 23
523+Name of Coagent: ____________________________________________________________ 21
526524
527-Name the following persons as coagents: 24
525+Coagent’s Address: ___________________________________________________________ 22
528526
529-Name of Coagent: ____________________________________________________________ 25
527+Coagent’s Telephone Number: _________________________________________________ 23
530528
531-Coagent’s Address: ___________________________________________________________ 26
529+Name of Coagent: ____________________________________________________________ 24
532530
533-Coagent’s Telephone Number: _________________________________________________ 27
531+Coagent’s Address: ___________________________________________________________ 25
534532
535-Name of Coagent: ____________________________________________________________ 28
533+Coagent’s Telephone Number: _________________________________________________ 26
536534
537-Coagent’s Address: ___________________________________________________________ 29
538- 12 HOUSE BILL 92
535+Special Instructions Regarding Coagents: _______________________________________ 27
536+___________________________________________________________________________________ 28
537+___________________________________________________________________________________ 29
538+____________________________________________________________________ 30 12 HOUSE BILL 92
539539
540540
541-Coagent’s Telephone Number: _________________________________________________ 1
542541
543-Special Instructions Regarding Coagents: _______________________________________ 2
544-___________________________________________________________________________________ 3
545-___________________________________________________________________________________ 4
546-____________________________________________________________________ 5
542+DESIGNATION OF SUCCESSOR AGENT(S) (OPTIONAL) 1
547543
548-DESIGNATION OF SUCCESSOR AGENT(S) (OPTIONAL) 6
544+If my agent is unable or unwilling to act for me, I name as my successor agent: 2
549545
550-If my agent is unable or unwilling to act for me, I name as my successor agent: 7
546+Name of Successor Agent: _____________________________________________________ 3
547+Successor Agent’s 4
548+Address: _____________________________________________________________________ 5
549+Successor Agent’s Telephone Number: __________________________________________ 6
551550
552-Name of Successor Agent: _____________________________________________________ 8
553-Successor Agent’s 9
554-Address: _____________________________________________________________________ 10
555-Successor Agent’s Telephone Number: __________________________________________ 11
551+If my successor agent is unable or unwilling to act for me, I name as my second successor 7
552+agent: 8
556553
557-If my successor agent is unable or unwilling to act for me, I name as my second successor 12
558-agent: 13
554+Name of Second Successor 9
555+Agent: _______________________________________________________________________ 10
556+Second Successor Agent’s 11
557+Address: _____________________________________________________________________ 12
558+Second Successor Agent’s Telephone Number: ___________________________________ 13
559559
560-Name of Second Successor 14
561-Agent: _______________________________________________________________________ 15
562-Second Successor Agent’s 16
563-Address: _____________________________________________________________________ 17
564-Second Successor Agent’s Telephone Number: ___________________________________ 18
560+GRANT OF GENERAL AUTHORITY 14
565561
566-GRANT OF GENERAL AUTHORITY 19
562+I (“the principal”) grant my agent and any successor agent, with respect to each subject 15
563+that I choose below, the authority to do all acts that I could do to: 16
567564
568-I (“the principal”) grant my agent and any successor agent, with respect to each subject 20
569-that I choose below, the authority to do all acts that I could do to: 21
565+ (1) Demand, receive, and obtain by litigation or otherwise, money or 17
566+another thing of value to which the principal is, may become, or claims to be entitled, and 18
567+conserve, invest, disburse, or use anything so received or obtained for the purposes 19
568+intended; 20
570569
571- (1) Demand, receive, and obtain by litigation or otherwise, money or 22
572-another thing of value to which the principal is, may become, or claims to be entitled, and 23
573-conserve, invest, disburse, or use anything so received or obtained for the purposes 24
574-intended; 25
570+ (2) Contract with another person, on terms agreeable to the agent, to 21
571+accomplish a purpose of a transaction and perform, rescind, cancel, terminate, reform, 22
572+restate, release, or modify the contract or another contract made by or on behalf of the 23
573+principal; 24
575574
576- (2) Contract with another person, on terms agreeable to the agent, to 26
577-accomplish a purpose of a transaction and perform, rescind, cancel, terminate, reform, 27
578-restate, release, or modify the contract or another contract made by or on behalf of the 28
579-principal; 29
575+ (3) Execute, acknowledge, seal, deliver, file, or record any instrument or 25
576+communication the agent considers desirable to accomplish a purpose of a transaction, 26
577+including creating a schedule contemporaneously or at a later time listing some or all of the 27
578+principal’s property and attaching the schedule to this power of attorney; 28
580579
581- (3) Execute, acknowledge, seal, deliver, file, or record any instrument or 30
582-communication the agent considers desirable to accomplish a purpose of a transaction, 31
583-including creating a schedule contemporaneously or at a later time listing some or all of the 32
584-principal’s property and attaching the schedule to this power of attorney; 33
580+ (4) Initiate, participate in, submit to alternative dispute resolution, settle, 29
581+oppose, or propose or accept a compromise with respect to a claim existing in favor of or 30
582+against the principal or intervene in litigation relating to the claim; 31
585583
586- (4) Initiate, participate in, submit to alternative dispute resolution, settle, 34
587-oppose, or propose or accept a compromise with respect to a claim existing in favor of or 35 HOUSE BILL 92 13
584+ (5) Seek on the principal’s behalf the assistance of a court or other 32
585+governmental agency to carry out an act authorized in this power of attorney; 33
586+
587+ (6) Engage, compensate, and discharge an attorney, accountant, 34 HOUSE BILL 92 13
588588
589589
590-against the principal or intervene in litigation relating to the claim; 1
590+discretionary investment manager, expert witness, or other advisor; 1
591591
592- (5) Seek on the principal’s behalf the assistance of a court or other 2
593-governmental agency to carry out an act authorized in this power of attorney; 3
592+ (7) Prepare, execute, and file a record, report, or other document to 2
593+safeguard or promote the principal’s interest under a statute or regulation; 3
594594
595- (6) Engage, compensate, and discharge an attorney, accountant, 4
596-discretionary investment manager, expert witness, or other advisor; 5
595+ (8) Communicate with representatives or employees of a government or 4
596+governmental subdivision, agency, or instrumentality, on behalf of the principal; 5
597597
598- (7) Prepare, execute, and file a record, report, or other document to 6
599-safeguard or promote the principal’s interest under a statute or regulation; 7
598+ (9) Access communications intended for, and communicate on behalf of the 6
599+principal, whether by mail, electronic transmission, telephone, or other means; and 7
600600
601- (8) Communicate with representatives or employees of a government or 8
602-governmental subdivision, agency, or instrumentality, on behalf of the principal; 9
601+ (10) Do lawful acts with respect to the subject and all property related to the 8
602+subject. 9
603603
604- (9) Access communications intended for, and communicate on behalf of the 10
605-principal, whether by mail, electronic transmission, telephone, or other means; and 11
604+(INITIAL each authority in any subject you want to include in the agent’s general 10
605+authority. Cross through each authority in any subject that you want to exclude. If you 11
606+wish to grant general authority over an entire subject, you may initial “All of the above” 12
607+instead of initialing each authority.) 13
606608
607- (10) Do lawful acts with respect to the subject and all property related to the 12
608-subject. 13
609+SUBJECTS AND AUTHORITY 14
609610
610-(INITIAL each authority in any subject you want to include in the agent’s general 14
611-authority. Cross through each authority in any subject that you want to exclude. If you 15
612-wish to grant general authority over an entire subject, you may initial “All of the above” 16
613-instead of initialing each authority.) 17
611+ A. Real Property – With respect to this category, I authorize my agent to: 15
614612
615-SUBJECTS AND AUTHORITY 18
613+ (___) Demand, buy, lease, receive, accept as a gift or as security for an 16
614+extension of credit, or otherwise acquire or reject an interest in real property or a right 17
615+incident to real property 18
616616
617- A. Real Property – With respect to this category, I authorize my agent to: 19
617+ (___) Sell, exchange, convey with or without covenants, representations, or 19
618+warranties, quitclaim, release, surrender, retain title for security, encumber, partition, 20
619+consent to partitioning, subject to an easement or covenant, subdivide, apply for zoning or 21
620+other governmental permits, plat or consent to platting, develop, grant an option 22
621+concerning, lease, sublease, contribute to an entity in exchange for an interest in that 23
622+entity, or otherwise grant or dispose of an interest in real property or a right incident to 24
623+real property 25
618624
619- (___) Demand, buy, lease, receive, accept as a gift or as security for an 20
620-extension of credit, or otherwise acquire or reject an interest in real property or a right 21
621-incident to real property 22
625+ (___) Pledge or mortgage an interest in real property or right incident to real 26
626+property as security to borrow money or pay, renew, or extend the time of payment of a 27
627+debt of the principal or a debt guaranteed by the principal, including a reverse mortgage 28
622628
623- (___) Sell, exchange, convey with or without covenants, representations, or 23
624-warranties, quitclaim, release, surrender, retain title for security, encumber, partition, 24
625-consent to partitioning, subject to an easement or covenant, subdivide, apply for zoning or 25
626-other governmental permits, plat or consent to platting, develop, grant an option 26
627-concerning, lease, sublease, contribute to an entity in exchange for an interest in that 27
628-entity, or otherwise grant or dispose of an interest in real property or a right incident to 28
629-real property 29
629+ (___) Release, assign, satisfy, or enforce by litigation or otherwise a 29
630+mortgage, deed of trust, conditional sale contract, encumbrance, lien, or other claim to real 30
631+property that exists or is asserted 31
630632
631- (___) Pledge or mortgage an interest in real property or right incident to real 30
632-property as security to borrow money or pay, renew, or extend the time of payment of a 31
633-debt of the principal or a debt guaranteed by the principal, including a reverse mortgage 32
633+ (___) Manage or conserve an interest in real property or a right incident to 32
634+real property owned or claimed to be owned by the principal, including: 33
634635
635- (___) Release, assign, satisfy, or enforce by litigation or otherwise a 33
636-mortgage, deed of trust, conditional sale contract, encumbrance, lien, or other claim to real 34 14 HOUSE BILL 92
636+ (1) Insuring against liability or casualty or other loss; 34 14 HOUSE BILL 92
637637
638638
639-property that exists or is asserted 1
640639
641- (___) Manage or conserve an interest in real property or a right incident to 2
642-real property owned or claimed to be owned by the principal, including: 3
640+ (2) Obtaining or regaining possession of or protecting the interest or right 1
641+by litigation or otherwise; 2
643642
644- (1) Insuring against liability or casualty or other loss; 4
643+ (3) Paying, assessing, compromising, or contesting taxes or assessments or 3
644+applying for and receiving refunds in connection with them; and 4
645645
646- (2) Obtaining or regaining possession of or protecting the interest or right 5
647-by litigation or otherwise; 6
646+ (4) Purchasing supplies, hiring assistance or labor, and making repairs or 5
647+alterations to the real property 6
648648
649- (3) Paying, assessing, compromising, or contesting taxes or assessments or 7
650-applying for and receiving refunds in connection with them; and 8
649+ (___) Use, develop, alter, replace, remove, erect, or install structures or other 7
650+improvements on real property in or incident to which the principal has, or claims to have, 8
651+an interest or right 9
651652
652- (4) Purchasing supplies, hiring assistance or labor, and making repairs or 9
653-alterations to the real property 10
653+ (___) Participate in a reorganization with respect to real property or an entity 10
654+that owns an interest in or a right incident to real property and receive, hold, and act with 11
655+respect to stocks and bonds or other property received in a plan of reorganization, including: 12
654656
655- (___) Use, develop, alter, replace, remove, erect, or install structures or other 11
656-improvements on real property in or incident to which the principal has, or claims to have, 12
657-an interest or right 13
657+ (1) Selling or otherwise disposing of the stocks and bonds or other property; 13
658658
659- (___) Participate in a reorganization with respect to real property or an entity 14
660-that owns an interest in or a right incident to real property and receive, hold, and act with 15
661-respect to stocks and bonds or other property received in a plan of reorganization, including: 16
659+ (2) Exercising or selling an option, a right of conversion, or a similar right 14
660+with respect to the stocks and bonds or other property; and 15
662661
663- (1) Selling or otherwise disposing of the stocks and bonds or other property; 17
662+ (3) Exercising voting rights in person or by proxy 16
664663
665- (2) Exercising or selling an option, a right of conversion, or a similar right 18
666-with respect to the stocks and bonds or other property; and 19
664+ (___) Change the form of title of an interest in or a right incident to real 17
665+property 18
667666
668- (3) Exercising voting rights in person or by proxy 20
667+ (___) Dedicate to public use, with or without consideration, easements or 19
668+other real property in which the principal has, or claims to have, an interest 20
669669
670- (___) Change the form of title of an interest in or a right incident to real 21
671-property 22
670+ (___) All of the above 21
672671
673- (___) Dedicate to public use, with or without consideration, easements or 23
674-other real property in which the principal has, or claims to have, an interest 24
672+ B. Tangible Personal Property – With respect to this subject, I authorize my 22
673+agent to: 23
674+
675+ (___) Demand, buy, receive, accept as a gift or as security for an extension of 24
676+credit, or otherwise acquire or reject ownership or possession of tangible personal property 25
677+or an interest in tangible personal property 26
678+
679+ (___) Sell, exchange, convey with or without covenants, representations, or 27
680+warranties, quitclaim, release, surrender, create a security interest in, grant options 28
681+concerning, lease, sublease, or otherwise dispose of tangible personal property or an 29
682+interest in tangible personal property 30
683+
684+ (___) Grant a security interest in tangible personal property or an interest in 31
685+tangible personal property as security to borrow money or pay, renew, or extend the time 32 HOUSE BILL 92 15
686+
687+
688+of payment of a debt of the principal or a debt guaranteed by the principal 1
689+
690+ (___) Release, assign, satisfy, or enforce by litigation or otherwise, a security 2
691+interest, lien, or other claim on behalf of the principal, with respect to tangible personal 3
692+property or an interest in tangible personal property 4
693+
694+ (___) Manage or conserve tangible personal property or an interest in 5
695+tangible personal property on behalf of the principal, including: 6
696+
697+ (1) Insuring against liability or casualty or other loss; 7
698+
699+ (2) Obtaining or regaining possession of or protecting the property or 8
700+interest, by litigation or otherwise; 9
701+
702+ (3) Paying, assessing, compromising, or contesting taxes or assessments or 10
703+applying for and receiving refunds in connection with taxes or assessments; 11
704+
705+ (4) Moving the property from place to place; 12
706+
707+ (5) Storing the property for hire or on a gratuitous bailment; and 13
708+
709+ (6) Using and making repairs, alterations, or improvements to the property 14
710+
711+ (___) Change the form of title of an interest in tangible personal property 15
712+
713+ (___) All of the above 16
714+
715+ C. Stocks and Bonds – With respect to this subject, I authorize my agent to: 17
716+
717+ (___) Buy, sell, and exchange stocks and bonds 18
718+
719+ (___) Establish, continue, modify, or terminate an account with respect to 19
720+stocks and bonds 20
721+
722+ (___) Pledge stocks and bonds as security to borrow, pay, renew, or extend 21
723+the time of payment of a debt of the principal 22
724+
725+ (___) Receive certificates and other evidences of ownership with respect to 23
726+stocks and bonds 24
727+
728+ (___) Exercise voting rights with respect to stocks and bonds in person or by 25
729+proxy, enter into voting trusts, and consent to limitations on the right to vote 26
730+
731+ (___) All of the above 27
732+
733+ D. Commodities – With respect to this subject, I authorize my agent to: 28
734+ 16 HOUSE BILL 92
735+
736+
737+ (___) Buy, sell, exchange, assign, settle, and exercise commodity futures 1
738+contracts and call or put options on stocks or stock indexes traded on a regulated option 2
739+exchange 3
740+
741+ (___) Establish, continue, modify, and terminate option accounts 4
742+
743+ (___) All of the above 5
744+
745+ E. Banks and Other Financial Institutions – With respect to this subject, I 6
746+authorize my agent to: 7
747+
748+ (___) Continue, modify, transact all business in connection with, and 8
749+terminate an account or other banking arrangement made by or on behalf of the principal 9
750+
751+ (___) Establish, modify, transact all business in connection with, and 10
752+terminate an account or other banking arrangement with a bank, trust company, savings 11
753+and loan association, credit union, thrift company, brokerage firm, or other financial 12
754+institution selected by the agent 13
755+
756+ (___) Contract for services available from a financial institution, including 14
757+renting a safe deposit box or space in a vault 15
758+
759+ (___) Deposit by check, money order, electronic funds transfer, or otherwise 16
760+with, or leave in the custody of, a financial institution money or property of the principal 17
761+
762+ (___) Withdraw, by check, money order, electronic funds transfer, or 18
763+otherwise, money or property of the principal deposited with or left in the custody of a 19
764+financial institution 20
765+
766+ (___) Receive statements of account, vouchers, notices, and similar 21
767+documents from a financial institution and act with respect to them 22
768+
769+ (___) Enter a safe deposit box or vault and withdraw or add to the contents 23
770+
771+ (___) Borrow money and pledge as security personal property of the principal 24
772+necessary to borrow money or pay, renew, or extend the time of payment of a debt of the 25
773+principal or a debt guaranteed by the principal 26
774+
775+ (___) Make, assign, draw, endorse, discount, guarantee, and negotiate 27
776+promissory notes, checks, drafts, and other negotiable or nonnegotiable paper of the 28
777+principal or payable to the principal or the principal’s order, transfer money, receive the 29
778+cash or other proceeds of those transactions, and accept a draft drawn by a person on the 30
779+principal and pay the draft when due 31
780+
781+ (___) Receive for the principal and act on a sight draft, warehouse receipt, 32
782+other document of title whether tangible or electronic, or other negotiable or nonnegotiable 33
783+instrument 34 HOUSE BILL 92 17
784+
785+
786+
787+ (___) Apply for, receive, and use letters of credit, credit cards and debit cards, 1
788+electronic transaction authorizations, and traveler’s checks from a financial institution and 2
789+give an indemnity or other agreement in connection with letters of credit 3
790+
791+ (___) Consent to an extension of the time of payment with respect to 4
792+commercial paper or a financial transaction with a financial institution 5
793+
794+ (___) All of the above 6
795+
796+ F. Operation of an Entity or a Business – With respect to this subject, I authorize 7
797+my agent to: 8
798+
799+ (___) Operate, buy, sell, enlarge, reduce, or terminate an ownership interest 9
800+
801+ (___) Perform a duty or discharge a liability and exercise in person or by 10
802+proxy a right, power, privilege, or an option that the principal has, may have, or claims to 11
803+have 12
804+
805+ (___) Enforce the terms of an ownership agreement 13
806+
807+ (___) Initiate, participate in, submit to alternative dispute resolution, settle, 14
808+oppose, or propose or accept a compromise with respect to litigation to which the principal 15
809+is a party because of an ownership interest 16
810+
811+ (___) Exercise in person or by proxy, or enforce by litigation or otherwise, a 17
812+right, power, privilege, or an option the principal has or claims to have as the holder of 18
813+stocks and bonds 19
814+
815+ (___) Initiate, participate in, submit to alternative dispute resolution, settle, 20
816+oppose, or propose or accept a compromise with respect to litigation to which the principal 21
817+is a party concerning stocks and bonds 22
818+
819+ (___) With respect to an entity or business owned solely by the principal: 23
820+
821+ (1) Continue, modify, renegotiate, extend, and terminate a contract made 24
822+by or on behalf of the principal with respect to the entity or business before execution of 25
823+this power of attorney; 26
824+
825+ (2) Determine: 27
826+
827+ (i) The location of the operation of the entity or business; 28
828+
829+ (ii) The nature and extent of the business of the entity or business; 29
830+
831+ (iii) The methods of manufacturing, selling, merchandising, 30
832+financing, accounting, and advertising employed in the operation of the entity or business; 31 18 HOUSE BILL 92
833+
834+
835+
836+ (iv) The amount and types of insurance carried by the entity or 1
837+business; and 2
838+
839+ (v) The mode of engaging, compensating, and dealing with the 3
840+employees and accountants, attorneys, or other advisors of the entity or business; 4
841+
842+ (3) Change the name or form of organization under which the entity or 5
843+business is operated and enter into an ownership agreement with other persons to take 6
844+over all or part of the operation of the entity or business; and 7
845+
846+ (4) Demand and receive money due or claimed by the principal or on the 8
847+principal’s behalf in the operation of the entity or business and control and disburse the 9
848+money in the operation of the entity or business 10
849+
850+ (___) Put additional capital into an entity or a business in which the principal 11
851+has an interest 12
852+
853+ (___) Join in a plan of reorganization, consolidation, conversion, 13
854+domestication, or merger of the entity or business 14
855+
856+ (___) Sell or liquidate all or part of an entity or business 15
857+
858+ (___) Establish the value of an entity or a business under a buyout agreement 16
859+to which the principal is a party 17
860+
861+ (___) Prepare, sign, file, and deliver reports, compilations of information, 18
862+returns, or other papers with respect to an entity or business and make related payments 19
863+
864+ (___) Pay, compromise, or contest taxes, assessments, fines, or penalties and 20
865+perform other acts to protect the principal from illegal or unnecessary taxation, 21
866+assessments, fines, or penalties, with respect to an entity or a business, including attempts 22
867+to recover, as permitted by law, money paid before or after the execution of this power of 23
868+attorney 24
675869
676870 (___) All of the above 25
677871
678- B. Tangible Personal Property – With respect to this subject, I authorize my 26
679-agent to: 27
872+ G. Insurance and Annuities – With respect to this subject, I authorize my agent 26
873+to: 27
680874
681- (___) Demand, buy, receive, accept as a gift or as security for an extension of 28
682-credit, or otherwise acquire or reject ownership or possession of tangible personal property 29
683-or an interest in tangible personal property 30
875+ (___) Continue, pay the premium or make a contribution on, modify, 28
876+exchange, rescind, release, or terminate a contract procured by or on behalf of the principal 29
877+that insures or provides an annuity to either the principal or another person, whether or 30
878+not the principal is a beneficiary under the contract 31
684879
685- (___) Sell, exchange, convey with or without covenants, representations, or 31 HOUSE BILL 92 15
880+ (___) Procure new, different, and additional contracts of insurance and 32
881+annuities for the principal and the principal’s spouse, children, and other dependents, and 33 HOUSE BILL 92 19
686882
687883
688-warranties, quitclaim, release, surrender, create a security interest in, grant options 1
689-concerning, lease, sublease, or otherwise dispose of tangible personal property or an 2
690-interest in tangible personal property 3
884+select the amount, type of insurance or annuity, and mode of payment 1
691885
692- (___) Grant a security interest in tangible personal property or an interest in 4
693-tangible personal property as security to borrow money or pay, renew, or extend the time 5
694-of payment of a debt of the principal or a debt guaranteed by the principal 6
886+ (___) Pay the premium or make a contribution on, modify, exchange, rescind, 2
887+release, or terminate a contract of insurance or annuity procured by the agent 3
695888
696- (___) Release, assign, satisfy, or enforce by litigation or otherwise, a security 7
697-interest, lien, or other claim on behalf of the principal, with respect to tangible personal 8
698-property or an interest in tangible personal property 9
889+ (___) Apply for and receive a loan secured by a contract of insurance or 4
890+annuity 5
699891
700- (___) Manage or conserve tangible personal property or an interest in 10
701-tangible personal property on behalf of the principal, including: 11
892+ (___) Surrender and receive the cash surrender value on a contract of 6
893+insurance or annuity 7
702894
703- (1) Insuring against liability or casualty or other loss; 12
895+ (___) Exercise an election 8
704896
705- (2) Obtaining or regaining possession of or protecting the property or 13
706-interest, by litigation or otherwise; 14
897+ (___) Exercise investment powers available under a contract of insurance or 9
898+annuity 10
707899
708- (3) Paying, assessing, compromising, or contesting taxes or assessments or 15
709-applying for and receiving refunds in connection with taxes or assessments; 16
900+ (___) Change the manner of paying premiums on a contract of insurance or 11
901+annuity 12
710902
711- (4) Moving the property from place to place; 17
903+ (___) Change or convert the type of insurance or annuity with respect to 13
904+which the principal has or claims to have authority described in this section 14
712905
713- (5) Storing the property for hire or on a gratuitous bailment; and 18
906+ (___) Apply for and procure a benefit or assistance under a statute or 15
907+regulation to guarantee or pay premiums of a contract of insurance on the life of the 16
908+principal 17
714909
715- (6) Using and making repairs, alterations, or improvements to the property 19
910+ (___) Collect, sell, assign, hypothecate, borrow against, or pledge the interest 18
911+of the principal in a contract of insurance or annuity 19
716912
717- (___) Change the form of title of an interest in tangible personal property 20
913+ (___) Select the form and timing of the payment of proceeds from a contract 20
914+of insurance or annuity 21
915+
916+ (___) Pay, from proceeds or otherwise, compromise or contest, and apply for 22
917+refunds in connection with a tax or assessment levied by a taxing authority with respect to 23
918+a contract of insurance or annuity or the proceeds or liability from the contract of insurance 24
919+or annuity accruing by reason of the tax or assessment 25
920+
921+ (___) All of the above 26
922+
923+ H. Estates, Trusts, and Other Beneficial Interests (including trusts, probate 27
924+estates, guardianships, conservatorships, escrows, or custodianships or funds from which 28
925+the principal is, may become, or claims to be entitled to a share or payment) – With respect 29
926+to this subject, I authorize my agent to: 30
927+
928+ (___) Accept, receive, receipt for, sell, assign, pledge, or exchange a share in 31
929+or payment from the fund described above 32
930+ 20 HOUSE BILL 92
931+
932+
933+ (___) Demand or obtain money or another thing of value to which the 1
934+principal is, may become, or claims to be entitled by reason of the fund described above, by 2
935+litigation or otherwise 3
936+
937+ (___) Exercise for the benefit of the principal a presently exercisable general 4
938+power of appointment held by the principal 5
939+
940+ (___) Initiate, participate in, submit to alternative dispute resolution, settle, 6
941+oppose, or propose or accept a compromise with respect to litigation to ascertain the 7
942+meaning, validity, or effect of a deed, will, declaration of trust, or other instrument or 8
943+transaction affecting the interest of the principal 9
944+
945+ (___) Initiate, participate in, submit to alternative dispute resolution, settle, 10
946+oppose, or propose or accept a compromise with respect to litigation to remove, substitute, 11
947+or surcharge a fiduciary 12
948+
949+ (___) Conserve, invest, disburse, or use anything received for an authorized 13
950+purpose 14
951+
952+ (___) Transfer an interest of the principal in real property, stocks and bonds, 15
953+accounts with financial institutions or securities intermediaries, insurance, annuities, and 16
954+other property to the trustee of a revocable trust created by the principal as settlor 17
955+
956+ (___) Reject, renounce, disclaim, release, or consent to a reduction in or 18
957+modification of a share in or payment from the fund described above 19
958+
959+ (___) Elect to take an elective share of an estate subject to election under § 20
960+3–403 of the Estates and Trusts Article 21
961+
962+ (___) All of the above 22
963+
964+ I. Claims and Litigation – With respect to this subject, I authorize my agent to: 23
965+
966+ (___) Assert and maintain before a court or administrative agency a claim, 24
967+claim for relief, cause of action, counterclaim, offset, recoupment, or defense, including an 25
968+action to recover property or other thing of value, recover damages sustained by the 26
969+principal, eliminate or modify tax liability, or seek an injunction, specific performance, or 27
970+other relief 28
971+
972+ (___) Bring an action to determine adverse claims or intervene or otherwise 29
973+participate in litigation 30
974+
975+ (___) Seek an attachment, garnishment, order of arrest, or other preliminary, 31
976+provisional, or intermediate relief and use an available procedure to effect or satisfy a 32
977+judgment, order, or decree 33
978+
979+ (___) Make or accept a tender, offer of judgment, or admission of facts, submit 34 HOUSE BILL 92 21
980+
981+
982+a controversy on an agreed statement of facts, consent to examination, and bind the 1
983+principal in litigation 2
984+
985+ (___) Submit to alternative dispute resolution, settle, and propose or accept 3
986+a compromise 4
987+
988+ (___) Waive the issuance and service of process on the principal, accept 5
989+service of process, appear for the principal, designate persons on which process directed to 6
990+the principal may be served, execute and file or deliver stipulations on the principal’s 7
991+behalf, verify pleadings, seek appellate review, procure and give surety and indemnity 8
992+bonds, contract and pay for the preparation and printing of records and briefs, receive, 9
993+execute, and file or deliver a consent, waiver, release, confession of judgment, satisfaction 10
994+of judgment, notice, agreement, or other instrument in connection with the prosecution, 11
995+settlement, or defense of a claim or litigation 12
996+
997+ (___) Act for the principal with respect to bankruptcy or insolvency, whether 13
998+voluntary or involuntary, concerning the principal or some other person, or with respect to 14
999+a reorganization, receivership, or application for the appointment of a receiver or trustee 15
1000+that affects an interest of the principal in property or other thing of value 16
1001+
1002+ (___) Pay a judgment, award, or order against the principal or a settlement 17
1003+made in connection with a claim or litigation 18
1004+
1005+ (___) Receive money or other thing of value paid in settlement of or as 19
1006+proceeds of a claim or litigation 20
7181007
7191008 (___) All of the above 21
7201009
721- C. Stocks and Bonds – With respect to this subject, I authorize my agent to: 22
1010+ J. Personal and Family Maintenance – With respect to this subject, I authorize 22
1011+my agent to: 23
7221012
723- (___) Buy, sell, and exchange stocks and bonds 23
1013+ (___) Perform the acts necessary to maintain the customary standard of 24
1014+living of the principal, the principal’s spouse, and the following individuals, whether living 25
1015+when this power of attorney is executed or later born: 26
7241016
725- (___) Establish, continue, modify, or terminate an account with respect to 24
726-stocks and bonds 25
1017+ (1) The principal’s children; 27
7271018
728- (___) Pledge stocks and bonds as security to borrow, pay, renew, or extend 26
729-the time of payment of a debt of the principal 27
1019+ (2) Other individuals legally entitled to be supported by the 28
1020+principal; and 29
7301021
731- (___) Receive certificates and other evidences of ownership with respect to 28
732-stocks and bonds 29
1022+ (3) The individuals whom the principal has customarily supported 30
1023+or indicated the intent to support; 31
7331024
734- (___) Exercise voting rights with respect to stocks and bonds in person or by 30 16 HOUSE BILL 92
1025+ (___) Make periodic payments of child support and other family maintenance 32
1026+required by a court or governmental agency or an agreement to which the principal is a 33
1027+party 34
1028+ 22 HOUSE BILL 92
7351029
7361030
737-proxy, enter into voting trusts, and consent to limitations on the right to vote 1
1031+ (___) Provide living quarters for the individuals described above by: 1
7381032
739- (___) All of the above 2
1033+ (1) Purchase, lease, or other contract; or 2
7401034
741- D. Commodities – With respect to this subject, I authorize my agent to: 3
1035+ (2) Paying the operating costs, including interest, amortization 3
1036+payments, repairs, improvements, and taxes, for premises owned by the principal or 4
1037+occupied by those individuals 5
7421038
743- (___) Buy, sell, exchange, assign, settle, and exercise commodity futures 4
744-contracts and call or put options on stocks or stock indexes traded on a regulated option 5
745-exchange 6
1039+ (___) Provide normal domestic help, usual vacations and travel expenses, and 6
1040+funds for shelter, clothing, food, appropriate education, including postsecondary and 7
1041+vocational education, and other current living costs for the individuals described above 8
7461042
747- (___) Establish, continue, modify, and terminate option accounts 7
1043+ (___) Pay expenses for necessary health care and custodial care on behalf of 9
1044+the individuals described above 10
7481045
749- (___) All of the above 8
1046+ (___) Act as the principal’s personal representative in accordance with the 11
1047+Health Insurance Portability and Accountability Act, §§ 1171 through 1179 of the Social 12
1048+Security Act, 42 U.S.C. § 1320d, and applicable regulations in making decisions related to 13
1049+the past, present, or future payment for the provision of health care consented to by the 14
1050+principal or anyone authorized under the law of this State to consent to health care on 15
1051+behalf of the principal 16
7501052
751- E. Banks and Other Financial Institutions – With respect to this subject, I 9
752-authorize my agent to: 10
1053+ (___) Continue provisions made by the principal for automobiles or other 17
1054+means of transportation, including registering, licensing, insuring, and replacing the 18
1055+means of transportation, for the individuals described above 19
7531056
754- (___) Continue, modify, transact all business in connection with, and 11
755-terminate an account or other banking arrangement made by or on behalf of the principal 12
1057+ (___) Maintain credit and debit accounts for the convenience of the 20
1058+individuals described above and open new accounts 21
7561059
757- (___) Establish, modify, transact all business in connection with, and 13
758-terminate an account or other banking arrangement with a bank, trust company, savings 14
759-and loan association, credit union, thrift company, brokerage firm, or other financial 15
760-institution selected by the agent 16
1060+ (___) Continue payments incidental to the membership or affiliation of the 22
1061+principal in a religious institution, club, society, order, or other organization or to continue 23
1062+contributions to those organizations 24
7611063
762- (___) Contract for services available from a financial institution, including 17
763-renting a safe deposit box or space in a vault 18
1064+ (NOTE: Authority with respect to personal and family maintenance is neither 25
1065+dependent on, nor limited by, authority that an agent may or may not have with respect to 26
1066+gifts under this power of attorney.) 27
7641067
765- (___) Deposit by check, money order, electronic funds transfer, or otherwise 19
766-with, or leave in the custody of, a financial institution money or property of the principal 20
1068+ (___) All of the above 28
7671069
768- (___) Withdraw, by check, money order, electronic funds transfer, or 21
769-otherwise, money or property of the principal deposited with or left in the custody of a 22
770-financial institution 23
1070+ K. Benefits from Governmental Programs or Civil or Military Service (including 29
1071+any benefit, program, or assistance provided under a statute or regulation including Social 30
1072+Security, Medicare, and Medicaid) – With respect to this subject, I authorize my agent to: 31
7711073
772- (___) Receive statements of account, vouchers, notices, and similar 24
773-documents from a financial institution and act with respect to them 25
774-
775- (___) Enter a safe deposit box or vault and withdraw or add to the contents 26
776-
777- (___) Borrow money and pledge as security personal property of the principal 27
778-necessary to borrow money or pay, renew, or extend the time of payment of a debt of the 28
779-principal or a debt guaranteed by the principal 29
780-
781- (___) Make, assign, draw, endorse, discount, guarantee, and negotiate 30
782-promissory notes, checks, drafts, and other negotiable or nonnegotiable paper of the 31
783-principal or payable to the principal or the principal’s order, transfer money, receive the 32 HOUSE BILL 92 17
1074+ (___) Execute vouchers in the name of the principal for allowances and 32
1075+reimbursements payable by the United States or a foreign government or by a state or 33
1076+subdivision of a state to the principal, including allowances and reimbursements for 34
1077+transportation of the individuals described in “J. Personal and Family Maintenance” above, 35 HOUSE BILL 92 23
7841078
7851079
786-cash or other proceeds of those transactions, and accept a draft drawn by a person on the 1
787-principal and pay the draft when due 2
1080+and for shipment of the household effects of those individuals 1
7881081
789- (___) Receive for the principal and act on a sight draft, warehouse receipt, 3
790-other document of title whether tangible or electronic, or other negotiable or nonnegotiable 4
791-instrument 5
1082+ (___) Take possession and order the removal and shipment of property of the 2
1083+principal from a post, warehouse, depot, dock, or other place of storage or safekeeping, 3
1084+either governmental or private, and execute and deliver a release, voucher, receipt, bill of 4
1085+lading, shipping ticket, certificate, or other instrument for that purpose 5
7921086
793- (___) Apply for, receive, and use letters of credit, credit cards and debit cards, 6
794-electronic transaction authorizations, and traveler’s checks from a financial institution and 7
795-give an indemnity or other agreement in connection with letters of credit 8
1087+ (___) PERFORM THE ACTS NECE SSARY TO ENABLE THE PRINCIPAL TO 6
1088+QUALIFY FOR A BENEFIT OR PRO GRAM, INCLUDING OBTAINING PERSONAL AND 7
1089+FINANCIAL RECORDS AN D, TO THE EXTENT SPECIF ICALLY AUTHORIZED BELOW , TO 8
1090+TRANSFER OR GIFT THE PRINCIPAL’S PROPERTY 9
7961091
797- (___) Consent to an extension of the time of payment with respect to 9
798-commercial paper or a financial transaction with a financial institution 10
1092+ (___) Enroll in, apply for, select, reject, change, amend, or discontinue, on the 10
1093+principal’s behalf, a benefit or program 11
7991094
800- (___) All of the above 11
1095+ (___) Prepare, file, and maintain a claim of the principal for a benefit or 12
1096+assistance, financial or otherwise, to which the principal may be entitled under a statute 13
1097+or regulation 14
8011098
802- F. Operation of an Entity or a Business – With respect to this subject, I authorize 12
803-my agent to: 13
1099+ (___) Initiate, participate in, submit to alternative dispute resolution, settle, 15
1100+oppose, or propose or accept a compromise with respect to litigation concerning a benefit or 16
1101+assistance the principal may be entitled to receive under a statute or regulation 17
8041102
805- (___) Operate, buy, sell, enlarge, reduce, or terminate an ownership interest 14
1103+ (___) Receive the financial proceeds of a claim described above and conserve, 18
1104+invest, disburse, or use for a lawful purpose anything so received 19
8061105
807- (___) Perform a duty or discharge a liability and exercise in person or by 15
808-proxy a right, power, privilege, or an option that the principal has, may have, or claims to 16
809-have 17
1106+ (___) All of the above 20
8101107
811- (___) Enforce the terms of an ownership agreement 18
1108+ L. Retirement Plans (including a plan or account created by an employer, the 21
1109+principal, or another individual to provide retirement benefits or deferred compensation of 22
1110+which the principal is a participant, beneficiary, or owner, including a plan or account 23
1111+under the following sections of the Internal Revenue Code: 24
8121112
813- (___) Initiate, participate in, submit to alternative dispute resolution, settle, 19
814-oppose, or propose or accept a compromise with respect to litigation to which the principal 20
815-is a party because of an ownership interest 21
1113+ (1) An individual retirement account under Internal Revenue Code Section 25
1114+408, 26 U.S.C. § 408; 26
8161115
817- (___) Exercise in person or by proxy, or enforce by litigation or otherwise, a 22
818-right, power, privilege, or an option the principal has or claims to have as the holder of 23
819-stocks and bonds 24
1116+ (2) A Roth individual retirement account under Internal Revenue Code 27
1117+Section 408A, 26 U.S.C. § 408A; 28
8201118
821- (___) Initiate, participate in, submit to alternative dispute resolution, settle, 25
822-oppose, or propose or accept a compromise with respect to litigation to which the principal 26
823-is a party concerning stocks and bonds 27
1119+ (3) A deemed individual retirement account under Internal Revenue Code 29
1120+Section 408(q), 26 U.S.C. § 408(q); 30
8241121
825- (___) With respect to an entity or business owned solely by the principal: 28
1122+ (4) An annuity or mutual fund custodial account under Internal Revenue 31
1123+Code Section 403(b), 26 U.S.C. § 403(b); 32
8261124
827- (1) Continue, modify, renegotiate, extend, and terminate a contract made 29
828-by or on behalf of the principal with respect to the entity or business before execution of 30
829-this power of attorney; 31
830-
831- (2) Determine: 32
832- 18 HOUSE BILL 92
833-
834-
835- (i) The location of the operation of the entity or business; 1
836-
837- (ii) The nature and extent of the business of the entity or business; 2
838-
839- (iii) The methods of manufacturing, selling, merchandising, 3
840-financing, accounting, and advertising employed in the operation of the entity or business; 4
841-
842- (iv) The amount and types of insurance carried by the entity or 5
843-business; and 6
844-
845- (v) The mode of engaging, compensating, and dealing with the 7
846-employees and accountants, attorneys, or other advisors of the entity or business; 8
847-
848- (3) Change the name or form of organization under which the entity or 9
849-business is operated and enter into an ownership agreement with other persons to take 10
850-over all or part of the operation of the entity or business; and 11
851-
852- (4) Demand and receive money due or claimed by the principal or on the 12
853-principal’s behalf in the operation of the entity or business and control and disburse the 13
854-money in the operation of the entity or business 14
855-
856- (___) Put additional capital into an entity or a business in which the principal 15
857-has an interest 16
858-
859- (___) Join in a plan of reorganization, consolidation, conversion, 17
860-domestication, or merger of the entity or business 18
861-
862- (___) Sell or liquidate all or part of an entity or business 19
863-
864- (___) Establish the value of an entity or a business under a buyout agreement 20
865-to which the principal is a party 21
866-
867- (___) Prepare, sign, file, and deliver reports, compilations of information, 22
868-returns, or other papers with respect to an entity or business and make related payments 23
869-
870- (___) Pay, compromise, or contest taxes, assessments, fines, or penalties and 24
871-perform other acts to protect the principal from illegal or unnecessary taxation, 25
872-assessments, fines, or penalties, with respect to an entity or a business, including attempts 26
873-to recover, as permitted by law, money paid before or after the execution of this power of 27
874-attorney 28
875-
876- (___) All of the above 29
877-
878- G. Insurance and Annuities – With respect to this subject, I authorize my agent 30
879-to: 31
880-
881- (___) Continue, pay the premium or make a contribution on, modify, 32 HOUSE BILL 92 19
882-
883-
884-exchange, rescind, release, or terminate a contract procured by or on behalf of the principal 1
885-that insures or provides an annuity to either the principal or another person, whether or 2
886-not the principal is a beneficiary under the contract 3
887-
888- (___) Procure new, different, and additional contracts of insurance and 4
889-annuities for the principal and the principal’s spouse, children, and other dependents, and 5
890-select the amount, type of insurance or annuity, and mode of payment 6
891-
892- (___) Pay the premium or make a contribution on, modify, exchange, rescind, 7
893-release, or terminate a contract of insurance or annuity procured by the agent 8
894-
895- (___) Apply for and receive a loan secured by a contract of insurance or 9
896-annuity 10
897-
898- (___) Surrender and receive the cash surrender value on a contract of 11
899-insurance or annuity 12
900-
901- (___) Exercise an election 13
902-
903- (___) Exercise investment powers available under a contract of insurance or 14
904-annuity 15
905-
906- (___) Change the manner of paying premiums on a contract of insurance or 16
907-annuity 17
908-
909- (___) Change or convert the type of insurance or annuity with respect to 18
910-which the principal has or claims to have authority described in this section 19
911-
912- (___) Apply for and procure a benefit or assistance under a statute or 20
913-regulation to guarantee or pay premiums of a contract of insurance on the life of the 21
914-principal 22
915-
916- (___) Collect, sell, assign, hypothecate, borrow against, or pledge the interest 23
917-of the principal in a contract of insurance or annuity 24
918-
919- (___) Select the form and timing of the payment of proceeds from a contract 25
920-of insurance or annuity 26
921-
922- (___) Pay, from proceeds or otherwise, compromise or contest, and apply for 27
923-refunds in connection with a tax or assessment levied by a taxing authority with respect to 28
924-a contract of insurance or annuity or the proceeds or liability from the contract of insurance 29
925-or annuity accruing by reason of the tax or assessment 30
926-
927- (___) All of the above 31
928-
929- H. Estates, Trusts, and Other Beneficial Interests (including trusts, probate 32
930-estates, guardianships, conservatorships, escrows, or custodianships or funds from which 33 20 HOUSE BILL 92
931-
932-
933-the principal is, may become, or claims to be entitled to a share or payment) – With respect 1
934-to this subject, I authorize my agent to: 2
935-
936- (___) Accept, receive, receipt for, sell, assign, pledge, or exchange a share in 3
937-or payment from the fund described above 4
938-
939- (___) Demand or obtain money or another thing of value to which the 5
940-principal is, may become, or claims to be entitled by reason of the fund described above, by 6
941-litigation or otherwise 7
942-
943- (___) Exercise for the benefit of the principal a presently exercisable general 8
944-power of appointment held by the principal 9
945-
946- (___) Initiate, participate in, submit to alternative dispute resolution, settle, 10
947-oppose, or propose or accept a compromise with respect to litigation to ascertain the 11
948-meaning, validity, or effect of a deed, will, declaration of trust, or other instrument or 12
949-transaction affecting the interest of the principal 13
950-
951- (___) Initiate, participate in, submit to alternative dispute resolution, settle, 14
952-oppose, or propose or accept a compromise with respect to litigation to remove, substitute, 15
953-or surcharge a fiduciary 16
954-
955- (___) Conserve, invest, disburse, or use anything received for an authorized 17
956-purpose 18
957-
958- (___) Transfer an interest of the principal in real property, stocks and bonds, 19
959-accounts with financial institutions or securities intermediaries, insurance, annuities, and 20
960-other property to the trustee of a revocable trust created by the principal as settlor 21
961-
962- (___) Reject, renounce, disclaim, release, or consent to a reduction in or 22
963-modification of a share in or payment from the fund described above 23
964-
965- (___) Elect to take an elective share of an estate subject to election under § 24
966-3–403 of the Estates and Trusts Article 25
967-
968- (___) All of the above 26
969-
970- I. Claims and Litigation – With respect to this subject, I authorize my agent to: 27
971-
972- (___) Assert and maintain before a court or administrative agency a claim, 28
973-claim for relief, cause of action, counterclaim, offset, recoupment, or defense, including an 29
974-action to recover property or other thing of value, recover damages sustained by the 30
975-principal, eliminate or modify tax liability, or seek an injunction, specific performance, or 31
976-other relief 32
977-
978- (___) Bring an action to determine adverse claims or intervene or otherwise 33
979-participate in litigation 34 HOUSE BILL 92 21
1125+ (5) A pension, profit–sharing, stock bonus, or other retirement plan 33
1126+qualified under Internal Revenue Code Section 401(a), 26 U.S.C. § 401(a); 34 24 HOUSE BILL 92
9801127
9811128
9821129
983- (___) Seek an attachment, garnishment, order of arrest, or other preliminary, 1
984-provisional, or intermediate relief and use an available procedure to effect or satisfy a 2
985-judgment, order, or decree 3
1130+ (6) A plan under Internal Revenue Code Section 457(b), 26 U.S.C. § 457(b); 1
1131+and 2
9861132
987- (___) Make or accept a tender, offer of judgment, or admission of facts, submit 4
988-a controversy on an agreed statement of facts, consent to examination, and bind the 5
989-principal in litigation 6
1133+ (7) A nonqualified deferred compensation plan under Internal Revenue 3
1134+Code Section 409A, 26 U.S.C. § 409A) – With respect to this subject, I authorize my agent 4
1135+to: 5
9901136
991- (___) Submit to alternative dispute resolution, settle, and propose or accept 7
992-a compromise 8
1137+ (___) Select the form and timing of payments under a retirement plan and 6
1138+withdraw benefits from a plan 7
9931139
994- (___) Waive the issuance and service of process on the principal, accept 9
995-service of process, appear for the principal, designate persons on which process directed to 10
996-the principal may be served, execute and file or deliver stipulations on the principal’s 11
997-behalf, verify pleadings, seek appellate review, procure and give surety and indemnity 12
998-bonds, contract and pay for the preparation and printing of records and briefs, receive, 13
999-execute, and file or deliver a consent, waiver, release, confession of judgment, satisfaction 14
1000-of judgment, notice, agreement, or other instrument in connection with the prosecution, 15
1001-settlement, or defense of a claim or litigation 16
1140+ (___) Make a rollover, including a direct trustee–to–trustee rollover, of 8
1141+benefits from one retirement plan to another 9
10021142
1003- (___) Act for the principal with respect to bankruptcy or insolvency, whether 17
1004-voluntary or involuntary, concerning the principal or some other person, or with respect to 18
1005-a reorganization, receivership, or application for the appointment of a receiver or trustee 19
1006-that affects an interest of the principal in property or other thing of value 20
1143+ (___) Establish a retirement plan in the principal’s name 10
10071144
1008- (___) Pay a judgment, award, or order against the principal or a settlement 21
1009-made in connection with a claim or litigation 22
1145+ (___) Make contributions to a retirement plan 11
10101146
1011- (___) Receive money or other thing of value paid in settlement of or as 23
1012-proceeds of a claim or litigation 24
1147+ (___) Exercise investment powers available under a retirement plan 12
10131148
1014- (___) All of the above 25
1149+ (___) Borrow from, sell assets to, or purchase assets from a retirement plan 13
10151150
1016- J. Personal and Family Maintenance – With respect to this subject, I authorize 26
1017-my agent to: 27
1151+ (___) All of the above 14
10181152
1019- (___) Perform the acts necessary to maintain the customary standard of 28
1020-living of the principal, the principal’s spouse, and the following individuals, whether living 29
1021-when this power of attorney is executed or later born: 30
1153+ M. Taxes – With respect to this subject, I authorize my agent to: 15
10221154
1023- (1) The principal’s children; 31
1155+ (___) Prepare, sign, and file federal, state, local, and foreign income, gift, 16
1156+payroll, property, Federal Insurance Contributions Act, and other tax returns, claims for 17
1157+refunds, requests for extension of time, petitions regarding tax matters, and other 18
1158+tax–related documents, including receipts, offers, waivers, consents, including consents 19
1159+and agreements under Internal Revenue Code Section 2032A, 26 U.S.C. § 2032A, closing 20
1160+agreements, and other powers of attorney required by the Internal Revenue Service or other 21
1161+taxing authority with respect to a tax year on which the statute of limitations has not run 22
1162+and the following 25 tax years 23
10241163
1025- (2) Other individuals legally entitled to be supported by the 32
1026-principal; and 33
1164+ (___) Pay taxes due, collect refunds, post bonds, receive confidential 24
1165+information, and contest deficiencies determined by the Internal Revenue Service or other 25
1166+taxing authority 26
10271167
1028- (3) The individuals whom the principal has customarily supported 34 22 HOUSE BILL 92
1168+ (___) Exercise elections available to the principal under federal, state, local, 27
1169+or foreign tax law 28
1170+
1171+ (___) Act for the principal in all tax matters for all periods before the Internal 29
1172+Revenue Service, or other taxing authority 30
1173+
1174+ (___) All of the above 31
1175+ HOUSE BILL 92 25
10291176
10301177
1031-or indicated the intent to support; 1
1178+ N. Gifts [(including gifts to] AND TRANSFERS – WITH RESPECT TO THIS 1
1179+SUBJECT, I AUTHORIZE MY AGENT T O: 2
10321180
1033- (___) Make periodic payments of child support and other family maintenance 2
1034-required by a court or governmental agency or an agreement to which the principal is a 3
1035-party 4
1181+ (___) MAKE A GIFT OR TRANSF ER TO A PERSON, OR CREATE AND FUND 3
1182+FOR THE BENEFIT OF A PERSON, INCLUDING THE PRINCI PAL, a trust, an account under 4
1183+the Uniform Transfers to Minors Act, a tuition savings account or prepaid tuition plan as 5
1184+defined under Internal Revenue Code Section 529, 26 U.S.C. § 529, [and] an ABLE account 6
1185+as defined under Internal Revenue Code Section 529A, 26 U.S.C. § 529A[) – With respect 7
1186+to this subject, I authorize my agent to: 8
10361187
1037- (___) Provide living quarters for the individuals described above by: 5
1188+ (___) Make outright to, or for the benefit of, a person, a gift], OR A SPECIAL 9
1189+NEEDS TRUST OR ANY T RUST AUTHORIZED UNDE R § 1917 OF THE FEDERAL SOCIAL 10
1190+SECURITY ACT, of part or all of the principal’s property, including by the exercise of a 11
1191+presently exercisable general power of appointment held by the principal, in an amount for 12
1192+each donee not to exceed the annual dollar limits of the federal gift tax exclusion under 13
1193+Internal Revenue Code Section 2503(b), 26 U.S.C. § 2503(b), without regard to whether the 14
1194+federal gift tax exclusion applies to the gift, or if the principal’s spouse agrees to consent to 15
1195+a split gift pursuant to Internal Revenue Code Section 2513, 26 U.S.C. § 2513, in an amount 16
1196+for each donee not to exceed twice the annual federal gift tax exclusion limit 17
10381197
1039- (1) Purchase, lease, or other contract; or 6
1198+ (___) Consent, pursuant to Internal Revenue Code Section 2513, 26 U.S.C. § 18
1199+2513, to the splitting of a gift made by the principal’s spouse in an amount for each donee 19
1200+not to exceed the aggregate annual gift tax exclusions for both spouses 20
10401201
1041- (2) Paying the operating costs, including interest, amortization 7
1042-payments, repairs, improvements, and taxes, for premises owned by the principal or 8
1043-occupied by those individuals 9
1202+ (NOTE: An agent may only make a gift of the principal’s property as the agent 21
1203+determines is consistent with the principal’s objectives if actually known by the agent and, 22
1204+if unknown, as the agent determines is consistent with the principal’s best interest based 23
1205+on all relevant factors, including: 24
10441206
1045- (___) Provide normal domestic help, usual vacations and travel expenses, and 10
1046-funds for shelter, clothing, food, appropriate education, including postsecondary and 11
1047-vocational education, and other current living costs for the individuals described above 12
1207+ (1) The value and nature of the principal’s property; 25
10481208
1049- (___) Pay expenses for necessary health care and custodial care on behalf of 13
1050-the individuals described above 14
1209+ (2) The principal’s foreseeable obligations and need for maintenance; 26
10511210
1052- (___) Act as the principal’s personal representative in accordance with the 15
1053-Health Insurance Portability and Accountability Act, §§ 1171 through 1179 of the Social 16
1054-Security Act, 42 U.S.C. § 1320d, and applicable regulations in making decisions related to 17
1055-the past, present, or future payment for the provision of health care consented to by the 18
1056-principal or anyone authorized under the law of this State to consent to health care on 19
1057-behalf of the principal 20
1211+ (3) Minimization of taxes, including income, estate, inheritance, 27
1212+generation–skipping transfer, and gift taxes; 28
10581213
1059- (___) Continue provisions made by the principal for automobiles or other 21
1060-means of transportation, including registering, licensing, insuring, and replacing the 22
1061-means of transportation, for the individuals described above 23
1214+ (4) Eligibility for a benefit, a program, or assistance under a statute or 29
1215+regulation; and 30
10621216
1063- (___) Maintain credit and debit accounts for the convenience of the 24
1064-individuals described above and open new accounts 25
1065-
1066- (___) Continue payments incidental to the membership or affiliation of the 26
1067-principal in a religious institution, club, society, order, or other organization or to continue 27
1068-contributions to those organizations 28
1069-
1070- (NOTE: Authority with respect to personal and family maintenance is neither 29
1071-dependent on, nor limited by, authority that an agent may or may not have with respect to 30
1072-gifts under this power of attorney.) 31
1217+ (5) The principal’s personal history of making or joining in making gifts.) 31
10731218
10741219 (___) All of the above 32
10751220
1076- K. Benefits from Governmental Programs or Civil or Military Service (including 33
1077-any benefit, program, or assistance provided under a statute or regulation including Social 34 HOUSE BILL 92 23
1221+GRANT OF SPECIFIC AUTHORITY (OPTIONAL) 33
1222+
1223+[My agent MAY NOT] IN ADDITION, MY AGENT MAY do any of the following specific acts 34 26 HOUSE BILL 92
10781224
10791225
1080-Security, Medicare, and Medicaid) – With respect to this subject, I authorize my agent to: 1
1226+for me [UNLESS] ONLY IF I have INITIALED the specific authority listed below: 1
10811227
1082- (___) Execute vouchers in the name of the principal for allowances and 2
1083-reimbursements payable by the United States or a foreign government or by a state or 3
1084-subdivision of a state to the principal, including allowances and reimbursements for 4
1085-transportation of the individuals described in “J. Personal and Family Maintenance” above, 5
1086-and for shipment of the household effects of those individuals 6
1228+(Caution: Granting any of the following will give your agent the authority to take actions 2
1229+that could significantly reduce your property or change how your property is distributed at 3
1230+your death. In addition, granting your agent the authority to make gifts to, or to designate 4
1231+as the beneficiary of any retirement plan, the agent, the agent’s spouse, or a dependent of 5
1232+the agent may constitute a taxable gift by you and may make the property subject to that 6
1233+authority taxable as part of the agent’s estate. INITIAL ONLY the specific authority you 7
1234+WANT to give your agent.) 8
10871235
1088- (___) Take possession and order the removal and shipment of property of the 7
1089-principal from a post, warehouse, depot, dock, or other place of storage or safekeeping, 8
1090-either governmental or private, and execute and deliver a release, voucher, receipt, bill of 9
1091-lading, shipping ticket, certificate, or other instrument for that purpose 10
1236+ (___) TAKE ANY OF THE ACTIO NS I HAVE AUTHORIZED IN S ECTION N OF THIS 9
1237+POWER OF ATTORNEY WI THOUT RESTRICTION ON THE AMOUNT OF THE GI FT OR 10
1238+TRANSFER 11
10921239
1093- (___) PERFORM THE ACTS NECE SSARY TO ENABLE THE PRINCIPAL TO 11
1094-QUALIFY FOR A BENEFIT OR PRO GRAM, INCLUDING OBTAINING PERSONAL AND 12
1095-FINANCIAL RECORDS AN D, TO THE EXTENT SPECIF ICALLY AUTHORIZED BE LOW, TO 13
1096-TRANSFER OR GIFT THE PRINCIPAL’S PROPERTY 14
1240+ (___) TAKE ANY OF THE ACTIO NS I HAVE AUTHORIZE D IN SECTION N OF THIS 12
1241+POWER OF ATTORNEY IN FAVOR OF MY AGENT 13
10971242
1098- (___) Enroll in, apply for, select, reject, change, amend, or discontinue, on the 15
1099-principal’s behalf, a benefit or program 16
1243+ (___) Create AND FUND an inter vivos trust, [or amend, revoke, or terminate an 14
1244+existing inter vivos trust if the trust expressly authorizes that action by the agent] 15
1245+INCLUDING A SPECIAL NEEDS TRUST , ANY TRUST AUTHORIZED UNDER § 1917 OF 16
1246+THE FEDERAL SOCIAL SECURITY ACT, OR A THIRD–PARTY SPECIAL NEEDS TRUST, 17
1247+OR ESTABLISH AND FUN D AN ABLE ACCOUNT AS DEFINED U NDER § 529A OF THE 18
1248+INTERNAL REVENUE CODE, FOR THE BENEFIT OF T HE PRINCIPAL OR THE 19
1249+PRINCIPAL’S FAMILY, HEIRS AT LAW, OR DESCENDANTS , OR ANY OTHER PERSON 20
1250+DESIGNATED BY THE PR INCIPAL AS A BENEFIC IARY UNDER AN EXISTI NG WILL, 21
1251+TRUST, OR OTHER INSTRUMENT 22
11001252
1101- (___) Prepare, file, and maintain a claim of the principal for a benefit or 17
1102-assistance, financial or otherwise, to which the principal may be entitled under a statute 18
1103-or regulation 19
1253+ (___) AMEND, REVOKE, OR TERMINATE AN EXIS TING INTER VIVOS TRU ST IF 23
1254+THE TRUST EXPRESSLY AUTH ORIZES THAT ACTION B Y THE AGENT 24
11041255
1105- (___) Initiate, participate in, submit to alternative dispute resolution, settle, 20
1106-oppose, or propose or accept a compromise with respect to litigation concerning a benefit or 21
1107-assistance the principal may be entitled to receive under a statute or regulation 22
1256+ (___) Make a gift, subject to any special instructions in this power of attorney, 25
1257+INCLUDING A GIFT OF THE PRINCIPAL ’S ASSETS TO ASSIST T HE PRINCIPAL IN 26
1258+MEETING THE ELIGIBIL ITY REQUIREMENTS AND QUALIFYING FOR A BENEFIT OR 27
1259+PROGRAM 28
11081260
1109- (___) Receive the financial proceeds of a claim described above and conserve, 23
1110-invest, disburse, or use for a lawful purpose anything so received 24
1261+ (___) Create or change rights of survivorship 29
11111262
1112- (___) All of the above 25
1263+ (___) Create or change a beneficiary designation, subject to any special instructions 30
1264+in this power of attorney; and, if I wish to authorize my agent to designate the agent, the 31
1265+agent’s spouse, or a dependent of the agent as a beneficiary, I will explicitly state this 32
1266+authority within the special instructions of this power of attorney or in a separate power of 33
1267+attorney 34
11131268
1114- L. Retirement Plans (including a plan or account created by an employer, the 26
1115-principal, or another individual to provide retirement benefits or deferred compensation of 27
1116-which the principal is a participant, beneficiary, or owner, including a plan or account 28
1117-under the following sections of the Internal Revenue Code: 29
1118-
1119- (1) An individual retirement account under Internal Revenue Code Section 30
1120-408, 26 U.S.C. § 408; 31
1121-
1122- (2) A Roth individual retirement account under Internal Revenue Code 32
1123-Section 408A, 26 U.S.C. § 408A; 33
1124-
1125- (3) A deemed individual retirement account under Internal Revenue Code 34
1126-Section 408(q), 26 U.S.C. § 408(q); 35 24 HOUSE BILL 92
1269+ (___) Authorize another person to exercise the authority granted under this power 35
1270+of attorney 36 HOUSE BILL 92 27
11271271
11281272
11291273
1130- (4) An annuity or mutual fund custodial account under Internal Revenue 1
1131-Code Section 403(b), 26 U.S.C. § 403(b); 2
1274+ (___) Waive the principal’s right to be a beneficiary of a joint and survivor annuity, 1
1275+including a survivor benefit under a retirement plan 2
11321276
1133- (5) A pension, profit–sharing, stock bonus, or other retirement plan 3
1134-qualified under Internal Revenue Code Section 401(a), 26 U.S.C. § 401(a); 4
1277+ (___) Exercise fiduciary powers that the principal has authority to delegate 3
11351278
1136- (6) A plan under Internal Revenue Code Section 457(b), 26 U.S.C. § 457(b); 5
1137-and 6
1279+ (___) Disclaim or refuse an interest in property, including a power of appointment 4
11381280
1139- (7) A nonqualified deferred compensation plan under Internal Revenue 7
1140-Code Section 409A, 26 U.S.C. § 409A) – With respect to this subject, I authorize my agent 8
1141-to: 9
1281+ (___) In accordance with the Maryland Fiduciary Access to Digital Assets Act, 5
1282+access and take control of (1) the content of any of my electronic communications, (2) any 6
1283+catalogue of electronic communications sent or received by me, and (3) any other digital 7
1284+asset in which I have a right or interest 8
11421285
1143- (___) Select the form and timing of payments under a retirement plan and 10
1144-withdraw benefits from a plan 11
1286+ (___) Demand the delivery of the principal’s will from the custodian of the will and, 9
1287+on delivery of the principal’s will, take custody of the will subject to the requirements of 10
1288+Title 4, Subtitle 2 of the Estates and Trusts Article 11
11451289
1146- (___) Make a rollover, including a direct trustee–to–trustee rollover, of 12
1147-benefits from one retirement plan to another 13
1290+LIMITATION ON AGENT’S AUTHORITY 12
11481291
1149- (___) Establish a retirement plan in the principal’s name 14
1292+An agent that is not my ancestor, spouse, or descendant MAY NOT use my property to 13
1293+benefit the agent or a person to whom the agent owes an obligation of support unless I have 14
1294+included that authority in the Special Instructions. 15
11501295
1151- (___) Make contributions to a retirement plan 15
1296+SPECIAL INSTRUCTIONS (OPTIONAL) 16
11521297
1153- (___) Exercise investment powers available under a retirement plan 16
1298+You may give special instructions on the following lines: 17
11541299
1155- (___) Borrow from, sell assets to, or purchase assets from a retirement plan 17
1300+___________________________________________________________________________________ 18
1301+___________________________________________________________________________________ 19
1302+___________________________________________________________________________________ 20
1303+___________________________________________________________________________________ 21
1304+___________________________________________________________________________________ 22
1305+___________________________________________________________________________________ 23
1306+________________________________________________ 24
11561307
1157- (___) All of the above 18
1308+EFFECTIVE DATE 25
11581309
1159- M. Taxes – With respect to this subject, I authorize my agent to: 19
1310+This power of attorney is effective immediately unless I have stated otherwise in the Special 26
1311+Instructions. 27
11601312
1161- (___) Prepare, sign, and file federal, state, local, and foreign income, gift, 20
1162-payroll, property, Federal Insurance Contributions Act, and other tax returns, claims for 21
1163-refunds, requests for extension of time, petitions regarding tax matters, and other 22
1164-tax–related documents, including receipts, offers, waivers, consents, including consents 23
1165-and agreements under Internal Revenue Code Section 2032A, 26 U.S.C. § 2032A, closing 24
1166-agreements, and other powers of attorney required by the Internal Revenue Service or other 25
1167-taxing authority with respect to a tax year on which the statute of limitations has not run 26
1168-and the following 25 tax years 27
1313+TERMINATION DATE (OPTIONAL) 28
11691314
1170- (___) Pay taxes due, collect refunds, post bonds, receive confidential 28
1171-information, and contest deficiencies determined by the Internal Revenue Service or other 29
1172-taxing authority 30
1315+This power of attorney shall terminate on _______________________________, 20______. 29
1316+ (Use a specific calendar date) 30
11731317
1174- (___) Exercise elections available to the principal under federal, state, local, 31
1175-or foreign tax law 32 HOUSE BILL 92 25
1318+NOMINATION OF GUARDIAN (OPTIONAL) 31
1319+ 28 HOUSE BILL 92
1320+
1321+
1322+If it becomes necessary for a court to appoint a guardian of my property or guardian of my 1
1323+person, I nominate the following person(s) for appointment: 2
1324+
1325+Name of Nominee for guardian of my property: 3
1326+_____________________________________________________________________________ 4
1327+Nominee’s Address: __________________________________________________________ 5
1328+Nominee’s Telephone Number: ________________________________________________ 6
1329+
1330+Name of Nominee for guardian of my person: 7
1331+______________________________________________________________________________ 8
1332+Nominee’s Address: ___________________________________________________________ 9
1333+Nominee’s Telephone Number: ________________________________________________ 10
1334+
1335+SIGNATURE AND ACKNOWLEDGMENT 11
1336+
1337+_____________________________________________ __________________________ 12
1338+Your Signature Date 13
1339+
1340+______________________________________________________________________________ 14
1341+Your Name Printed 15
1342+
1343+___________________________________________________________________________________ 16
1344+_________________________________________________________________________ 17
1345+Your Address 18
1346+
1347+______________________________________________________________________________ 19
1348+Your Telephone Number 20
1349+
1350+STATE OF MARYLAND 21
1351+(COUNTY) OF _______________________________________________________________ 22
1352+
1353+This document was acknowledged before me on 23
1354+______________________________________________________________________________, 24
1355+(Date) 25
1356+
1357+by ___________________________________________________________________________. 26
1358+(Name of Principal) 27
1359+
1360+__________________________________________________________________ (Seal, if any) 28
1361+Signature of Notary 29
1362+My commission expires: _______________________________________________________ 30
1363+
1364+WITNESS ATTESTATION 31
1365+
1366+The foregoing power of attorney was, on the date written above, published and declared by 32
1367+______________________________________________________________________________ 33
1368+ (Name of Principal) 34 HOUSE BILL 92 29
11761369
11771370
11781371
1179- (___) Act for the principal in all tax matters for all periods before the Internal 1
1180-Revenue Service, or other taxing authority 2
1372+in our presence to be his/her power of attorney. We, in his/her presence and at his/her 1
1373+request, and in the presence of each other, have attested to the same and have signed our 2
1374+names as attesting witnesses. 3
11811375
1182- (___) All of the above 3
1376+____________________________________________ 4
1377+Witness #1 Signature 5
11831378
1184- N. Gifts [(including gifts to] AND TRANSFERS – WITH RESPECT TO THIS 4
1185-SUBJECT, I AUTHORIZE MY AGENT T O: 5
1379+____________________________________________ 6
1380+Witness #1 Name Printed 7
1381+____________________________________________ 8
1382+____________________________________________ 9
1383+Witness #1 Address 10
1384+____________________________________________ 11
1385+Witness #1 Telephone Number 12
11861386
1187- (___) MAKE A GIFT OR TRANSF ER TO A PERSON, OR CREATE AND FUND 6
1188-FOR THE BENEFIT OF A PERSON, INCLUDING THE PRINCI PAL, a trust, an account under 7
1189-the Uniform Transfers to Minors Act, a tuition savings account or prepaid tuition plan as 8
1190-defined under Internal Revenue Code Section 529, 26 U.S.C. § 529, [and] an ABLE account 9
1191-as defined under Internal Revenue Code Section 529A, 26 U.S.C. § 529A[) – With respect 10
1192-to this subject, I authorize my agent to: 11
1387+____________________________________________ 13
1388+Witness #2 Signature 14
1389+____________________________________________ 15
1390+Witness #2 Name Printed 16
1391+____________________________________________ 17
1392+____________________________________________ 18
1393+Witness #2 Address 19
1394+____________________________________________ 20
1395+Witness #2 Telephone Number 21
11931396
1194- (___) Make outright to, or for the benefit of, a person, a gift], OR A SPECIAL 12
1195-NEEDS TRUST OR ANY T RUST AUTHORIZED UNDE R § 1917 OF THE FEDERAL SOCIAL 13
1196-SECURITY ACT, of part or all of the principal’s property, including by the exercise of a 14
1197-presently exercisable general power of appointment held by the principal, in an amount for 15
1198-each donee not to exceed the annual dollar limits of the federal gift tax exclusion under 16
1199-Internal Revenue Code Section 2503(b), 26 U.S.C. § 2503(b), without regard to whether the 17
1200-federal gift tax exclusion applies to the gift, or if the principal’s spouse agrees to consent to 18
1201-a split gift pursuant to Internal Revenue Code Section 2513, 26 U.S.C. § 2513, in an amount 19
1202-for each donee not to exceed twice the annual federal gift tax exclusion limit 20
1397+This document prepared by: 22
12031398
1204- (___) Consent, pursuant to Internal Revenue Code Section 2513, 26 U.S.C. § 21
1205-2513, to the splitting of a gift made by the principal’s spouse in an amount for each donee 22
1206-not to exceed the aggregate annual gift tax exclusions for both spouses 23
1399+___________________________________________________________________________________ 23
1400+_________________________________________________________________________ 24
12071401
1208- (NOTE: An agent may only make a gift of the principal’s property as the agent 24
1209-determines is consistent with the principal’s objectives if actually known by the agent and, 25
1210-if unknown, as the agent determines is consistent with the principal’s best interest based 26
1211-on all relevant factors, including: 27
1402+IMPORTANT INFORMATION FOR AGENT 25
12121403
1213- (1) The value and nature of the principal’s property; 28
1404+Agent’s Duties 26
12141405
1215- (2) The principal’s foreseeable obligations and need for maintenance; 29
1406+When you accept the authority granted under this power of attorney, a special legal 27
1407+relationship is created between you and the principal. This relationship imposes on you 28
1408+legal duties that continue until you resign or the power of attorney is terminated or revoked. 29
1409+You must: 30
12161410
1217- (3) Minimization of taxes, including income, estate, inheritance, 30
1218-generation–skipping transfer, and gift taxes; 31
1411+ (1) Do what you know the principal reasonably expects you to do with the 31
1412+principal’s property or, if you do not know the principal’s expectations, act in the principal’s 32
1413+best interest; 33
12191414
1220- (4) Eligibility for a benefit, a program, or assistance under a statute or 32
1221-regulation; and 33
1415+ (2) Act with care, competence, and diligence for the best interest of the principal; 34
12221416
1223- (5) The principal’s personal history of making or joining in making gifts.) 34 26 HOUSE BILL 92
1417+ (3) Do nothing beyond the authority granted in this power of attorney; and 35 30 HOUSE BILL 92
12241418
12251419
12261420
1227- (___) All of the above 1
1421+ (4) Disclose your identity as an agent whenever you act for the principal by 1
1422+writing or printing the name of the principal and signing your own name as “agent” in the 2
1423+following manner: 3
12281424
1229-GRANT OF SPECIFIC AUTHORITY (OPTIONAL) 2
1425+__________________________________ ______________________________________ 4
1426+ (Principal’s Name) by (Your Signature) as Agent 5
12301427
1231-[My agent MAY NOT] IN ADDITION, MY AGENT MAY do any of the following specific acts 3
1232-for me [UNLESS] ONLY IF I have INITIALED the specific authority listed below: 4
1428+Unless the Special Instructions in this power of attorney state otherwise, you must also: 6
12331429
1234-(Caution: Granting any of the following will give your agent the authority to take actions 5
1235-that could significantly reduce your property or change how your property is distributed at 6
1236-your death. In addition, granting your agent the authority to make gifts to, or to designate 7
1237-as the beneficiary of any retirement plan, the agent, the agent’s spouse, or a dependent of 8
1238-the agent may constitute a taxable gift by you and may make the property subject to that 9
1239-authority taxable as part of the agent’s estate. INITIAL ONLY the specific authority you 10
1240-WANT to give your agent.) 11
1430+ (1) Act loyally for the principal’s benefit; 7
12411431
1242- (___) TAKE ANY OF THE ACTIO NS I HAVE AUTHORIZED IN S ECTION N OF THIS 12
1243-POWER OF ATTORNEY WITHOUT R ESTRICTION ON THE AM OUNT OF THE GIFT OR 13
1244-TRANSFER 14
1432+ (2) Avoid conflicts that would impair your ability to act in the principal’s best 8
1433+interest; 9
12451434
1246- (___) TAKE ANY OF THE ACTIO NS I HAVE AUTHORIZED IN S ECTION N OF THIS 15
1247-POWER OF ATTORNEY IN FAVOR OF MY AGENT 16
1435+ (3) Keep a record of all receipts, disbursements, and transactions made on behalf 10
1436+of the principal; 11
12481437
1249- (___) Create AND FUND an inter vivos trust, [or amend, revoke, or terminate an 17
1250-existing inter vivos trust if the trust expressly authorizes that action by the agent] 18
1251-INCLUDING A SPECIAL NEEDS TRUST , ANY TRUST AUTHORIZED UNDER § 1917 OF 19
1252-THE FEDERAL SOCIAL SECURITY ACT, OR A THIRD–PARTY SPECIAL NEEDS TRUST, 20
1253-OR ESTABLISH AND FUN D AN ABLE ACCOUNT AS DEFINED U NDER § 529A OF THE 21
1254-INTERNAL REVENUE CODE, FOR THE BENEFIT OF T HE PRINCIPAL OR THE 22
1255-PRINCIPAL’S FAMILY, HEIRS AT LAW, OR DESCENDANTS , OR ANY OTHER PERSON 23
1256-DESIGNATED BY THE PR INCIPAL AS A BENEFIC IARY UNDER AN EXISTI NG WILL, 24
1257-TRUST, OR OTHER INSTRUMENT 25
1438+ (4) Cooperate with any person that has authority to make health care decisions 12
1439+for the principal to do what you know the principal reasonably expects or, if you do not 13
1440+know the principal’s expectations, to act in the principal’s best interest; and 14
12581441
1259- (___) AMEND, REVOKE, OR TERMINATE AN EXIS TING INTER VIVOS TRU ST IF 26
1260-THE TRUST EXPRESSLY AUTHORIZES THAT ACTI ON BY THE AGENT 27
1442+ (5) Attempt to preserve the principal’s estate plan if you know the plan and 15
1443+preserving the plan is consistent with the principal’s best interest. 16
12611444
1262- (___) Make a gift, subject to any special instructions in this power of attorney, 28
1263-INCLUDING A GIFT OF THE PRINCIPAL’S ASSETS TO ASSIST T HE PRINCIPAL IN 29
1264-MEETING THE ELIGIBIL ITY REQUIREMENTS AND QUALIFYING FOR A BEN EFIT OR 30
1265-PROGRAM 31
1445+Termination of Agent’s Authority 17
12661446
1267- (___) Create or change rights of survivorship 32
1447+You must stop acting on behalf of the principal if you learn of any event that terminates 18
1448+this power of attorney or your authority under this power of attorney. Events that 19
1449+terminate a power of attorney or your authority to act under a power of attorney include: 20
12681450
1269- (___) Create or change a beneficiary designation, subject to any special instructions 33
1270-in this power of attorney; and, if I wish to authorize my agent to designate the agent, the 34 HOUSE BILL 92 27
1451+ (1) Death of the principal; 21
1452+
1453+ (2) The principal’s revocation of the power of attorney or your authority; 22
1454+
1455+ (3) The occurrence of a termination event stated in the power of attorney; 23
1456+
1457+ (4) The purpose of the power of attorney is fully accomplished; or 24
1458+
1459+ (5) If you are married to the principal, a legal action is filed with a court to end 25
1460+your marriage, or for your legal separation, unless the Special Instructions in this power of 26
1461+attorney state that such an action will not terminate your authority. 27
1462+
1463+Liability of Agent 28
1464+
1465+The meaning of the authority granted to you is defined in the Maryland Power of Attorney 29
1466+Act, Title 17 of the Estates and Trusts Article. If you violate the Maryland Power of 30 HOUSE BILL 92 31
12711467
12721468
1273-agent’s spouse, or a dependent of the agent as a beneficiary, I will explicitly state this 1
1274-authority within the special instructions of this power of attorney or in a separate power of 2
1275-attorney 3
1469+Attorney Act, Title 17 of the Estates and Trusts Article, or act outside the authority 1
1470+granted, you may be liable for any damages caused by your violation. 2
12761471
1277- (___) Authorize another person to exercise the authority granted under this power 4
1278-of attorney 5
1472+If there is anything about this document or your duties that you do not understand, you 3
1473+should seek legal advice.” 4
12791474
1280- (___) Waive the principal’s right to be a beneficiary of a joint and survivor annuity, 6
1281-including a survivor benefit under a retirement plan 7
1475+ SECTION 2. AND BE IT FURTHER ENACTED, That this Act shall take effect 5
1476+October 1, 2022. 6
12821477
1283- (___) Exercise fiduciary powers that the principal has authority to delegate 8
1284-
1285- (___) Disclaim or refuse an interest in property, including a power of appointment 9
1286-
1287- (___) In accordance with the Maryland Fiduciary Access to Digital Assets Act, 10
1288-access and take control of (1) the content of any of my electronic communications, (2) any 11
1289-catalogue of electronic communications sent or received by me, and (3) any other digital 12
1290-asset in which I have a right or interest 13
1291-
1292- (___) Demand the delivery of the principal’s will from the custodian of the will and, 14
1293-on delivery of the principal’s will, take custody of the will subject to the requirements of 15
1294-Title 4, Subtitle 2 of the Estates and Trusts Article 16
1295-
1296-LIMITATION ON AGENT’S AUTHORITY 17
1297-
1298-An agent that is not my ancestor, spouse, or descendant MAY NOT use my property to 18
1299-benefit the agent or a person to whom the agent owes an obligation of support unless I have 19
1300-included that authority in the Special Instructions. 20
1301-
1302-SPECIAL INSTRUCTIONS (OPTIONAL) 21
1303-
1304-You may give special instructions on the following lines: 22
1305-
1306-___________________________________________________________________________________ 23
1307-___________________________________________________________________________________ 24
1308-___________________________________________________________________________________ 25
1309-___________________________________________________________________________________ 26
1310-___________________________________________________________________________________ 27
1311-___________________________________________________________________________________ 28
1312-________________________________________________ 29
1313-
1314-EFFECTIVE DATE 30
1315-
1316-This power of attorney is effective immediately unless I have stated otherwise in the Special 31
1317-Instructions. 32
1318-
1319-TERMINATION DATE (OPTIONAL) 33 28 HOUSE BILL 92
1320-
1321-
1322-
1323-This power of attorney shall terminate on _______________________________, 20______. 1
1324- (Use a specific calendar date) 2
1325-
1326-NOMINATION OF GUARDIAN (OPTIONAL) 3
1327-
1328-If it becomes necessary for a court to appoint a guardian of my property or guardian of my 4
1329-person, I nominate the following person(s) for appointment: 5
1330-
1331-Name of Nominee for guardian of my property: 6
1332-_____________________________________________________________________________ 7
1333-Nominee’s Address: __________________________________________________________ 8
1334-Nominee’s Telephone Number: ________________________________________________ 9
1335-
1336-Name of Nominee for guardian of my person: 10
1337-______________________________________________________________________________ 11
1338-Nominee’s Address: ___________________________________________________________ 12
1339-Nominee’s Telephone Number: ________________________________________________ 13
1340-
1341-SIGNATURE AND ACKNOWLEDGMENT 14
1342-
1343-_____________________________________________ __________________________ 15
1344-Your Signature Date 16
1345-
1346-______________________________________________________________________________ 17
1347-Your Name Printed 18
1348-
1349-___________________________________________________________________________________ 19
1350-_________________________________________________________________________ 20
1351-Your Address 21
1352-
1353-______________________________________________________________________________ 22
1354-Your Telephone Number 23
1355-
1356-STATE OF MARYLAND 24
1357-(COUNTY) OF _______________________________________________________________ 25
1358-
1359-This document was acknowledged before me on 26
1360-______________________________________________________________________________, 27
1361-(Date) 28
1362-
1363-by ___________________________________________________________________________. 29
1364-(Name of Principal) 30
1365-
1366-__________________________________________________________________ (Seal, if any) 31
1367-Signature of Notary 32
1368-My commission expires: _______________________________________________________ 33 HOUSE BILL 92 29
1369-
1370-
1371-
1372-WITNESS ATTESTATION 1
1373-
1374-The foregoing power of attorney was, on the date written above, published and declared by 2
1375-______________________________________________________________________________ 3
1376- (Name of Principal) 4
1377-
1378-in our presence to be his/her power of attorney. We, in his/her presence and at his/her 5
1379-request, and in the presence of each other, have attested to the same and have signed our 6
1380-names as attesting witnesses. 7
1381-
1382-____________________________________________ 8
1383-Witness #1 Signature 9
1384-
1385-____________________________________________ 10
1386-Witness #1 Name Printed 11
1387-____________________________________________ 12
1388-____________________________________________ 13
1389-Witness #1 Address 14
1390-____________________________________________ 15
1391-Witness #1 Telephone Number 16
1392-
1393-____________________________________________ 17
1394-Witness #2 Signature 18
1395-____________________________________________ 19
1396-Witness #2 Name Printed 20
1397-____________________________________________ 21
1398-____________________________________________ 22
1399-Witness #2 Address 23
1400-____________________________________________ 24
1401-Witness #2 Telephone Number 25
1402-
1403-This document prepared by: 26
1404-
1405-___________________________________________________________________________________ 27
1406-_________________________________________________________________________ 28
1407-
1408-IMPORTANT INFORMATION FOR AGENT 29
1409-
1410-Agent’s Duties 30
1411-
1412-When you accept the authority granted under this power of attorney, a special legal 31
1413-relationship is created between you and the principal. This relationship imposes on you 32
1414-legal duties that continue until you resign or the power of attorney is terminated or revoked. 33
1415-You must: 34
1416-
1417- (1) Do what you know the principal reasonably expects you to do with the 35 30 HOUSE BILL 92
1418-
1419-
1420-principal’s property or, if you do not know the principal’s expectations, act in the principal’s 1
1421-best interest; 2
1422-
1423- (2) Act with care, competence, and diligence for the best interest of the principal; 3
1424-
1425- (3) Do nothing beyond the authority granted in this power of attorney; and 4
1426-
1427- (4) Disclose your identity as an agent whenever you act for the principal by 5
1428-writing or printing the name of the principal and signing your own name as “agent” in the 6
1429-following manner: 7
1430-
1431-__________________________________ ______________________________________ 8
1432- (Principal’s Name) by (Your Signature) as Agent 9
1433-
1434-Unless the Special Instructions in this power of attorney state otherwise, you must also: 10
1435-
1436- (1) Act loyally for the principal’s benefit; 11
1437-
1438- (2) Avoid conflicts that would impair your ability to act in the principal’s best 12
1439-interest; 13
1440-
1441- (3) Keep a record of all receipts, disbursements, and transactions made on behalf 14
1442-of the principal; 15
1443-
1444- (4) Cooperate with any person that has authority to make health care decisions 16
1445-for the principal to do what you know the principal reasonably expects or, if you do not 17
1446-know the principal’s expectations, to act in the principal’s best interest; and 18
1447-
1448- (5) Attempt to preserve the principal’s estate plan if you know the plan and 19
1449-preserving the plan is consistent with the principal’s best interest. 20
1450-
1451-Termination of Agent’s Authority 21
1452-
1453-You must stop acting on behalf of the principal if you learn of any event that terminates 22
1454-this power of attorney or your authority under this power of attorney. Events that 23
1455-terminate a power of attorney or your authority to act under a power of attorney include: 24
1456-
1457- (1) Death of the principal; 25
1458-
1459- (2) The principal’s revocation of the power of attorney or your authority; 26
1460-
1461- (3) The occurrence of a termination event stated in the power of attorney; 27
1462-
1463- (4) The purpose of the power of attorney is fully accomplished; or 28
1464-
1465- (5) If you are married to the principal, a legal action is filed with a court to end 29
1466-your marriage, or for your legal separation, unless the Special Instructions in this power of 30 HOUSE BILL 92 31
1467-
1468-
1469-attorney state that such an action will not terminate your authority. 1
1470-
1471-Liability of Agent 2
1472-
1473-The meaning of the authority granted to you is defined in the Maryland Power of Attorney 3
1474-Act, Title 17 of the Estates and Trusts Article. If you violate the Maryland Power of 4
1475-Attorney Act, Title 17 of the Estates and Trusts Article, or act outside the authority 5
1476-granted, you may be liable for any damages caused by your violation. 6
1477-
1478-If there is anything about this document or your duties that you do not understand, you 7
1479-should seek legal advice.” 8
1480-
1481- SECTION 2. AND BE IT FURTHER ENACTED, That this Act shall take effect 9
1482-October 1, 2022. 10
1483-
1484-
1485-
1486-
1487-Approved:
1488-________________________________________________________________________________
1489- Governor.
1490-________________________________________________________________________________
1491- Speaker of the House of Delegates.
1492-________________________________________________________________________________
1493- President of the Senate.