493 | | - | SPECIAL INSTRUCTIONS FOR GIFTING DESIRES – YOU MAY GIVE SPECIAL |
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494 | | - | INSTRUCTIONS FOR GIF TING DESIRES ON THE FOLLOWING LINES : |
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| 466 | + | (___) MY SPOUSE 25 |
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| 467 | + | |
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| 468 | + | (___) MY PARENTS 26 |
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| 469 | + | |
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| 470 | + | (___) MY GRANDPARENTS 27 |
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| 471 | + | |
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| 472 | + | (___) MY CHILDREN AND THEIR DESCENDANTS 28 |
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| 473 | + | |
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| 474 | + | (___) A NONPROFIT OR CHARITA BLE ORGANIZATION IN A MANNER 29 |
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| 475 | + | CONSISTENT WITH MY P REVIOUS GIVING HISTORY 30 |
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| 476 | + | SENATE BILL 851 11 |
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| 477 | + | |
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| 478 | + | |
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| 479 | + | (___) THE PEOPLE AND CHARIT ABLE ORGANIZATIONS , IF ANY, NAMED 1 |
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| 480 | + | IN MY ESTATE PLAN AN D IN ACCORDANCE WITH THE TERMS OF MY ESTA TE PLAN 2 |
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| 481 | + | THAT ARE IN EXISTENC E AT THE TIME THE GI FT IS MADE 3 |
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| 482 | + | |
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| 483 | + | (___) MY INTESTATE HEIRS WH O WOULD RECEIVE MY E STATE UNDER 4 |
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| 484 | + | MARYLAND LAW IF I DIED A RESIDENT OF MARYLAND WITHOUT A WI LL 5 |
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| 485 | + | |
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| 486 | + | (___) ONE OR MORE OF THE FO LLOWING PERSONS : 6 |
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| 487 | + | _________________________________________________________ 7 |
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| 488 | + | _________________________________________________________ 8 |
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| 489 | + | |
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| 490 | + | MY AGENT IS AUTHORIZE D TO MAKE GIFTS UNDE R THIS SECTION IN TH E 9 |
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| 491 | + | FOLLOWING AMOUNTS ONLY IF I HAVE INITIALED BELOW: 10 |
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| 492 | + | |
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| 493 | + | (___) IN AN AMOUNT NOT TO E XCEED $_____ PER PERSON EACH 11 |
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| 494 | + | CALENDAR YEAR TO THE PERSONS, NONPROFITS, OR CHARITABLE ORGANI ZATIONS 12 |
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| 495 | + | THAT I HAVE SPECIFIED IN TH E SECTION ABOVE ; 13 |
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| 496 | + | |
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| 497 | + | (___) IN AN AMOUNT FOR EACH PERSON I HAVE SPECIFIED IN TH E 14 |
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| 498 | + | SECTION ABOVE NOT TO EXCEED THE ANNUAL DOLLAR LIM ITS OF THE FEDERAL 15 |
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| 499 | + | GIFT TAX EXCLUSION U NDER § 2503(B) OF THE INTERNAL REVENUE CODE, OR IF 16 |
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| 500 | + | MY SPOUSE AGREES TO CONSENT TO A SPLIT G IFT, IN AN AMOUNT NOT TO EXCEED 17 |
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| 501 | + | THE AGGREGATE ANNUAL GIFT TAX EXCLUSION F OR BOTH SPOUSES ; 18 |
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| 502 | + | |
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| 503 | + | (___) IN AN UNLIMITED AMOUNT , FOR THE PURPOSE OF E STATE 19 |
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| 504 | + | PLANNING OR QUALIFYI NG ME FOR A GOVERNME NTAL BENEFIT OR PROG RAM, WITH 20 |
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| 505 | + | SUCH GIFTS TO BE MAD E IN A MANNER CONSIS TENT WITH MY EXISTIN G ESTATE 21 |
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| 506 | + | PLAN, IF ANY, AND IN ACCORDANCE WI TH STATE LAW. 22 |
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| 507 | + | |
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| 508 | + | SPECIAL INSTRUCTIONS FOR GIFTING DESIRES – YOU MAY GIVE SPECIAL 23 |
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| 509 | + | INSTRUCTIONS FOR GIF TING DESIRES ON THE FOLLOWING LINES : 24 |
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| 510 | + | ________________________________________________________________________________ 25 |
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| 511 | + | ________________________________________________________________________________ 26 |
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| 512 | + | ________________________________________________________________________________ 27 |
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| 513 | + | |
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| 514 | + | B. JOINT ACCOUNTS AND BE NEFICIARY DESIGNATIO NS – I AUTHORIZE MY 28 |
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| 515 | + | AGENT TO DO ONE OR M ORE OF THE FOLLOWING ONLY IF I HAVE INITIALED 29 |
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| 516 | + | BELOW: 30 |
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| 517 | + | |
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| 518 | + | (____) OPEN A JOINT AC COUNT WITH ME AND ON E OR MORE OTHER 31 |
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| 519 | + | PERSONS AS ACCOUNT O WNERS. EACH OWNER OF A JOINT ACCOUNT HAS FULL 32 |
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| 520 | + | LEGAL AUTHORITY TO U SE THE ACCOUNT FOR T HEIR OWN BENEFIT AND ON MY 33 |
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| 521 | + | DEATH WILL BECOME TH E PROPERTY OF THE OT HER OWNER(S). 34 |
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| 522 | + | 12 SENATE BILL 851 |
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| 523 | + | |
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| 524 | + | |
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| 525 | + | (____) CREATE OR CHANGE RIGH TS OF SURVIVORSHIP IN A CCOUNTS OR 1 |
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| 526 | + | OTHER ASSETS IN WHIC H I HAVE AN INTEREST , INCLUDING FOR THE BE NEFIT OF MY 2 |
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| 527 | + | AGENT, TO CHANGE A BENEFICI ARY DESIGNATION FOR ANY ACCOUNTS OR 3 |
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| 528 | + | FINANCIAL INSTRUMENT S, INCLUDING LIFE INSUR ANCE POLICIES, ANNUITIES, OR 4 |
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| 529 | + | RETIREMENT ACCO UNTS OF ANY NATURE ; AND TO WAIVE MY RIGH T TO BE A 5 |
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| 530 | + | BENEFICIARY OF A JOI NT AND SURVIVOR ANNU ITY, INCLUDING A SURVIVOR 6 |
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| 531 | + | BENEFIT UNDER A RETI REMENT PLAN OF ANY N ATURE. IN DETERMINING SUCH 7 |
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| 532 | + | RIGHTS OR BENEFICIAR Y INTERESTS , MY AGENT SHALL CONSI DER TAXES , 8 |
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| 533 | + | PRESERVAT ION OF GOVERNMENTAL BENEFITS OR PROGRAMS , OR STATED 9 |
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| 534 | + | INTENTIONS REGARDING MY ESTATE. 10 |
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| 535 | + | |
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| 536 | + | DISCLAIMERS 11 |
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| 537 | + | |
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| 538 | + | FOR THE PURPOSES OF T AX PLANNING OR EFFEC TUATING STATED INTEN TIONS 12 |
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| 539 | + | REGARDING MY ESTATE , I AUTHORIZE MY AGENT T O DISCLAIM ANY INTER EST IN 13 |
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| 540 | + | PROPERTY I MIGHT OTHERWISE RECEIVE , EITHER OUTRIGHT OR I N TRUST, 14 |
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| 541 | + | INCLUDING FOR THE BE NEFIT OF MY AGENT ; ANY POWERS I HAVE OVER PROPERTY 15 |
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| 542 | + | OR AS A BENEFICIARY OF ANY TRUSTS (EXCLUDING ANY POWERS I POSSESS IN A 16 |
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| 543 | + | FIDUCIARY CAPACITY ); AND ANY POWERS OF AP POINTMENT I HAVE OR MAY 17 |
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| 544 | + | ACQUIRE EXCLUDING ANY TESTAMENTARY POWER O F APPOINTMENT THAT I 18 |
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| 545 | + | CURRENTLY EXERCISE I N MY LAST WILL AND T ESTAMENT. 19 |
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| 546 | + | |
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| 547 | + | SPECIAL INSTRUCTIONS (OPTIONAL) 20 |
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| 548 | + | |
---|
| 549 | + | YOU MAY GIVE SPECIAL INSTRUCTIONS ON THE FOLLOWING LINES: 21 |
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| 550 | + | |
---|
| 551 | + | ___________________________________________________________________________________ 22 |
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| 552 | + | ___________________________________________________________________________________ 23 |
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| 553 | + | ___________________________________________________________________________________ 24 |
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| 554 | + | ___________________________________________________________________________________ 25 |
---|
| 555 | + | ___________________________________________________________________________________ 26 |
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| 556 | + | ___________________________________________________________________________________ 27 |
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| 557 | + | ___________________________________________________________________________________ 28 |
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| 558 | + | ___________________________________________ 29 |
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| 559 | + | |
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| 560 | + | EFFECTIVE DATE 30 |
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| 561 | + | |
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| 562 | + | This power of attorney is effective immediately unless I have stated otherwise in the Special 31 |
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| 563 | + | Instructions. 32 |
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| 564 | + | |
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| 565 | + | TERMINATION DATE (OPTIONAL) 33 |
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| 566 | + | |
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| 567 | + | ONLY IF I HAVE SPECIFIED A TER MINATION DATE BELOW , THIS POWER OF 34 |
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| 568 | + | ATTORNEY IS DURABLE, MEANING IT SHALL CON TINUE IN FULL FORCE AND 35 |
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| 569 | + | EFFECT FOR AN INDEFI NITE PERIOD OF TIME UNTIL MY REVOCATION OF THIS 36 SENATE BILL 851 13 |
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| 570 | + | |
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| 571 | + | |
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| 572 | + | POWER OF ATTORNEY OR MY DEATH, WHICHEVE R OCCURS FIRST . I RESERVE THE 1 |
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| 573 | + | RIGHT TO REVOKE THIS POWER OF ATTORNEY . THIS POWER OF ATTORNE Y SHALL 2 |
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| 574 | + | NOT TERMINATE UPON M Y DISABILITY. ALL AUTHORITY OF MY A GENT(S) SHALL 3 |
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| 575 | + | CONTINUE EVEN IF I BECOME DISABLED , INCOMPETENT , OR INCAPACITATED . 4 |
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| 576 | + | |
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| 577 | + | This power of attorney shall terminate on ______________________________, 20____. 5 |
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| 578 | + | (Use a specific calendar date) 6 |
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| 579 | + | |
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| 580 | + | COPIES 7 |
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| 581 | + | |
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| 582 | + | A COPY OF THIS DOCUMEN T SHALL HAVE THE SAM E FORCE AND EFFECT A S THE 8 |
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| 583 | + | ORIGINAL UNLESS PROV IDED OTHERWISE IN SP ECIAL INSTRUCTIONS . 9 |
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| 584 | + | |
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| 585 | + | REVOCATION 10 |
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| 586 | + | |
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| 587 | + | I HEREBY REVOKE ALL OTHER POW ERS OF ATTORNEY THAT I HAVE PREVIOUSLY 11 |
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| 588 | + | EXECUTED. THIS SECTION DOES NOT APPLY TO POWERS OF A TTORNEY EXECUTED 12 |
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| 589 | + | ON THE SAME DATE AS THIS POWER OF ATTORN EY OR TO LIMITED POW ERS OF 13 |
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| 590 | + | ATTORNEY THAT APPLY TO SPECIFIC ACCOUNTS OR TO SPECIFIC PROPE RTY. 14 |
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| 591 | + | |
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| 592 | + | RELIANCE BY THIRD PARTIES 15 |
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| 593 | + | |
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| 594 | + | ANYONE RELYING OR ACT ING UPON THIS POWER OF ATTORNEY SHALL BE ENTITLED 16 |
---|
| 595 | + | TO PRESUME CONCLUSIV ELY THAT IT IS IN FULL FORCE AND EFFECT UNLESS I HAVE 17 |
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| 596 | + | GIVEN WRITTEN NOTICE TO THAT PERSON OR EN TITY THAT THIS POWER HAS BEEN 18 |
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| 597 | + | REVOKED. NO ONE RELYING OR ACT ING UPON THIS POWER OF ATTORNEY SHALL BE 19 |
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| 598 | + | REQUIRED TO SEE TO T HE APPLICATION AND D ISPOSITION OF ANY FU NDS OR OTHER 20 |
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| 599 | + | PROPERTY PAID TO OR DELIVERED TO MY AGEN T OR ANY PERSONS APP OINTED BY 21 |
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| 600 | + | MY AGENT. I AUTHORIZE MY AGENT T O SEEK DAMAGES A GAINST ANYONE WHO 22 |
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| 601 | + | REFUSED TO HONOR THI S POWER OF ATTORNEY WITHOUT HAVING RECEI VED 23 |
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| 602 | + | NOTICE THAT IT HAS B EEN REVOKED . 24 |
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| 603 | + | |
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| 604 | + | NOMINATION OF GUARDIAN (OPTIONAL) 25 |
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| 605 | + | |
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| 606 | + | If it becomes necessary for a court to appoint a guardian of my property or guardian of my 26 |
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| 607 | + | person, I nominate the following person(s) for appointment: 27 |
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| 608 | + | |
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| 609 | + | Name of nominee for guardian of my property: __________________________________ 28 |
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| 610 | + | Nominee’s address: ___________________________________________________________ 29 |
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| 611 | + | Nominee’s telephone number: _________________________________________________ 30 |
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| 612 | + | Name of nominee for guardian of my person: ____________________________________ 31 |
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| 613 | + | Nominee’s address: ___________________________________________________________ 32 |
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| 614 | + | Nominee’s telephone number: _________________________________________________ 33 |
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| 615 | + | |
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| 616 | + | DESIGNATION OF AGENT TO MAKE ELECTION TO TAKE ELECTIVE SHARE 34 14 SENATE BILL 851 |
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| 617 | + | |
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| 618 | + | |
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| 619 | + | (OPTIONAL) 1 |
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| 620 | + | |
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| 621 | + | If I am incapacitated within the meaning of § 17–101 of the Estates and Trusts Article, I 2 |
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| 622 | + | designate the following person as my agent for purposes of making the election to take an 3 |
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| 623 | + | elective share of an estate subject to election under § 3–403 of the Estates and Trusts 4 |
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| 624 | + | Article: 5 |
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| 625 | + | |
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| 626 | + | Name of designated agent: _____________________________________________________ 6 |
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| 627 | + | Designated agent’s address: ____________________________________________________ 7 |
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| 628 | + | Designated agent’s telephone number: __________________________________________ 8 |
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| 629 | + | |
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| 630 | + | SIGNATURE AND ACKNOWLEDGMENT 9 |
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| 631 | + | |
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| 632 | + | ________________________________________ __________________________ 10 |
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| 633 | + | Your Signature Date 11 |
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| 634 | + | |
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| 635 | + | ______________________________________________________________________________ 12 |
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| 636 | + | Your Name Printed 13 |
---|
| 637 | + | |
---|
| 638 | + | ___________________________________________________________________________________ 14 |
---|
| 639 | + | ___________________________________________________________________________________ 15 |
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| 640 | + | Your Address 16 |
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| 641 | + | |
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| 642 | + | ______________________________________________________________________________ 17 |
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| 643 | + | Your Telephone Number 18 |
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| 644 | + | |
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| 645 | + | STATE OF MARYLAND 19 |
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| 646 | + | (COUNTY) OF _______________________________________________________________ 20 |
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| 647 | + | |
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| 648 | + | This document was acknowledged before me on 21 |
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| 649 | + | |
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| 650 | + | __________________________ 22 |
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| 651 | + | (Date) 23 |
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| 652 | + | |
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| 653 | + | By ______________________________________ to be his/her act. 24 |
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| 654 | + | (Name of Principal) 25 |
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| 655 | + | |
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| 656 | + | ____________________________________________ (SEAL, IF ANY) 26 |
---|
| 657 | + | Signature of Notary 27 |
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| 658 | + | |
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| 659 | + | My commission expires: _____________________ 28 |
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| 660 | + | |
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| 661 | + | WITNESS ATTESTATION 29 |
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| 662 | + | |
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| 663 | + | The foregoing power of attorney was, on the date written above, published and declared by 30 |
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| 664 | + | |
---|
| 665 | + | ____________________________________________ 31 SENATE BILL 851 15 |
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| 666 | + | |
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| 667 | + | |
---|
| 668 | + | (Name of Principal) 1 |
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| 669 | + | |
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| 670 | + | in our presence to be his/her power of attorney. We, in his/her presence and at his/her 2 |
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| 671 | + | request, and in the presence of each other, have attested to the same and have signed our 3 |
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| 672 | + | names as attesting witnesses. 4 |
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| 673 | + | |
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| 674 | + | ____________________________________________ 5 |
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| 675 | + | Witness #1 Signature 6 |
---|
| 676 | + | ____________________________________________ 7 |
---|
| 677 | + | Witness #1 Name Printed 8 |
---|
| 678 | + | ____________________________________________ 9 |
---|
| 679 | + | ____________________________________________ 10 |
---|
| 680 | + | Witness #1 Address 11 |
---|
| 681 | + | ____________________________________________ 12 |
---|
| 682 | + | Witness #1 Telephone Number 13 |
---|
| 683 | + | |
---|
| 684 | + | ____________________________________________ 14 |
---|
| 685 | + | Witness #2 Signature 15 |
---|
| 686 | + | ____________________________________________ 16 |
---|
| 687 | + | Witness #2 Name Printed 17 |
---|
| 688 | + | ____________________________________________ 18 |
---|
| 689 | + | ____________________________________________ 19 |
---|
| 690 | + | Witness #2 Address 20 |
---|
| 691 | + | ____________________________________________ 21 |
---|
| 692 | + | Witness #2 Telephone Number” 22 |
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| 693 | + | |
---|
| 694 | + | 17–203. 23 |
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| 695 | + | |
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| 696 | + | “MARYLAND STATUTORY FORM LIMITED POWER OF ATTORNEY 24 |
---|
| 697 | + | |
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| 698 | + | PLEASE READ CAREFULLY 25 |
---|
| 699 | + | |
---|
| 700 | + | This power of attorney authorizes another person (your agent) to make decisions concerning 26 |
---|
| 701 | + | your property for you (the principal). You need not give to your agent all the authorities 27 |
---|
| 702 | + | listed below and may give the agent only those limited powers that you specifically indicate. 28 |
---|
| 703 | + | This power of attorney gives your agent the right to make limited decisions for you. You 29 |
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| 704 | + | should very carefully weigh your decision as to what powers you give your agent. Your 30 |
---|
| 705 | + | agent will be able to make decisions and act with respect to your property (including your 31 |
---|
| 706 | + | money) whether or not you are able to act for yourself. 32 |
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| 707 | + | |
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| 708 | + | If you choose to make a grant of limited authority, you should check the boxes that identify 33 |
---|
| 709 | + | the specific authorization you choose to give your agent. 34 |
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| 710 | + | |
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| 711 | + | This power of attorney does not authorize the agent to make health care decisions for you. 35 |
---|
| 712 | + | |
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| 713 | + | You should select someone you trust to serve as your agent. Unless you specify otherwise, 36 |
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| 714 | + | generally the agent’s authority will continue until you die or revoke the power of attorney 37 16 SENATE BILL 851 |
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| 715 | + | |
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| 716 | + | |
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| 717 | + | or the agent resigns or is unable to act for you. 1 |
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| 718 | + | |
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| 719 | + | Your agent is not entitled to compensation unless you indicate otherwise in the special 2 |
---|
| 720 | + | instructions of this power of attorney. If you indicate that your agent is to receive 3 |
---|
| 721 | + | compensation, your agent is entitled to reasonable compensation or compensation as 4 |
---|
| 722 | + | specified in the Special Instructions. 5 |
---|
| 723 | + | |
---|
| 724 | + | This form provides for designation of one agent. If you wish to name more than one agent 6 |
---|
| 725 | + | you may name a coagent in the Special Instructions. Coagents are required to act together 7 |
---|
| 726 | + | unanimously unless you specify otherwise in the Special Instructions. 8 |
---|
| 727 | + | |
---|
| 728 | + | If your agent is unavailable or unwilling to act for you, your power of attorney will end 9 |
---|
| 729 | + | unless you have named a successor agent. You may also name a second successor agent. 10 |
---|
| 730 | + | |
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| 731 | + | This power of attorney becomes effective immediately unless you state otherwise in the 11 |
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| 732 | + | Special Instructions. 12 |
---|
| 733 | + | |
---|
| 734 | + | If you have questions about the power of attorney or the authority you are granting to your 13 |
---|
| 735 | + | agent, you should seek legal advice before signing this form. 14 |
---|
| 736 | + | |
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| 737 | + | DESIGNATION OF AGENT 15 |
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| 738 | + | |
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| 739 | + | This section of the form provides for designation of one agent. 16 |
---|
| 740 | + | |
---|
| 741 | + | If you wish to name coagents, skip this section and use the next section (“Designation of 17 |
---|
| 742 | + | Coagents”). 18 |
---|
| 743 | + | |
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| 744 | + | I, ___________________________________________________, name the following person 19 |
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| 745 | + | (Name of Principal) 20 |
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| 746 | + | as my agent: 21 |
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| 747 | + | |
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| 748 | + | Name of 22 |
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| 749 | + | Agent: _______________________________________________________________________ 23 |
---|
| 750 | + | Agent’s 24 |
---|
| 751 | + | Address: _____________________________________________________________________ 25 |
---|
| 752 | + | Agent’s Telephone 26 |
---|
| 753 | + | Number: _____________________________________________________________________ 27 |
---|
| 754 | + | |
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| 755 | + | DESIGNATION OF COAGENTS (OPTIONAL) 28 |
---|
| 756 | + | |
---|
| 757 | + | This section of the form provides for designation of two or more coagents. Coagents are 29 |
---|
| 758 | + | required to act together unanimously unless you otherwise provide in this form. 30 |
---|
| 759 | + | |
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| 760 | + | I, ___________________________________________________________________________, 31 |
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| 761 | + | |
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| 762 | + | (Name of Principal) 32 |
---|
| 763 | + | SENATE BILL 851 17 |
---|
| 764 | + | |
---|
| 765 | + | |
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| 766 | + | Name the following persons as coagents: 1 |
---|
| 767 | + | |
---|
| 768 | + | Name of Coagent: ____________________________________________________________ 2 |
---|
| 769 | + | |
---|
| 770 | + | Coagent’s Address: ___________________________________________________________ 3 |
---|
| 771 | + | |
---|
| 772 | + | Coagent’s Telephone Number: _________________________________________________ 4 |
---|
| 773 | + | |
---|
| 774 | + | Name of Coagent: ____________________________________________________________ 5 |
---|
| 775 | + | |
---|
| 776 | + | Coagent’s Address: ___________________________________________________________ 6 |
---|
| 777 | + | |
---|
| 778 | + | Coagent’s Telephone Number: _________________________________________________ 7 |
---|
| 779 | + | |
---|
| 780 | + | Special Instructions Regarding Coagents: ____________________________________________ 8 |
---|
| 781 | + | ___________________________________________________________________________________ 9 |
---|
| 782 | + | ___________________________________________________________________________________ 10 |
---|
| 783 | + | ___________________________________________________________________________________ 11 |
---|
| 784 | + | |
---|
| 785 | + | DESIGNATION OF SUCCESSOR AGENT(S) (OPTIONAL) 12 |
---|
| 786 | + | |
---|
| 787 | + | If my agent is unable or unwilling to act for me, I name as my successor agent: 13 |
---|
| 788 | + | |
---|
| 789 | + | Name of Successor Agent: _____________________________________________________ 14 |
---|
| 790 | + | Successor Agent’s 15 |
---|
| 791 | + | Address: _____________________________________________________________________ 16 |
---|
| 792 | + | Successor Agent’s Telephone Number: __________________________________________ 17 |
---|
| 793 | + | |
---|
| 794 | + | If my successor agent is unable or unwilling to act for me, I name as my second successor 18 |
---|
| 795 | + | agent: 19 |
---|
| 796 | + | |
---|
| 797 | + | Name of Second Successor 20 |
---|
| 798 | + | Agent: _______________________________________________________________________ 21 |
---|
| 799 | + | Second Successor Agent’s 22 |
---|
| 800 | + | Address: _____________________________________________________________________ 23 |
---|
| 801 | + | Second Successor Agent’s Telephone Number: ___________________________________ 24 |
---|
| 802 | + | |
---|
| 803 | + | GRANT OF GENERAL AUTHORITY 25 |
---|
| 804 | + | |
---|
| 805 | + | I (“the principal”) grant my agent and any successor agent, with respect to each subject 26 |
---|
| 806 | + | that I choose below, the authority to do all acts that I could do to: 27 |
---|
| 807 | + | |
---|
| 808 | + | (1) Demand, receive, and obtain by litigation or otherwise, money or 28 |
---|
| 809 | + | another thing of value to which the principal is, may become, or claims to be entitled, and 29 |
---|
| 810 | + | conserve, invest, disburse, or use anything so received or obtained for the purposes 30 |
---|
| 811 | + | intended; 31 |
---|
| 812 | + | 18 SENATE BILL 851 |
---|
| 813 | + | |
---|
| 814 | + | |
---|
| 815 | + | (2) Contract with another person, on terms agreeable to the agent, to 1 |
---|
| 816 | + | accomplish a purpose of a transaction and perform, rescind, cancel, terminate, reform, 2 |
---|
| 817 | + | restate, release, or modify the contract or another contract made by or on behalf of the 3 |
---|
| 818 | + | principal; 4 |
---|
| 819 | + | |
---|
| 820 | + | (3) Execute, acknowledge, seal, deliver, file, or record any instrument or 5 |
---|
| 821 | + | communication the agent considers desirable to accomplish a purpose of a transaction, 6 |
---|
| 822 | + | including creating a schedule contemporaneously or at a later time listing some or all of the 7 |
---|
| 823 | + | principal’s property and attaching the schedule to this power of attorney; 8 |
---|
| 824 | + | |
---|
| 825 | + | (4) Initiate, participate in, submit to alternative dispute resolution, settle, 9 |
---|
| 826 | + | oppose, or propose or accept a compromise with respect to a claim existing in favor of or 10 |
---|
| 827 | + | against the principal or intervene in litigation relating to the claim; 11 |
---|
| 828 | + | |
---|
| 829 | + | (5) Seek on the principal’s behalf the assistance of a court or other 12 |
---|
| 830 | + | governmental agency to carry out an act authorized in this power of attorney; 13 |
---|
| 831 | + | |
---|
| 832 | + | (6) Engage, compensate, and dischar ge an attorney, accountant, 14 |
---|
| 833 | + | discretionary investment manager, expert witness, or other advisor; 15 |
---|
| 834 | + | |
---|
| 835 | + | (7) Prepare, execute, and file a record, report, or other document to 16 |
---|
| 836 | + | safeguard or promote the principal’s interest under a statute or regulation; 17 |
---|
| 837 | + | |
---|
| 838 | + | (8) Communicate with representatives or employees of a government or 18 |
---|
| 839 | + | governmental subdivision, agency, or instrumentality, on behalf of the principal; 19 |
---|
| 840 | + | |
---|
| 841 | + | (9) Access communications intended for, and communicate on behalf of the 20 |
---|
| 842 | + | principal, whether by mail, electronic transmission, telephone, or other means; and 21 |
---|
| 843 | + | |
---|
| 844 | + | (10) Do lawful acts with respect to the subject and all property related to the 22 |
---|
| 845 | + | subject. 23 |
---|
| 846 | + | |
---|
| 847 | + | (INITIAL each authority in any subject you want to include in the agent’s general 24 |
---|
| 848 | + | authority. Cross through each authority in any subject that you want to exclude. If you 25 |
---|
| 849 | + | wish to grant general authority over an entire subject, you may initial “All of the above” 26 |
---|
| 850 | + | instead of initialing each authority.) 27 |
---|
| 851 | + | |
---|
| 852 | + | SUBJECTS AND AUTHORITY 28 |
---|
| 853 | + | |
---|
| 854 | + | A. Real Property – With respect to this category, I authorize my agent to: 29 |
---|
| 855 | + | |
---|
| 856 | + | (___) Demand, buy, lease, receive, accept as a gift or as security for an 30 |
---|
| 857 | + | extension of credit, or otherwise acquire or reject an interest in real property or a right 31 |
---|
| 858 | + | incident to real property 32 |
---|
| 859 | + | |
---|
| 860 | + | (___) Sell, exchange, convey with or without covenants, representations, or 33 |
---|
| 861 | + | warranties, quitclaim, release, surrender, retain title for security, encumber, partition, 34 SENATE BILL 851 19 |
---|
| 862 | + | |
---|
| 863 | + | |
---|
| 864 | + | consent to partitioning, subject to an easement or covenant, subdivide, apply for zoning or 1 |
---|
| 865 | + | other governmental permits, plat or consent to platting, develop, grant an option 2 |
---|
| 866 | + | concerning, lease, sublease, contribute to an entity in exchange for an interest in that 3 |
---|
| 867 | + | entity, or otherwise grant or dispose of an interest in real property or a right incident to 4 |
---|
| 868 | + | real property 5 |
---|
| 869 | + | |
---|
| 870 | + | (___) Pledge or mortgage an interest in real property or right incident to real 6 |
---|
| 871 | + | property as security to borrow money or pay, renew, or extend the time of payment of a 7 |
---|
| 872 | + | debt of the principal or a debt guaranteed by the principal, including a reverse mortgage 8 |
---|
| 873 | + | |
---|
| 874 | + | (___) Release, assign, satisfy, or enforce by litigation or otherwise a 9 |
---|
| 875 | + | mortgage, deed of trust, conditional sale contract, encumbrance, lien, or other claim to real 10 |
---|
| 876 | + | property that exists or is asserted 11 |
---|
| 877 | + | |
---|
| 878 | + | (___) Manage or conserve an interest in real property or a right incident to 12 |
---|
| 879 | + | real property owned or claimed to be owned by the principal, including: 13 |
---|
| 880 | + | |
---|
| 881 | + | (1) Insuring against liability or casualty or other loss; 14 |
---|
| 882 | + | |
---|
| 883 | + | (2) Obtaining or regaining possession of or protecting the interest or 15 |
---|
| 884 | + | right by litigation or otherwise; 16 |
---|
| 885 | + | |
---|
| 886 | + | (3) Paying, assessing, compromising, or contesting taxes or 17 |
---|
| 887 | + | assessments or applying for and receiving refunds in connection with them; and 18 |
---|
| 888 | + | |
---|
| 889 | + | (4) Purchasing supplies, hiring assistance or labor, and making 19 |
---|
| 890 | + | repairs or alterations to the real property 20 |
---|
| 891 | + | |
---|
| 892 | + | (___) Use, develop, alter, replace, remove, erect, or install structures or other 21 |
---|
| 893 | + | improvements on real property in or incident to which the principal has, or claims to have, 22 |
---|
| 894 | + | an interest or right 23 |
---|
| 895 | + | |
---|
| 896 | + | (___) Participate in a reorganization with respect to real property or an entity 24 |
---|
| 897 | + | that owns an interest in or a right incident to real property and receive, hold, and act with 25 |
---|
| 898 | + | respect to stocks and bonds or other property received in a plan of reorganization, including: 26 |
---|
| 899 | + | |
---|
| 900 | + | (1) Selling or otherwise disposing of the stocks and bonds or other 27 |
---|
| 901 | + | property; 28 |
---|
| 902 | + | |
---|
| 903 | + | (2) Exercising or selling an option, a right of conversion, or a similar 29 |
---|
| 904 | + | right with respect to the stocks and bonds or other property; and 30 |
---|
| 905 | + | |
---|
| 906 | + | (3) Exercising voting rights in person or by proxy 31 |
---|
| 907 | + | |
---|
| 908 | + | (___) Change the form of title of an interest in or a right incident to real 32 |
---|
| 909 | + | property 33 |
---|
| 910 | + | 20 SENATE BILL 851 |
---|
| 911 | + | |
---|
| 912 | + | |
---|
| 913 | + | (___) Dedicate to public use, with or without consideration, easements or 1 |
---|
| 914 | + | other real property in which the principal has, or claims to have, an interest 2 |
---|
| 915 | + | |
---|
| 916 | + | (___) All of the above 3 |
---|
| 917 | + | |
---|
| 918 | + | B. Tangible Personal Property – With respect to this subject, I authorize my 4 |
---|
| 919 | + | agent to: 5 |
---|
| 920 | + | |
---|
| 921 | + | (___) Demand, buy, receive, accept as a gift or as security for an extension of 6 |
---|
| 922 | + | credit, or otherwise acquire or reject ownership or possession of tangible personal property 7 |
---|
| 923 | + | or an interest in tangible personal property 8 |
---|
| 924 | + | |
---|
| 925 | + | (___) Sell, exchange, convey with or without covenants, representations, or 9 |
---|
| 926 | + | warranties, quitclaim, release, surrender, create a security interest in, grant options 10 |
---|
| 927 | + | concerning, lease, sublease, or otherwise dispose of tangible personal property or an 11 |
---|
| 928 | + | interest in tangible personal property 12 |
---|
| 929 | + | |
---|
| 930 | + | (___) Grant a security interest in tangible personal property or an interest in 13 |
---|
| 931 | + | tangible personal property as security to borrow money or pay, renew, or extend the time 14 |
---|
| 932 | + | of payment of a debt of the principal or a debt guaranteed by the principal 15 |
---|
| 933 | + | |
---|
| 934 | + | (___) Release, assign, satisfy, or enforce by litigation or otherwise, a security 16 |
---|
| 935 | + | interest, lien, or other claim on behalf of the principal, with respect to tangible personal 17 |
---|
| 936 | + | property or an interest in tangible personal property 18 |
---|
| 937 | + | |
---|
| 938 | + | (___) Manage or conserve tangible personal property or an interest in 19 |
---|
| 939 | + | tangible personal property on behalf of the principal, including: 20 |
---|
| 940 | + | |
---|
| 941 | + | (1) Insuring against liability or casualty or other loss; 21 |
---|
| 942 | + | |
---|
| 943 | + | (2) Obtaining or regaining possession of or protecting the property 22 |
---|
| 944 | + | or interest, by litigation or otherwise; 23 |
---|
| 945 | + | |
---|
| 946 | + | (3) Paying, assessing, compromising, or contesting taxes or 24 |
---|
| 947 | + | assessments or applying for and receiving refunds in connection with taxes or assessments; 25 |
---|
| 948 | + | |
---|
| 949 | + | (4) Moving the property from place to place; 26 |
---|
| 950 | + | |
---|
| 951 | + | (5) Storing the property for hire or on a gratuitous bailment; and 27 |
---|
| 952 | + | |
---|
| 953 | + | (6) Using and making repairs, alterations, or improvements to the 28 |
---|
| 954 | + | property 29 |
---|
| 955 | + | |
---|
| 956 | + | (___) Change the form of title of an interest in tangible personal property 30 |
---|
| 957 | + | |
---|
| 958 | + | (___) All of the above 31 |
---|
| 959 | + | SENATE BILL 851 21 |
---|
| 960 | + | |
---|
| 961 | + | |
---|
| 962 | + | C. Stocks and Bonds – With respect to this subject, I authorize my agent to: 1 |
---|
| 963 | + | |
---|
| 964 | + | (___) Buy, sell, and exchange stocks and bonds 2 |
---|
| 965 | + | |
---|
| 966 | + | (___) Establish, continue, modify, or terminate an account with respect to 3 |
---|
| 967 | + | stocks and bonds 4 |
---|
| 968 | + | |
---|
| 969 | + | (___) Pledge stocks and bonds as security to borrow, pay, renew, or extend 5 |
---|
| 970 | + | the time of payment of a debt of the principal 6 |
---|
| 971 | + | |
---|
| 972 | + | (___) Receive certificates and other evidences of ownership with respect to 7 |
---|
| 973 | + | stocks and bonds 8 |
---|
| 974 | + | |
---|
| 975 | + | (___) Exercise voting rights with respect to stocks and bonds in person or by 9 |
---|
| 976 | + | proxy, enter into voting trusts, and consent to limitations on the right to vote 10 |
---|
| 977 | + | |
---|
| 978 | + | (___) All of the above 11 |
---|
| 979 | + | |
---|
| 980 | + | D. Commodities – With respect to this subject, I authorize my agent to: 12 |
---|
| 981 | + | |
---|
| 982 | + | (___) Buy, sell, exchange, assign, settle, and exercise commodity futures 13 |
---|
| 983 | + | contracts and call or put options on stocks or stock indexes traded on a regulated option 14 |
---|
| 984 | + | exchange 15 |
---|
| 985 | + | |
---|
| 986 | + | (___) Establish, continue, modify, and terminate option accounts 16 |
---|
| 987 | + | |
---|
| 988 | + | (___) All of the above 17 |
---|
| 989 | + | |
---|
| 990 | + | E. Banks and Other Financial Institutions – With respect to this subject, I 18 |
---|
| 991 | + | authorize my agent to: 19 |
---|
| 992 | + | |
---|
| 993 | + | (___) Continue, modify, transact all business in connection with, and 20 |
---|
| 994 | + | terminate an account or other banking arrangement made by or on behalf of the principal 21 |
---|
| 995 | + | |
---|
| 996 | + | (___) Establish, modify, transact all business in connection with, and 22 |
---|
| 997 | + | terminate an account or other banking arrangement with a bank, trust company, savings 23 |
---|
| 998 | + | and loan association, credit union, thrift company, brokerage firm, or other financial 24 |
---|
| 999 | + | institution selected by the agent 25 |
---|
| 1000 | + | |
---|
| 1001 | + | (___) Contract for services available from a financial institution, including 26 |
---|
| 1002 | + | renting a safe deposit box or space in a vault 27 |
---|
| 1003 | + | |
---|
| 1004 | + | (___) Deposit by check, money order, electronic funds transfer, or otherwise 28 |
---|
| 1005 | + | with, or leave in the custody of, a financial institution money or property of the principal 29 |
---|
| 1006 | + | |
---|
| 1007 | + | (___) Withdraw, by check, money order, electronic funds transfer, or 30 |
---|
| 1008 | + | otherwise, money or property of the principal deposited with or left in the custody of a 31 22 SENATE BILL 851 |
---|
| 1009 | + | |
---|
| 1010 | + | |
---|
| 1011 | + | financial institution 1 |
---|
| 1012 | + | |
---|
| 1013 | + | (___) Receive statements of account, vouchers, notices, and similar 2 |
---|
| 1014 | + | documents from a financial institution and act with respect to them 3 |
---|
| 1015 | + | |
---|
| 1016 | + | (___) Enter a safe deposit box or vault and withdraw or add to the contents 4 |
---|
| 1017 | + | |
---|
| 1018 | + | (___) Borrow money and pledge as security personal property of the principal 5 |
---|
| 1019 | + | necessary to borrow money or pay, renew, or extend the time of payment of a debt of the 6 |
---|
| 1020 | + | principal or a debt guaranteed by the principal 7 |
---|
| 1021 | + | |
---|
| 1022 | + | (___) Make, assign, draw, endorse, discount, guarantee, and negotiate 8 |
---|
| 1023 | + | promissory notes, checks, drafts, and other negotiable or nonnegotiable paper of the 9 |
---|
| 1024 | + | principal or payable to the principal or the principal’s order, transfer money, receive the 10 |
---|
| 1025 | + | cash or other proceeds of those transactions, and accept a draft drawn by a person on the 11 |
---|
| 1026 | + | principal and pay the draft when due 12 |
---|
| 1027 | + | |
---|
| 1028 | + | (___) Receive for the principal and act on a sight draft, warehouse receipt, 13 |
---|
| 1029 | + | other document of title whether tangible or electronic, or other negotiable or nonnegotiable 14 |
---|
| 1030 | + | instrument 15 |
---|
| 1031 | + | |
---|
| 1032 | + | (___) Apply for, receive, and use letters of credit, credit cards and debit cards, 16 |
---|
| 1033 | + | electronic transaction authorizations, and traveler’s checks from a financial institution and 17 |
---|
| 1034 | + | give an indemnity or other agreement in connection with letters of credit 18 |
---|
| 1035 | + | |
---|
| 1036 | + | (___) Consent to an extension of the time of payment with respect to 19 |
---|
| 1037 | + | commercial paper or a financial transaction with a financial institution 20 |
---|
| 1038 | + | |
---|
| 1039 | + | (___) All of the above 21 |
---|
| 1040 | + | |
---|
| 1041 | + | F. Operation of an Entity or a Business – With respect to this subject, I authorize 22 |
---|
| 1042 | + | my agent to: 23 |
---|
| 1043 | + | |
---|
| 1044 | + | (___) Operate, buy, sell, enlarge, reduce, or terminate an ownership interest 24 |
---|
| 1045 | + | |
---|
| 1046 | + | (___) Perform a duty or discharge a liability and exercise in person or by 25 |
---|
| 1047 | + | proxy a right, power, privilege, or an option that the principal has, may have, or claims to 26 |
---|
| 1048 | + | have 27 |
---|
| 1049 | + | |
---|
| 1050 | + | (___) Enforce the terms of an ownership agreement 28 |
---|
| 1051 | + | |
---|
| 1052 | + | (___) Initiate, participate in, submit to alternative dispute resolution, settle, 29 |
---|
| 1053 | + | oppose, or propose or accept a compromise with respect to litigation to which the principal 30 |
---|
| 1054 | + | is a party because of an ownership interest 31 |
---|
| 1055 | + | |
---|
| 1056 | + | (___) Exercise in person or by proxy, or enforce by litigation or otherwise, a 32 |
---|
| 1057 | + | right, power, privilege, or an option the principal has or claims to have as the holder of 33 SENATE BILL 851 23 |
---|
| 1058 | + | |
---|
| 1059 | + | |
---|
| 1060 | + | stocks and bonds 1 |
---|
| 1061 | + | |
---|
| 1062 | + | (___) Initiate, participate in, submit to alternative dispute resolution, settle, 2 |
---|
| 1063 | + | oppose, or propose or accept a compromise with respect to litigation to which the principal 3 |
---|
| 1064 | + | is a party concerning stocks and bonds 4 |
---|
| 1065 | + | |
---|
| 1066 | + | (___) With respect to an entity or business owned solely by the principal: 5 |
---|
| 1067 | + | |
---|
| 1068 | + | (1) Continue, modify, renegotiate, extend, and terminate a contract 6 |
---|
| 1069 | + | made by or on behalf of the principal with respect to the entity or business before execution 7 |
---|
| 1070 | + | of this power of attorney; 8 |
---|
| 1071 | + | |
---|
| 1072 | + | (2) Determine: 9 |
---|
| 1073 | + | |
---|
| 1074 | + | (i) The location of the operation of the entity or business; 10 |
---|
| 1075 | + | |
---|
| 1076 | + | (ii) The nature and extent of the business of the entity or 11 |
---|
| 1077 | + | business; 12 |
---|
| 1078 | + | |
---|
| 1079 | + | (iii) The methods of manufacturing, selling, merchandising, 13 |
---|
| 1080 | + | financing, accounting, and advertising employed in the operation of the entity or business; 14 |
---|
| 1081 | + | |
---|
| 1082 | + | (iv) The amount and types of insurance carried by the entity 15 |
---|
| 1083 | + | or business; and 16 |
---|
| 1084 | + | |
---|
| 1085 | + | (v) The mode of engaging, compensating, and dealing with the 17 |
---|
| 1086 | + | employees and accountants, attorneys, or other advisors of the entity or business; 18 |
---|
| 1087 | + | |
---|
| 1088 | + | (3) Change the name or form of organization under which the entity 19 |
---|
| 1089 | + | or business is operated and enter into an ownership agreement with other persons to take 20 |
---|
| 1090 | + | over all or part of the operation of the entity or business; and 21 |
---|
| 1091 | + | |
---|
| 1092 | + | (4) Demand and receive money due or claimed by the principal or on 22 |
---|
| 1093 | + | the principal’s behalf in the operation of the entity or business and control and disburse the 23 |
---|
| 1094 | + | money in the operation of the entity or business 24 |
---|
| 1095 | + | |
---|
| 1096 | + | (___) Put additional capital into an entity or a business in which the principal 25 |
---|
| 1097 | + | has an interest 26 |
---|
| 1098 | + | |
---|
| 1099 | + | (___) Join in a plan of reorganization, consolidation, conversion, 27 |
---|
| 1100 | + | domestication, or merger of the entity or business 28 |
---|
| 1101 | + | |
---|
| 1102 | + | (___) Sell or liquidate all or part of an entity or business 29 |
---|
| 1103 | + | |
---|
| 1104 | + | (___) Establish the value of an entity or a business under a buyout agreement 30 |
---|
| 1105 | + | to which the principal is a party 31 |
---|
| 1106 | + | 24 SENATE BILL 851 |
---|
| 1107 | + | |
---|
| 1108 | + | |
---|
| 1109 | + | (___) Prepare, sign, file, and deliver reports, compilations of information, 1 |
---|
| 1110 | + | returns, or other papers with respect to an entity or business and make related payments 2 |
---|
| 1111 | + | |
---|
| 1112 | + | (___) Pay, compromise, or contest taxes, assessments, fines, or penalties and 3 |
---|
| 1113 | + | perform other acts to protect the principal from illegal or unnecessary taxation, 4 |
---|
| 1114 | + | assessments, fines, or penalties, with respect to an entity or a business, including attempts 5 |
---|
| 1115 | + | to recover, as permitted by law, money paid before or after the execution of this power of 6 |
---|
| 1116 | + | attorney 7 |
---|
| 1117 | + | |
---|
| 1118 | + | (___) All of the above 8 |
---|
| 1119 | + | |
---|
| 1120 | + | G. Insurance and Annuities – With respect to this subject, I authorize my agent 9 |
---|
| 1121 | + | to: 10 |
---|
| 1122 | + | |
---|
| 1123 | + | (___) Continue, pay the premium or make a contr ibution on, modify, 11 |
---|
| 1124 | + | exchange, rescind, release, or terminate a contract procured by or on behalf of the principal 12 |
---|
| 1125 | + | that insures or provides an annuity to either the principal or another person, whether or 13 |
---|
| 1126 | + | not the principal is a beneficiary under the contract 14 |
---|
| 1127 | + | |
---|
| 1128 | + | (___) Procure new, different, and additional contracts of insurance and 15 |
---|
| 1129 | + | annuities for the principal and the principal’s spouse, children, and other dependents, and 16 |
---|
| 1130 | + | select the amount, type of insurance or annuity, and mode of payment 17 |
---|
| 1131 | + | |
---|
| 1132 | + | (___) Pay the premium or make a contribution on, modify, exchange, rescind, 18 |
---|
| 1133 | + | release, or terminate a contract of insurance or annuity procured by the agent 19 |
---|
| 1134 | + | |
---|
| 1135 | + | (___) Apply for and receive a loan secured by a contract of insurance or 20 |
---|
| 1136 | + | annuity 21 |
---|
| 1137 | + | |
---|
| 1138 | + | (___) Surrender and receive the cash surrender value on a contract of 22 |
---|
| 1139 | + | insurance or annuity 23 |
---|
| 1140 | + | |
---|
| 1141 | + | (___) Exercise an election 24 |
---|
| 1142 | + | |
---|
| 1143 | + | (___) Exercise investment powers available under a contract of insurance or 25 |
---|
| 1144 | + | annuity 26 |
---|
| 1145 | + | |
---|
| 1146 | + | (___) Change the manner of paying premiums on a contract of insurance or 27 |
---|
| 1147 | + | annuity 28 |
---|
| 1148 | + | |
---|
| 1149 | + | (___) Change or convert the type of insurance or annuity with respect to 29 |
---|
| 1150 | + | which the principal has or claims to have authority described in this section 30 |
---|
| 1151 | + | |
---|
| 1152 | + | (___) Apply for and procure a benefit or assistance under a statute or 31 |
---|
| 1153 | + | regulation to guarantee or pay premiums of a contract of insurance on the life of the 32 |
---|
| 1154 | + | principal 33 |
---|
| 1155 | + | SENATE BILL 851 25 |
---|
| 1156 | + | |
---|
| 1157 | + | |
---|
| 1158 | + | (___) Collect, sell, assign, hypothecate, borrow against, or pledge the interest 1 |
---|
| 1159 | + | of the principal in a contract of insurance or annuity 2 |
---|
| 1160 | + | |
---|
| 1161 | + | (___) Select the form and timing of the payment of proceeds from a contract 3 |
---|
| 1162 | + | of insurance or annuity 4 |
---|
| 1163 | + | |
---|
| 1164 | + | (___) Pay, from proceeds or otherwise, compromise or contest, and apply for 5 |
---|
| 1165 | + | refunds in connection with a tax or assessment levied by a taxing authority with respect to 6 |
---|
| 1166 | + | a contract of insurance or annuity or the proceeds or liability from the contract of insurance 7 |
---|
| 1167 | + | or annuity accruing by reason of the tax or assessment 8 |
---|
| 1168 | + | |
---|
| 1169 | + | (___) All of the above 9 |
---|
| 1170 | + | |
---|
| 1171 | + | H. Estates, Trusts, and Other Beneficial Interests (including trusts, probate 10 |
---|
| 1172 | + | estates, guardianships, conservatorships, escrows, or custodianships or funds from which 11 |
---|
| 1173 | + | the principal is, may become, or claims to be entitled to a share or payment) – With respect 12 |
---|
| 1174 | + | to this subject, I authorize my agent to: 13 |
---|
| 1175 | + | |
---|
| 1176 | + | (___) Accept, receive, receipt for, sell, assign, pledge, or exchange a share in 14 |
---|
| 1177 | + | or payment from the fund described above 15 |
---|
| 1178 | + | |
---|
| 1179 | + | (___) Demand or obtain money or another thing of value to which the 16 |
---|
| 1180 | + | principal is, may become, or claims to be entitled by reason of the fund described above, by 17 |
---|
| 1181 | + | litigation or otherwise 18 |
---|
| 1182 | + | |
---|
| 1183 | + | (___) Exercise for the benefit of the principal a presently exercisable general 19 |
---|
| 1184 | + | power of appointment held by the principal 20 |
---|
| 1185 | + | |
---|
| 1186 | + | (___) Initiate, participate in, submit to alternative dispute resolution, settle, 21 |
---|
| 1187 | + | oppose, or propose or accept a compromise with respect to litigation to ascertain the 22 |
---|
| 1188 | + | meaning, validity, or effect of a deed, will, declaration of trust, or other instrument or 23 |
---|
| 1189 | + | transaction affecting the interest of the principal 24 |
---|
| 1190 | + | |
---|
| 1191 | + | (___) Initiate, participate in, submit to alternative dispute resolution, settle, 25 |
---|
| 1192 | + | oppose, or propose or accept a compromise with respect to litigation to remove, substitute, 26 |
---|
| 1193 | + | or surcharge a fiduciary 27 |
---|
| 1194 | + | |
---|
| 1195 | + | (___) Conserve, invest, disburse, or use anything received for an authorized 28 |
---|
| 1196 | + | purpose 29 |
---|
| 1197 | + | |
---|
| 1198 | + | (___) Transfer an interest of the principal in real property, stocks and bonds, 30 |
---|
| 1199 | + | accounts with financial institutions or securities intermediaries, insurance, annuities, and 31 |
---|
| 1200 | + | other property to the trustee of a revocable trust created by the principal as settlor 32 |
---|
| 1201 | + | |
---|
| 1202 | + | (___) Reject, renounce, disclaim, release, or consent to a reduction in or 33 |
---|
| 1203 | + | modification of a share in or payment from the fund described above 34 |
---|
| 1204 | + | 26 SENATE BILL 851 |
---|
| 1205 | + | |
---|
| 1206 | + | |
---|
| 1207 | + | (___) Elect to take an elective share of an estate subject to election under § 1 |
---|
| 1208 | + | 3–403 of the Estates and Trusts Article 2 |
---|
| 1209 | + | |
---|
| 1210 | + | (___) All of the above 3 |
---|
| 1211 | + | |
---|
| 1212 | + | I. Claims and Litigation – With respect to this subject, I authorize my agent to: 4 |
---|
| 1213 | + | |
---|
| 1214 | + | (___) Assert and maintain before a court or administrative agency a claim, 5 |
---|
| 1215 | + | claim for relief, cause of action, counterclaim, offset, recoupment, or defense, including an 6 |
---|
| 1216 | + | action to recover property or other thing of value, recover damages sustained by the 7 |
---|
| 1217 | + | principal, eliminate or modify tax liability, or seek an injunction, specific performance, or 8 |
---|
| 1218 | + | other relief 9 |
---|
| 1219 | + | |
---|
| 1220 | + | (___) Bring an action to determine adverse claims or intervene or otherwise 10 |
---|
| 1221 | + | participate in litigation 11 |
---|
| 1222 | + | |
---|
| 1223 | + | (___) Seek an attachment, garnishment, order of arrest, or other preliminary, 12 |
---|
| 1224 | + | provisional, or intermediate relief and use an available procedure to effect or satisfy a 13 |
---|
| 1225 | + | judgment, order, or decree 14 |
---|
| 1226 | + | |
---|
| 1227 | + | (___) Make or accept a tender, offer of judgment, or admission of facts, submit 15 |
---|
| 1228 | + | a controversy on an agreed statement of facts, consent to examination, and bind the 16 |
---|
| 1229 | + | principal in litigation 17 |
---|
| 1230 | + | |
---|
| 1231 | + | (___) Submit to alternative dispute resolution, settle, and propose or accept 18 |
---|
| 1232 | + | a compromise 19 |
---|
| 1233 | + | |
---|
| 1234 | + | (___) Waive the issuance and service of process on the principal, accept 20 |
---|
| 1235 | + | service of process, appear for the principal, designate persons on which process directed to 21 |
---|
| 1236 | + | the principal may be served, execute and file or deliver stipulations on the principal’s 22 |
---|
| 1237 | + | behalf, verify pleadings, seek appellate review, procure and give surety and indemnity 23 |
---|
| 1238 | + | bonds, contract and pay for the preparation and printing of records and briefs, receive, 24 |
---|
| 1239 | + | execute, and file or deliver a consent, waiver, release, confession of judgment, satisfaction 25 |
---|
| 1240 | + | of judgment, notice, agreement, or other instrument in connection with the prosecution, 26 |
---|
| 1241 | + | settlement, or defense of a claim or litigation 27 |
---|
| 1242 | + | |
---|
| 1243 | + | (___) Act for the principal with respect to bankruptcy or insolvency, whether 28 |
---|
| 1244 | + | voluntary or involuntary, concerning the principal or some other person, or with respect to 29 |
---|
| 1245 | + | a reorganization, receivership, or application for the appointment of a receiver or trustee 30 |
---|
| 1246 | + | that affects an interest of the principal in property or other thing of value 31 |
---|
| 1247 | + | |
---|
| 1248 | + | (___) Pay a judgment, award, or order against the principal or a settlement 32 |
---|
| 1249 | + | made in connection with a claim or litigation 33 |
---|
| 1250 | + | |
---|
| 1251 | + | (___) Receive money or other thing of value paid in settlement of or as 34 |
---|
| 1252 | + | proceeds of a claim or litigation 35 |
---|
| 1253 | + | SENATE BILL 851 27 |
---|
| 1254 | + | |
---|
| 1255 | + | |
---|
| 1256 | + | (___) All of the above 1 |
---|
| 1257 | + | |
---|
| 1258 | + | J. Personal and Family Maintenance – With respect to this subject, I authorize 2 |
---|
| 1259 | + | my agent to: 3 |
---|
| 1260 | + | |
---|
| 1261 | + | (___) Perform the acts necessary to maintain the customary standard of 4 |
---|
| 1262 | + | living of the principal, the principal’s spouse, and the following individuals, whether living 5 |
---|
| 1263 | + | when this power of attorney is executed or later born: 6 |
---|
| 1264 | + | |
---|
| 1265 | + | (1) The principal’s children; 7 |
---|
| 1266 | + | |
---|
| 1267 | + | (2) Other individuals legally entitled to be supported by the 8 |
---|
| 1268 | + | principal; and 9 |
---|
| 1269 | + | |
---|
| 1270 | + | (3) The individuals whom the principal has customarily supported 10 |
---|
| 1271 | + | or indicated the intent to support; 11 |
---|
| 1272 | + | |
---|
| 1273 | + | (___) Make periodic payments of child support and other family maintenance 12 |
---|
| 1274 | + | required by a court or governmental agency or an agreement to which the principal is a 13 |
---|
| 1275 | + | party 14 |
---|
| 1276 | + | |
---|
| 1277 | + | (___) Provide living quarters for the individuals described above by: 15 |
---|
| 1278 | + | |
---|
| 1279 | + | (1) Purchase, lease, or other contract; or 16 |
---|
| 1280 | + | |
---|
| 1281 | + | (2) Paying the operating costs, including interest, amortization 17 |
---|
| 1282 | + | payments, repairs, improvements, and taxes, for premises owned by the principal or 18 |
---|
| 1283 | + | occupied by those individuals 19 |
---|
| 1284 | + | |
---|
| 1285 | + | (___) Provide normal domestic help, usual vacations and travel expenses, and 20 |
---|
| 1286 | + | funds for shelter, clothing, food, appropriate education, including postsecondary and 21 |
---|
| 1287 | + | vocational education, and other current living costs for the individuals described above 22 |
---|
| 1288 | + | |
---|
| 1289 | + | (___) Pay expenses for necessary health care and custodial care on behalf of 23 |
---|
| 1290 | + | the individuals described above 24 |
---|
| 1291 | + | |
---|
| 1292 | + | (___) Act as the principal’s personal representative in accordance with the 25 |
---|
| 1293 | + | Health Insurance Portability and Accountability Act, §§ 1171 through 1179 of the Social 26 |
---|
| 1294 | + | Security Act, 42 U.S.C. § 1320d, and applicable regulations in making decisions related to 27 |
---|
| 1295 | + | the past, present, or future payment for the provision of health care consented to by the 28 |
---|
| 1296 | + | principal or anyone authorized under the law of this State to consent to health care on 29 |
---|
| 1297 | + | behalf of the principal 30 |
---|
| 1298 | + | |
---|
| 1299 | + | (___) Continue provisions made by the principal for automobiles or other 31 |
---|
| 1300 | + | means of transportation, including registering, licensing, insuring, and replacing the 32 |
---|
| 1301 | + | means of transportation, for the individuals described above 33 |
---|
| 1302 | + | 28 SENATE BILL 851 |
---|
| 1303 | + | |
---|
| 1304 | + | |
---|
| 1305 | + | (___) Maintain credit and debit accounts for the convenience of the 1 |
---|
| 1306 | + | individuals described above and open new accounts 2 |
---|
| 1307 | + | |
---|
| 1308 | + | (___) Continue payments incidental to the membership or affiliation of the 3 |
---|
| 1309 | + | principal in a religious institution, club, society, order, or other organization or to continue 4 |
---|
| 1310 | + | contributions to those organizations 5 |
---|
| 1311 | + | |
---|
| 1312 | + | (NOTE: Authority with respect to personal and family maintenance is neither 6 |
---|
| 1313 | + | dependent on, nor limited by, authority that an agent may or may not have with respect to 7 |
---|
| 1314 | + | gifts under this power of attorney.) 8 |
---|
| 1315 | + | |
---|
| 1316 | + | (___) All of the above 9 |
---|
| 1317 | + | |
---|
| 1318 | + | K. Benefits from Governmental Programs or Civil or Military Service (including 10 |
---|
| 1319 | + | any benefit, program, or assistance provided under a statute or regulation including Social 11 |
---|
| 1320 | + | Security, Medicare, and Medicaid) – With respect to this subject, I authorize my agent to: 12 |
---|
| 1321 | + | |
---|
| 1322 | + | (___) Execute vouchers in the name of the principal for allowances and 13 |
---|
| 1323 | + | reimbursements payable by the United States or a foreign government or by a state or 14 |
---|
| 1324 | + | subdivision of a state to the principal, including allowances and reimbursements for 15 |
---|
| 1325 | + | transportation of the individuals described in “J. Personal and Family Maintenance” above, 16 |
---|
| 1326 | + | and for shipment of the household effects of those individuals 17 |
---|
| 1327 | + | |
---|
| 1328 | + | (___) Take possession and order the removal and shipment of property of the 18 |
---|
| 1329 | + | principal from a post, warehouse, depot, dock, or other place of storage or safekeeping, 19 |
---|
| 1330 | + | either governmental or private, and execute and deliver a release, voucher, receipt, bill of 20 |
---|
| 1331 | + | lading, shipping ticket, certificate, or other instrument for that purpose 21 |
---|
| 1332 | + | |
---|
| 1333 | + | (___) PERFORM THE ACTS NECE SSARY TO ENABLE THE PRINCIPAL TO 22 |
---|
| 1334 | + | QUALIFY FOR A GOVERNMENTAL BENEFIT OR PROGRAM , INCLUDING OBTAINING 23 |
---|
| 1335 | + | PERSONAL AND FINANCI AL RECORDS AND , TO THE EXTENT SP ECIFICALLY 24 |
---|
| 1336 | + | AUTHORIZED BELOW , TO TRANSFER OR GIFT THE PRINCIPAL’S PROPERTY 25 |
---|
| 1337 | + | |
---|
| 1338 | + | (___) Enroll in, apply for, select, reject, change, amend, or discontinue, on the 26 |
---|
| 1339 | + | principal’s behalf, a GOVERNMENTAL benefit or program 27 |
---|
| 1340 | + | |
---|
| 1341 | + | (___) Prepare, file, and maintain a claim of the principal for a benefit or 28 |
---|
| 1342 | + | assistance, financial or otherwise, to which the principal may be entitled under a statute 29 |
---|
| 1343 | + | or regulation 30 |
---|
| 1344 | + | |
---|
| 1345 | + | (___) Initiate, participate in, submit to alternative dispute resolution, settle, 31 |
---|
| 1346 | + | oppose, or propose or accept a compromise with respect to litigation concerning a benefit or 32 |
---|
| 1347 | + | assistance the principal may be entitled to receive under a statute or regulation 33 |
---|
| 1348 | + | |
---|
| 1349 | + | (___) Receive the financial proceeds of a claim described above and conserve, 34 |
---|
| 1350 | + | invest, disburse, or use for a lawful purpose anything so received 35 |
---|
| 1351 | + | SENATE BILL 851 29 |
---|
| 1352 | + | |
---|
| 1353 | + | |
---|
| 1354 | + | (___) All of the above 1 |
---|
| 1355 | + | |
---|
| 1356 | + | L. Retirement Plans (including a plan or account created by an employer, the 2 |
---|
| 1357 | + | principal, or another individual to provide retirement benefits or deferred compensation of 3 |
---|
| 1358 | + | which the principal is a participant, beneficiary, or owner, including a plan or account 4 |
---|
| 1359 | + | under the following sections of the Internal Revenue Code: 5 |
---|
| 1360 | + | |
---|
| 1361 | + | (1) An individual retirement account under Internal Revenue Code Section 6 |
---|
| 1362 | + | 408, 26 U.S.C. § 408; 7 |
---|
| 1363 | + | |
---|
| 1364 | + | (2) A Roth individual retirement account under Internal Revenue Code 8 |
---|
| 1365 | + | Section 408A, 26 U.S.C. § 408A; 9 |
---|
| 1366 | + | |
---|
| 1367 | + | (3) A deemed individual retirement account under Internal Revenue Code 10 |
---|
| 1368 | + | Section 408(q), 26 U.S.C. § 408(q); 11 |
---|
| 1369 | + | |
---|
| 1370 | + | (4) An annuity or mutual fund custodial account under Internal Revenue 12 |
---|
| 1371 | + | Code Section 403(b), 26 U.S.C. § 403(b); 13 |
---|
| 1372 | + | |
---|
| 1373 | + | (5) A pension, profit–sharing, stock bonus, or other retirement plan 14 |
---|
| 1374 | + | qualified under Internal Revenue Code Section 401(a), 26 U.S.C. § 401(a); 15 |
---|
| 1375 | + | |
---|
| 1376 | + | (6) A plan under Internal Revenue Code Section 457(b), 26 U.S.C. § 457(b); 16 |
---|
| 1377 | + | and 17 |
---|
| 1378 | + | |
---|
| 1379 | + | (7) A nonqualified deferred compensation plan under Internal Revenue 18 |
---|
| 1380 | + | Code Section 409A, 26 U.S.C. § 409A) – With respect to this subject, I authorize my agent 19 |
---|
| 1381 | + | to: 20 |
---|
| 1382 | + | |
---|
| 1383 | + | (___) Select the form and timing of payments under a retirement plan and 21 |
---|
| 1384 | + | withdraw benefits from a plan 22 |
---|
| 1385 | + | |
---|
| 1386 | + | (___) Make a rollover, including a direct trustee–to–trustee rollover, of 23 |
---|
| 1387 | + | benefits from one retirement plan to another 24 |
---|
| 1388 | + | |
---|
| 1389 | + | (___) Establish a retirement plan in the principal’s name 25 |
---|
| 1390 | + | |
---|
| 1391 | + | (___) Make contributions to a retirement plan 26 |
---|
| 1392 | + | |
---|
| 1393 | + | (___) Exercise investment powers available under a retirement plan 27 |
---|
| 1394 | + | |
---|
| 1395 | + | (___) Borrow from, sell assets to, or purchase assets from a retirement plan 28 |
---|
| 1396 | + | |
---|
| 1397 | + | (___) All of the above 29 |
---|
| 1398 | + | |
---|
| 1399 | + | M. Taxes – With respect to this subject, I authorize my agent to: 30 |
---|
| 1400 | + | 30 SENATE BILL 851 |
---|
| 1401 | + | |
---|
| 1402 | + | |
---|
| 1403 | + | (___) Prepare, sign, and file federal, state, local, and foreign income, gift, 1 |
---|
| 1404 | + | payroll, property, Federal Insurance Contributions Act, and other tax returns, claims for 2 |
---|
| 1405 | + | refunds, requests for extension of time, petitions regarding tax matters, and other 3 |
---|
| 1406 | + | tax–related documents, including receipts, offers, waivers, consents, including consents 4 |
---|
| 1407 | + | and agreements under Internal Revenue Code Section 2032A, 26 U.S.C. § 2032A, closing 5 |
---|
| 1408 | + | agreements, and other powers of attorney required by the Internal Revenue Service or other 6 |
---|
| 1409 | + | taxing authority with respect to a tax year on which the statute of limitations has not run 7 |
---|
| 1410 | + | and the following 25 tax years 8 |
---|
| 1411 | + | |
---|
| 1412 | + | (___) Pay taxes due, collect refunds, post bonds, receive confidential 9 |
---|
| 1413 | + | information, and contest deficiencies determined by the Internal Revenue Service or other 10 |
---|
| 1414 | + | taxing authority 11 |
---|
| 1415 | + | |
---|
| 1416 | + | (___) Exercise elections available to the principal under federal, state, local, 12 |
---|
| 1417 | + | or foreign tax law 13 |
---|
| 1418 | + | |
---|
| 1419 | + | (___) Act for the principal in all tax matters for all periods before the Internal 14 |
---|
| 1420 | + | Revenue Service, or other taxing authority 15 |
---|
| 1421 | + | |
---|
| 1422 | + | (___) All of the above 16 |
---|
| 1423 | + | |
---|
| 1424 | + | N. Gifts [(including gifts to] AND TRANSFERS – WITH RESPECT TO THIS 17 |
---|
| 1425 | + | SUBJECT, I AUTHORIZE MY AGENT T O: 18 |
---|
| 1426 | + | |
---|
| 1427 | + | (___) MAKE A GIFT OR TRANSF ER TO A PERSON, OR CREATE AND FUND 19 |
---|
| 1428 | + | FOR THE BENEFIT OF A PERSON, INCLUDING THE PRINCI PAL, a trust, an account under 20 |
---|
| 1429 | + | the Uniform Transfers to Minors Act, a tuition savings account or prepaid tuition plan as 21 |
---|
| 1430 | + | defined under Internal Revenue Code Section 529, 26 U.S.C. § 529, [and] an ABLE account 22 |
---|
| 1431 | + | as defined under Internal Revenue Code Section 529A, 26 U.S.C. § 529A[) – With respect 23 |
---|
| 1432 | + | to this subject, I authorize my agent to: 24 |
---|
| 1433 | + | |
---|
| 1434 | + | (___) Make outright to, or for the benefit of, a person, a gift], OR A SPECIAL 25 |
---|
| 1435 | + | NEEDS TRUST OR ANY T RUST AUTHORIZED UNDE R § 1917 OF THE FEDERAL SOCIAL 26 |
---|
| 1436 | + | SECURITY ACT, of part or all of the principal’s property, including by the exercise of a 27 |
---|
| 1437 | + | presently exercisable general power of appointment held by the principal, in an amount for 28 |
---|
| 1438 | + | each donee not to exceed the annual dollar limits of the federal gift tax exclusion under 29 |
---|
| 1439 | + | Internal Revenue Code Section 2503(b), 26 U.S.C. § 2503(b), without regard to whether the 30 |
---|
| 1440 | + | federal gift tax exclusion applies to the gift, or if the principal’s spouse agrees to consent to 31 |
---|
| 1441 | + | a split gift pursuant to Internal Revenue Code Section 2513, 26 U.S.C. § 2513, in an amount 32 |
---|
| 1442 | + | for each donee not to exceed twice the annual federal gift tax exclusion limit 33 |
---|
| 1443 | + | |
---|
| 1444 | + | (___) Consent, pursuant to Internal Revenue Code Section 2513, 26 U.S.C. § 34 |
---|
| 1445 | + | 2513, to the splitting of a gift made by the principal’s spouse in an amount for each donee 35 |
---|
| 1446 | + | not to exceed the aggregate annual gift tax exclusions for both spouses 36 |
---|
| 1447 | + | |
---|
| 1448 | + | (NOTE: An agent may only make a gift of the principal’s property as the agent 37 SENATE BILL 851 31 |
---|
| 1449 | + | |
---|
| 1450 | + | |
---|
| 1451 | + | determines is consistent with the principal’s objectives if actually known by the agent and, 1 |
---|
| 1452 | + | if unknown, as the agent determines is consistent with the principal’s best interest based 2 |
---|
| 1453 | + | on all relevant factors, including: 3 |
---|
| 1454 | + | |
---|
| 1455 | + | (1) The value and nature of the principal’s property; 4 |
---|
| 1456 | + | |
---|
| 1457 | + | (2) The principal’s foreseeable obligations and need for maintenance; 5 |
---|
| 1458 | + | |
---|
| 1459 | + | (3) Minimization of taxes, including income, estate, inheritance, 6 |
---|
| 1460 | + | generation–skipping transfer, and gift taxes; 7 |
---|
| 1461 | + | |
---|
| 1462 | + | (4) Eligibility for a benefit, a program, or assistance under a statute or 8 |
---|
| 1463 | + | regulation; and 9 |
---|
| 1464 | + | |
---|
| 1465 | + | (5) The principal’s personal history of making or joining in making gifts.) 10 |
---|
| 1466 | + | |
---|
| 1467 | + | (___) All of the above 11 |
---|
| 1468 | + | |
---|
| 1469 | + | GRANT OF SPECIFIC AUTHORITY (OPTIONAL) 12 |
---|
| 1470 | + | |
---|
| 1471 | + | [My agent MAY NOT] IN ADDITION, MY AGENT MAY do any of the following specific acts 13 |
---|
| 1472 | + | for me [UNLESS] ONLY IF I have INITIALED the specific authority listed below: 14 |
---|
| 1473 | + | |
---|
| 1474 | + | (Caution: Granting any of the following will give your agent the authority to take actions 15 |
---|
| 1475 | + | that could significantly reduce your property or change how your property is distributed at 16 |
---|
| 1476 | + | your death. In addition, granting your agent the authority to make gifts to, or to designate 17 |
---|
| 1477 | + | as the beneficiary of any retirement plan, the agent, the agent’s spouse, or a dependent of 18 |
---|
| 1478 | + | the agent may constitute a taxable gift by you and may make the property subject to that 19 |
---|
| 1479 | + | authority taxable as part of the agent’s estate. INITIAL ONLY the specific authority you 20 |
---|
| 1480 | + | WANT to give your agent.) 21 |
---|
| 1481 | + | |
---|
| 1482 | + | (___) TAKE ANY OF THE ACTIO NS I HAVE AUTHORIZED IN S ECTION N OF THIS 22 |
---|
| 1483 | + | POWER OF ATTORNEY WI THOUT RESTRICTION ON THE AMOUNT OF THE GI FT OR 23 |
---|
| 1484 | + | TRANSFER 24 |
---|
| 1485 | + | |
---|
| 1486 | + | (___) TAKE ANY OF THE ACTIO NS I HAVE AUTHORIZED IN S ECTION N OF THIS 25 |
---|
| 1487 | + | POWER OF ATTORNEY IN FAVOR OF MY AGENT 26 |
---|
| 1488 | + | |
---|
| 1489 | + | (___) Create AND FUND an inter vivos trust, [or amend, revoke, or terminate an 27 |
---|
| 1490 | + | existing inter vivos trust if the trust expressly authorizes that action by the agent] 28 |
---|
| 1491 | + | INCLUDING A SPECIAL NEEDS TRUST , ANY TRUST AUTHORIZED UNDER § 1917 OF 29 |
---|
| 1492 | + | THE FEDERAL SOCIAL SECURITY ACT, OR A THIRD–PARTY SPECIAL NEEDS TRUST, 30 |
---|
| 1493 | + | OR ESTABLISH AND FUN D AN ABLE ACCOUNT AS DEFINED U NDER § 529A OF THE 31 |
---|
| 1494 | + | INTERNAL REVENUE CODE, FOR THE BENEFIT OF T HE PRINCIPAL OR THE 32 |
---|
| 1495 | + | PRINCIPAL’S FAMILY, HEIRS AT LAW, OR DESCENDANTS , OR ANY OTHER PERSON 33 |
---|
| 1496 | + | DESIGNATED BY THE PR INCIPAL AS A BENEFIC IARY UNDER AN EXISTI NG WILL, 34 32 SENATE BILL 851 |
---|
| 1497 | + | |
---|
| 1498 | + | |
---|
| 1499 | + | TRUST, OR OTHER INSTRUMENT 1 |
---|
| 1500 | + | |
---|
| 1501 | + | (___) AMEND, REVOKE, OR TERMINATE AN EXIS TING INTER VIVOS TRU ST IF 2 |
---|
| 1502 | + | THE TRUST EXPRESSLY AUTHORIZES THAT ACTI ON BY THE AGENT 3 |
---|
| 1503 | + | |
---|
| 1504 | + | (___) Make a gift, subject to any special instructions in this power of attorney, 4 |
---|
| 1505 | + | INCLUDING A GIFT OF THE PRINCIPAL ’S ASSETS TO ASSIST T HE PRINCIPAL IN 5 |
---|
| 1506 | + | MEETING THE ELIGIBIL ITY REQUIREMENTS AND QUALIFYING FOR A 6 |
---|
| 1507 | + | GOVERNMENTAL BENEFIT OR PROGRAM , INCLUDING GIFTS TO O R IN FAVOR OF MY 7 |
---|
| 1508 | + | AGENT WHO IS MY SPOU SE OR DESCENDANT 8 |
---|
| 1509 | + | |
---|
| 1510 | + | (___) Create or change rights of survivorship 9 |
---|
| 1511 | + | |
---|
| 1512 | + | (___) Create or change a beneficiary designation, subject to any special instructions 10 |
---|
| 1513 | + | in this power of attorney; and, if I wish to authorize my agent to designate the agent, the 11 |
---|
| 1514 | + | agent’s spouse, or a dependent of the agent as a beneficiary, I will explicitly state this 12 |
---|
| 1515 | + | authority within the special instructions of this power of attorney or in a separate power of 13 |
---|
| 1516 | + | attorney 14 |
---|
| 1517 | + | |
---|
| 1518 | + | (___) Authorize another person to exercise the authority granted under this power 15 |
---|
| 1519 | + | of attorney 16 |
---|
| 1520 | + | |
---|
| 1521 | + | (___) Waive the principal’s right to be a beneficiary of a joint and survivor annuity, 17 |
---|
| 1522 | + | including a survivor benefit under a retirement plan 18 |
---|
| 1523 | + | |
---|
| 1524 | + | (___) Exercise fiduciary powers that the principal has authority to delegate 19 |
---|
| 1525 | + | |
---|
| 1526 | + | (___) Disclaim or refuse an interest in property, including a power of appointment 20 |
---|
| 1527 | + | |
---|
| 1528 | + | (___) In accordance with the Maryland Fiduciary Access to Digital Assets Act, 21 |
---|
| 1529 | + | access and take control of (1) the content of any of my electronic communications, (2) any 22 |
---|
| 1530 | + | catalogue of electronic communications sent or received by me, and (3) any other digital 23 |
---|
| 1531 | + | asset in which I have a right or interest 24 |
---|
| 1532 | + | |
---|
| 1533 | + | (___) Demand the delivery of the principal’s will from the custodian of the will and, 25 |
---|
| 1534 | + | on delivery of the principal’s will, take custody of the will subject to the requirements of 26 |
---|
| 1535 | + | Title 4, Subtitle 2 of the Estates and Trusts Article 27 |
---|
| 1536 | + | |
---|
| 1537 | + | LIMITATION ON AGENT’S AUTHORI TY 28 |
---|
| 1538 | + | |
---|
| 1539 | + | An agent that is not my ancestor, spouse, or descendant MAY NOT use my property to 29 |
---|
| 1540 | + | benefit the agent or a person to whom the agent owes an obligation of support unless I have 30 |
---|
| 1541 | + | included that authority in the Special Instructions. 31 |
---|
| 1542 | + | |
---|
| 1543 | + | SPECIAL INSTRUCTIONS (O PTIONAL) 32 |
---|
| 1544 | + | SENATE BILL 851 33 |
---|
| 1545 | + | |
---|
| 1546 | + | |
---|
| 1547 | + | You may give special instructions on the following lines: 1 |
---|
| 1548 | + | |
---|
| 1549 | + | ___________________________________________________________________________________ 2 |
---|
| 1550 | + | ___________________________________________________________________________________ 3 |
---|
| 1551 | + | ___________________________________________________________________________________ 4 |
---|
| 1552 | + | ___________________________________________________________________________________ 5 |
---|
| 1553 | + | ___________________________________________________________________________________ 6 |
---|
| 1554 | + | ___________________________________________________________________________________ 7 |
---|
| 1555 | + | ___________________________________________________________________________________ 8 |
---|
| 1556 | + | |
---|
| 1557 | + | EFFECTIVE DATE 9 |
---|
| 1558 | + | |
---|
| 1559 | + | This power of attorney is effective immediately unless I have stated otherwise in the Special 10 |
---|
| 1560 | + | Instructions. 11 |
---|
| 1561 | + | |
---|
| 1562 | + | TERMINATION DATE (OPTIONAL) 12 |
---|
| 1563 | + | |
---|
| 1564 | + | This power of attorney shall terminate on _______________________________, 20______. 13 |
---|
| 1565 | + | (Use a specific calendar date) 14 |
---|
| 1566 | + | |
---|
| 1567 | + | NOMINATION OF GUARDIAN (OPTIONAL) 15 |
---|
| 1568 | + | |
---|
| 1569 | + | If it becomes necessary for a court to appoint a guardian of my property or guardian of my 16 |
---|
| 1570 | + | person, I nominate the following person(s) for appointment: 17 |
---|
| 1571 | + | |
---|
| 1572 | + | Name of Nominee for guardian of my property: 18 |
---|
| 1573 | + | _____________________________________________________________________________ 19 |
---|
| 1574 | + | Nominee’s Address: __________________________________________________________ 20 |
---|
| 1575 | + | Nominee’s Telephone Number: ________________________________________________ 21 |
---|
| 1576 | + | |
---|
| 1577 | + | Name of Nominee for guardian of my person: 22 |
---|
| 1578 | + | ______________________________________________________________________________ 23 |
---|
| 1579 | + | Nominee’s Address: ___________________________________________________________ 24 |
---|
| 1580 | + | Nominee’s Telephone Number: _________________________________________________ 25 |
---|
| 1581 | + | |
---|
| 1582 | + | SIGNATURE AND ACKNOWLEDGMENT 26 |
---|
| 1583 | + | |
---|
| 1584 | + | _____________________________________________ ______________________________ 27 |
---|
| 1585 | + | Your Signature Date 28 |
---|
| 1586 | + | |
---|
| 1587 | + | ______________________________________________________________________________ 29 |
---|
| 1588 | + | Your Name Printed 30 |
---|
| 1589 | + | |
---|
| 1590 | + | ______________________________________________________________________________ 31 |
---|
| 1591 | + | ______________________________________________________________________________ 32 |
---|
| 1592 | + | Your Address 33 |
---|
| 1593 | + | 34 SENATE BILL 851 |
---|
| 1594 | + | |
---|
| 1595 | + | |
---|
| 1596 | + | ______________________________________________________________________________ 1 |
---|
| 1597 | + | Your Telephone Number 2 |
---|
| 1598 | + | |
---|
| 1599 | + | STATE OF MARYLAND 3 |
---|
| 1600 | + | (COUNTY) OF _______________________________________________________________ 4 |
---|
| 1601 | + | |
---|
| 1602 | + | This document was acknowledged before me on 5 |
---|
| 1603 | + | ______________________________________________________________________________, 6 |
---|
| 1604 | + | (Date) 7 |
---|
| 1605 | + | |
---|
| 1606 | + | by ___________________________________________________________________________. 8 |
---|
| 1607 | + | (Name of Principal) 9 |
---|
| 1608 | + | |
---|
| 1609 | + | __________________________________________________________________ (Seal, if any) 10 |
---|
| 1610 | + | Signature of Notary 11 |
---|
| 1611 | + | My commission expires: _______________________________________________________ 12 |
---|
| 1612 | + | |
---|
| 1613 | + | WITNESS ATTESTATION 13 |
---|
| 1614 | + | |
---|
| 1615 | + | The foregoing power of attorney was, on the date written above, published and declared by 14 |
---|
| 1616 | + | ______________________________________________________________________________ 15 |
---|
| 1617 | + | (Name of Principal) 16 |
---|
| 1618 | + | |
---|
| 1619 | + | in our presence to be his/her power of attorney. We, in his/her presence and at his/her 17 |
---|
| 1620 | + | request, and in the presence of each other, have attested to the same and have signed our 18 |
---|
| 1621 | + | names as attesting witnesses. 19 |
---|
| 1622 | + | |
---|
| 1623 | + | ____________________________________________ 20 |
---|
| 1624 | + | Witness #1 Signature 21 |
---|
| 1625 | + | ____________________________________________ 22 |
---|
| 1626 | + | Witness #1 Name Printed 23 |
---|
| 1627 | + | ____________________________________________ 24 |
---|
| 1628 | + | ____________________________________________ 25 |
---|
| 1629 | + | Witness #1 Address 26 |
---|
| 1630 | + | ____________________________________________ 27 |
---|
| 1631 | + | Witness #1 Telephone Number 28 |
---|
| 1632 | + | |
---|
| 1633 | + | ____________________________________________ 29 |
---|
| 1634 | + | Witness #2 Signature 30 |
---|
| 1635 | + | ____________________________________________ 31 |
---|
| 1636 | + | Witness #2 Name Printed 32 |
---|
| 1637 | + | ____________________________________________ 33 |
---|
| 1638 | + | ____________________________________________ 34 |
---|
| 1639 | + | Witness #2 Address 35 |
---|
| 1640 | + | ____________________________________________ 36 |
---|
| 1641 | + | Witness #2 Telephone Number 37 |
---|
| 1642 | + | SENATE BILL 851 35 |
---|
| 1643 | + | |
---|
| 1644 | + | |
---|
| 1645 | + | This document prepared by: 1 |
---|
| 1646 | + | |
---|
| 1647 | + | ___________________________________________________________________________________ 2 |
---|
| 1648 | + | _________________________________________________________________________ 3 |
---|
| 1649 | + | |
---|
| 1650 | + | IMPORTANT INFORMATION FOR AGENT 4 |
---|
| 1651 | + | |
---|
| 1652 | + | Agent’s Duties 5 |
---|
| 1653 | + | |
---|
| 1654 | + | When you accept the authority granted under this power of attorney, a special legal 6 |
---|
| 1655 | + | relationship is created between you and the principal. This relationship imposes on you 7 |
---|
| 1656 | + | legal duties that continue until you resign or the power of attorney is terminated or revoked. 8 |
---|
| 1657 | + | You must: 9 |
---|
| 1658 | + | |
---|
| 1659 | + | (1) Do what you know the principal reasonably expects you to do with the 10 |
---|
| 1660 | + | principal’s property or, if you do not know the principal’s expectations, act in the principal’s 11 |
---|
| 1661 | + | best interest; 12 |
---|
| 1662 | + | |
---|
| 1663 | + | (2) Act with care, competence, and diligence for the best interest of the principal; 13 |
---|
| 1664 | + | |
---|
| 1665 | + | (3) Do nothing beyond the authority granted in this power of attorney; and 14 |
---|
| 1666 | + | |
---|
| 1667 | + | (4) Disclose your identity as an agent whenever you act for the principal by 15 |
---|
| 1668 | + | writing or printing the name of the principal and signing your own name as “agent” in the 16 |
---|
| 1669 | + | following manner: 17 |
---|
| 1670 | + | |
---|
| 1671 | + | __________________________________ ______________________________________ 18 |
---|
| 1672 | + | (Principal’s Name) by (Your Signature) as Agent 19 |
---|
| 1673 | + | |
---|
| 1674 | + | Unless the Special Instructions in this power of attorney state otherwise, you must also: 20 |
---|
| 1675 | + | |
---|
| 1676 | + | (1) Act loyally for the principal’s benefit; 21 |
---|
| 1677 | + | |
---|
| 1678 | + | (2) Avoid conflicts that would impair your ability to act in the principal’s best 22 |
---|
| 1679 | + | interest; 23 |
---|
| 1680 | + | |
---|
| 1681 | + | (3) Keep a record of all receipts, disbursements, and transactions made on behalf 24 |
---|
| 1682 | + | of the principal; 25 |
---|
| 1683 | + | |
---|
| 1684 | + | (4) Cooperate with any person that has authority to make health care decisions 26 |
---|
| 1685 | + | for the principal to do what you know the principal reasonably expects or, if you do not 27 |
---|
| 1686 | + | know the principal’s expectations, to act in the principal’s best interest; and 28 |
---|
| 1687 | + | |
---|
| 1688 | + | (5) Attempt to preserve the principal’s estate plan if you know the plan and 29 |
---|
| 1689 | + | preserving the plan is consistent with the principal’s best interest. 30 |
---|
| 1690 | + | |
---|
| 1691 | + | Termination of Agent’s Authority 31 36 SENATE BILL 851 |
---|
| 1692 | + | |
---|
| 1693 | + | |
---|
| 1694 | + | |
---|
| 1695 | + | You must stop acting on behalf of the principal if you learn of any event that terminates 1 |
---|
| 1696 | + | this power of attorney or your authority under this power of attorney. Events that 2 |
---|
| 1697 | + | terminate a power of attorney or your authority to act under a power of attorney include: 3 |
---|
| 1698 | + | |
---|
| 1699 | + | (1) Death of the principal; 4 |
---|
| 1700 | + | |
---|
| 1701 | + | (2) The principal’s revocation of the power of attorney or your authority; 5 |
---|
| 1702 | + | |
---|
| 1703 | + | (3) The occurrence of a termination event stated in the power of attorney; 6 |
---|
| 1704 | + | |
---|
| 1705 | + | (4) The purpose of the power of attorney is fully accomplished; or 7 |
---|
| 1706 | + | |
---|
| 1707 | + | (5) If you are married to the principal, a legal action is filed with a court to end 8 |
---|
| 1708 | + | your marriage, or for your legal separation, unless the Special Instructions in this power of 9 |
---|
| 1709 | + | attorney state that such an action will not terminate your authority. 10 |
---|
| 1710 | + | |
---|
| 1711 | + | Liability of Agent 11 |
---|
| 1712 | + | |
---|
| 1713 | + | The meaning of the authority granted to you is defined in the Maryland Power of Attorney 12 |
---|
| 1714 | + | Act, Title 17 of the Estates and Trusts Article. If you violate the Maryland Power of 13 |
---|
| 1715 | + | Attorney Act, Title 17 of the Estates and Trusts Article, or act outside the authority 14 |
---|
| 1716 | + | granted, you may be liable for any damages caused by your violation. 15 |
---|
| 1717 | + | |
---|
| 1718 | + | If there is anything about this document or your duties that you do not understand, you 16 |
---|
| 1719 | + | should seek legal advice.” 17 |
---|
| 1720 | + | |
---|
| 1721 | + | SECTION 2. AND BE IT FURTHER ENACTED, That this Act shall take effect 18 |
---|
| 1722 | + | October 1, 2023. 19 |
---|
| 1723 | + | |
---|
| 1724 | + | |
---|
| 1725 | + | |
---|
| 1726 | + | |
---|
| 1727 | + | Approved: |
---|
498 | | - | |
---|
499 | | - | B. JOINT ACCOUNTS AND BE NEFICIARY DESIGNA TIONS – I AUTHORIZE MY |
---|
500 | | - | AGENT TO DO ONE OR M ORE OF THE FOLLOWING ONLY IF I HAVE INITIALED |
---|
501 | | - | BELOW: |
---|
502 | | - | |
---|
503 | | - | (____) OPEN A JOINT ACCOUNT WITH ME AND ONE OR M ORE OTHER |
---|
504 | | - | PERSONS AS ACCOUNT O WNERS. EACH OWNER OF A JOINT ACCOUNT HAS FULL |
---|
505 | | - | LEGAL AUTHORITY TO U SE THE ACCO UNT FOR THEIR OWN BE NEFIT AND ON MY |
---|
506 | | - | DEATH WILL BECOME TH E PROPERTY OF THE OT HER OWNER(S). |
---|
507 | | - | |
---|
508 | | - | (____) CREATE OR CHANGE RIGH TS OF SURVIVORSHIP I N ACCOUNTS OR |
---|
509 | | - | OTHER ASSETS IN WHIC H I HAVE AN INTEREST , INCLUDING FOR THE BE NEFIT OF MY |
---|
510 | | - | AGENT, TO CHANGE A BENEFICI ARY DESIGNATION FOR ANY ACCOUNTS OR |
---|
511 | | - | FINANCIAL INSTRUMENT S, INCLUDING LIFE INSUR ANCE POLICIES, ANNUITIES, OR |
---|
512 | | - | RETIREMENT ACCOUNTS OF ANY NATURE ; AND TO WAIVE MY RIGH T TO BE A |
---|
513 | | - | BENEFICIARY OF A JOI NT AND SURVIVOR ANNU ITY, INCLUDING A SURVIVOR |
---|
514 | | - | BENEFIT UNDER A R ETIREMENT PLAN OF AN Y NATURE. IN DETERMINING SUCH |
---|
515 | | - | RIGHTS OR BENEFICIAR Y INTERESTS , MY AGENT SHALL CONSI DER TAXES , Ch. 697 2023 LAWS OF MARYLAND |
---|
516 | | - | |
---|
517 | | - | – 12 – |
---|
518 | | - | PRESERVATION OF GOVE RNMENTAL BENEFITS OR PROGRAMS, OR STATED |
---|
519 | | - | INTENTIONS REGARDING MY ESTATE. |
---|
520 | | - | |
---|
521 | | - | DISCLAIMERS |
---|
522 | | - | |
---|
523 | | - | FOR THE PURPOSES OF T AX PLANNING OR EFFECTUATING STAT ED INTENTIONS |
---|
524 | | - | REGARDING MY ESTATE , I AUTHORIZE MY AGENT T O DISCLAIM ANY INTER EST IN |
---|
525 | | - | PROPERTY I MIGHT OTHERWISE RECE IVE, EITHER OUTRIGHT OR I N TRUST, |
---|
526 | | - | INCLUDING FOR THE BE NEFIT OF MY AGENT ; ANY POWERS I HAVE OVER PROPERTY |
---|
527 | | - | OR AS A BENEFIC IARY OF ANY TRUSTS (EXCLUDING ANY POWERS I POSSESS IN A |
---|
528 | | - | FIDUCIARY CAPACITY ); AND ANY POWERS OF AP POINTMENT I HAVE OR MAY |
---|
529 | | - | ACQUIRE EXCLUDING AN Y TESTAMENTARY POWER OF APPOINTMENT THAT I |
---|
530 | | - | CURRENTLY EXERCISE I N MY LAST WILL AND T ESTAMENT. |
---|
531 | | - | |
---|
532 | | - | SPECIAL INSTRUCTIONS (OPTIONAL) |
---|
533 | | - | |
---|
534 | | - | YOU MAY GIVE SPECIAL INSTRUCTIONS ON THE FOLLOWING LINES: |
---|
535 | | - | |
---|
536 | | - | ___________________________________________________________________________________ |
---|
537 | | - | ___________________________________________________________________________________ |
---|
538 | | - | ___________________________________________________________________________________ |
---|
539 | | - | ___________________________________________________________________________________ |
---|
540 | | - | ___________________________________________________________________________________ |
---|
541 | | - | ___________________________________________________________________________________ |
---|
542 | | - | ___________________________________________________________________________________ |
---|
543 | | - | ___________________________________________ |
---|
544 | | - | |
---|
545 | | - | EFFECTIVE DATE |
---|
546 | | - | |
---|
547 | | - | This power of attorney is effective immediately unless I have stated otherwise in the Special |
---|
548 | | - | Instructions. |
---|
549 | | - | |
---|
550 | | - | TERMINATION DATE (OPTIONAL) |
---|
551 | | - | |
---|
552 | | - | ONLY IF I HAVE SPECIFIED A TER MINATION DATE BELOW , THIS POWER OF |
---|
553 | | - | ATTORNEY IS DURABLE, MEANING IT SHALL CON TINUE IN FULL FORCE AND |
---|
554 | | - | EFFECT FOR AN INDEFI NITE PERIOD OF T IME UNTIL MY REVOCAT ION OF THIS |
---|
555 | | - | POWER OF ATTORNEY OR MY DEATH, WHICHEVER OCCURS FIR ST. I RESERVE THE |
---|
556 | | - | RIGHT TO REVOKE THIS POWER OF ATTORNEY . THIS POWER OF ATTORNE Y SHALL |
---|
557 | | - | NOT TERMINATE UPON M Y DISABILITY. ALL AUTHORITY OF MY A GENT(S) SHALL |
---|
558 | | - | CONTINUE EVEN IF I BECOME DISABLED , INCOMPETENT , OR INCAPACITATED . |
---|
559 | | - | |
---|
560 | | - | This power of attorney shall terminate on ______________________________, 20____. |
---|
561 | | - | (Use a specific calendar date) |
---|
562 | | - | WES MOORE, Governor Ch. 697 |
---|
563 | | - | |
---|
564 | | - | – 13 – |
---|
565 | | - | COPIES |
---|
566 | | - | |
---|
567 | | - | A COPY OF THIS DOCUMEN T SHALL HAVE THE SAM E FORCE AND EFFECT A S THE |
---|
568 | | - | ORIGINAL UNLESS PROV IDED OTHERWISE IN SP ECIAL INSTRUCTIONS . |
---|
569 | | - | |
---|
570 | | - | REVOCATION |
---|
571 | | - | |
---|
572 | | - | I HEREBY REVOKE ALL OT HER POWERS OF ATTORN EY THAT I HAVE PREVIOUSLY |
---|
573 | | - | EXECUTED. THIS SECTION DOES NOT APPLY TO POWERS OF ATTORNEY E XECUTED |
---|
574 | | - | ON THE SAME DATE AS THIS POWER OF ATTORN EY OR TO LIMITED POW ERS OF |
---|
575 | | - | ATTORNEY THAT APPLY TO SPECIFIC ACCOUNTS OR TO SPECIFIC PROPE RTY. |
---|
576 | | - | |
---|
577 | | - | RELIANCE BY THIRD PARTIES |
---|
578 | | - | |
---|
579 | | - | ANYONE RELYING OR ACT ING UPON THIS POWER OF ATTORNEY SHALL BE ENTITLED |
---|
580 | | - | TO PRESUME CONCLUSIV ELY THAT IT IS IN FULL FORCE AND EFFECT UNLESS I HAVE |
---|
581 | | - | GIVEN WRITTEN NOTICE TO THAT PERSON OR EN TITY THAT THIS POWER HAS BEEN |
---|
582 | | - | REVOKED. NO ONE RELYING OR ACT ING UPON THIS POWER OF ATTORNEY SHALL BE |
---|
583 | | - | REQUIRED TO SEE TO T HE APPLICATION AND DISPOSITION OF A NY FUNDS OR OTHER |
---|
584 | | - | PROPERTY PAID TO OR DELIVERED TO MY AGEN T OR ANY PERSONS APP OINTED BY |
---|
585 | | - | MY AGENT. I AUTHORIZE MY AGENT T O SEEK DAMAGES AGAIN ST ANYONE WHO |
---|
586 | | - | REFUSED TO HONOR THI S POWER OF ATTORNEY WITHOUT HAVING RECEI VED |
---|
587 | | - | NOTICE THAT IT HAS BEEN REVOKED . |
---|
588 | | - | |
---|
589 | | - | NOMINATION OF GUARDIAN (OPTIONAL) |
---|
590 | | - | |
---|
591 | | - | If it becomes necessary for a court to appoint a guardian of my property or guardian of my |
---|
592 | | - | person, I nominate the following person(s) for appointment: |
---|
593 | | - | |
---|
594 | | - | Name of nominee for guardian of my property: __________________________________ |
---|
595 | | - | Nominee’s address: ___________________________________________________________ |
---|
596 | | - | Nominee’s telephone number: _________________________________________________ |
---|
597 | | - | Name of nominee for guardian of my person: ____________________________________ |
---|
598 | | - | Nominee’s address: ___________________________________________________________ |
---|
599 | | - | Nominee’s telephone number: _________________________________________________ |
---|
600 | | - | |
---|
601 | | - | DESIGNATION OF AGENT TO MAKE ELECTION TO TAKE ELECTIVE SHARE |
---|
602 | | - | (OPTIONAL) |
---|
603 | | - | |
---|
604 | | - | If I am incapacitated within the meaning of § 17–101 of the Estates and Trusts Article, I |
---|
605 | | - | designate the following person as my agent for purposes of making the election to take an |
---|
606 | | - | elective share of an estate subject to election under § 3–403 of the Estates and Trusts |
---|
607 | | - | Article: |
---|
608 | | - | |
---|
609 | | - | Name of designated agent: _____________________________________________________ Ch. 697 2023 LAWS OF MARYLAND |
---|
610 | | - | |
---|
611 | | - | – 14 – |
---|
612 | | - | Designated agent’s address: ____________________________________________________ |
---|
613 | | - | Designated agent’s telephone number: __________________________________________ |
---|
614 | | - | |
---|
615 | | - | SIGNATURE AND ACKNOWLEDGMENT |
---|
616 | | - | |
---|
617 | | - | ________________________________________ __________________________ |
---|
618 | | - | Your Signature Date |
---|
619 | | - | |
---|
620 | | - | ______________________________________________________________________________ |
---|
621 | | - | Your Name Printed |
---|
622 | | - | |
---|
623 | | - | ___________________________________________________________________________________ |
---|
624 | | - | ___________________________________________________________________________________ |
---|
625 | | - | Your Address |
---|
626 | | - | |
---|
627 | | - | ______________________________________________________________________________ |
---|
628 | | - | Your Telephone Number |
---|
629 | | - | |
---|
630 | | - | STATE OF MARYLAND |
---|
631 | | - | (COUNTY) OF _______________________________________________________________ |
---|
632 | | - | |
---|
633 | | - | This document was acknowledged before me on |
---|
634 | | - | |
---|
635 | | - | __________________________ |
---|
636 | | - | (Date) |
---|
637 | | - | |
---|
638 | | - | By ______________________________________ to be his/her act. |
---|
639 | | - | (Name of Principal) |
---|
640 | | - | |
---|
641 | | - | ____________________________________________ (SEAL, IF ANY) |
---|
642 | | - | Signature of Notary |
---|
643 | | - | |
---|
644 | | - | My commission expires: _____________________ |
---|
645 | | - | |
---|
646 | | - | WITNESS ATTESTATION |
---|
647 | | - | |
---|
648 | | - | The foregoing power of attorney was, on the date written above, published and declared by |
---|
649 | | - | |
---|
650 | | - | ____________________________________________ |
---|
651 | | - | (Name of Principal) |
---|
652 | | - | |
---|
653 | | - | in our presence to be his/her power of attorney. We, in his/her presence and at his/her |
---|
654 | | - | request, and in the presence of each other, have attested to the same and have signed our |
---|
655 | | - | names as attesting witnesses. |
---|
656 | | - | |
---|
657 | | - | ____________________________________________ WES MOORE, Governor Ch. 697 |
---|
658 | | - | |
---|
659 | | - | – 15 – |
---|
660 | | - | Witness #1 Signature |
---|
661 | | - | ____________________________________________ |
---|
662 | | - | Witness #1 Name Printed |
---|
663 | | - | ____________________________________________ |
---|
664 | | - | ____________________________________________ |
---|
665 | | - | Witness #1 Address |
---|
666 | | - | ____________________________________________ |
---|
667 | | - | Witness #1 Telephone Number |
---|
668 | | - | |
---|
669 | | - | ____________________________________________ |
---|
670 | | - | Witness #2 Signature |
---|
671 | | - | ____________________________________________ |
---|
672 | | - | Witness #2 Name Printed |
---|
673 | | - | ____________________________________________ |
---|
674 | | - | ____________________________________________ |
---|
675 | | - | Witness #2 Address |
---|
676 | | - | ____________________________________________ |
---|
677 | | - | Witness #2 Telephone Number” |
---|
678 | | - | |
---|
679 | | - | 17–203. |
---|
680 | | - | |
---|
681 | | - | “MARYLAND STATUTORY FORM LIMITED POWER OF ATTORNEY |
---|
682 | | - | |
---|
683 | | - | PLEASE READ CAREFULLY |
---|
684 | | - | |
---|
685 | | - | This power of attorney authorizes another person (your agent) to make decisions concerning |
---|
686 | | - | your property for you (the principal). You need not give to your agent all the authorities |
---|
687 | | - | listed below and may give the agent only those limited powers that you specifically indicate. |
---|
688 | | - | This power of attorney gives your agent the right to make limited decisions for you. You |
---|
689 | | - | should very carefully weigh your decision as to what powers you give your agent. Your |
---|
690 | | - | agent will be able to make decisions and act with respect to your property (including your |
---|
691 | | - | money) whether or not you are able to act for yourself. |
---|
692 | | - | |
---|
693 | | - | If you choose to make a grant of limited authority, you should check the boxes that identify |
---|
694 | | - | the specific authorization you choose to give your agent. |
---|
695 | | - | |
---|
696 | | - | This power of attorney does not authorize the agent to make health care decisions for you. |
---|
697 | | - | |
---|
698 | | - | You should select someone you trust to serve as your agent. Unless you specify otherwise, |
---|
699 | | - | generally the agent’s authority will continue until you die or revoke the power of attorney |
---|
700 | | - | or the agent resigns or is unable to act for you. |
---|
701 | | - | |
---|
702 | | - | Your agent is not entitled to compensation unless you indicate otherwise in the special |
---|
703 | | - | instructions of this power of attorney. If you indicate that your agent is to receive |
---|
704 | | - | compensation, your agent is entitled to reasonable compensation or compensation as |
---|
705 | | - | specified in the Special Instructions. Ch. 697 2023 LAWS OF MARYLAND |
---|
706 | | - | |
---|
707 | | - | – 16 – |
---|
708 | | - | |
---|
709 | | - | This form provides for designation of one agent. If you wish to name more than one agent |
---|
710 | | - | you may name a coagent in the Special Instructions. Coagents are required to act together |
---|
711 | | - | unanimously unless you specify otherwise in the Special Instructions. |
---|
712 | | - | |
---|
713 | | - | If your agent is unavailable or unwilling to act for you, your power of attorney will end |
---|
714 | | - | unless you have named a successor agent. You may also name a second successor agent. |
---|
715 | | - | |
---|
716 | | - | This power of attorney becomes effective immediately unless you state otherwise in the |
---|
717 | | - | Special Instructions. |
---|
718 | | - | |
---|
719 | | - | If you have questions about the power of attorney or the authority you are granting to your |
---|
720 | | - | agent, you should seek legal advice before signing this form. |
---|
721 | | - | |
---|
722 | | - | DESIGNATION OF AGENT |
---|
723 | | - | |
---|
724 | | - | This section of the form provides for designation of one agent. |
---|
725 | | - | |
---|
726 | | - | If you wish to name coagents, skip this section and use the next section (“Designation of |
---|
727 | | - | Coagents”). |
---|
728 | | - | |
---|
729 | | - | I, ___________________________________________________, name the following person |
---|
730 | | - | (Name of Principal) |
---|
731 | | - | as my agent: |
---|
732 | | - | |
---|
733 | | - | Name of |
---|
734 | | - | Agent: _______________________________________________________________________ |
---|
735 | | - | Agent’s |
---|
736 | | - | Address: _____________________________________________________________________ |
---|
737 | | - | Agent’s Telephone |
---|
738 | | - | Number: _____________________________________________________________________ |
---|
739 | | - | |
---|
740 | | - | DESIGNATION OF COAGENTS (OPTIONAL) |
---|
741 | | - | |
---|
742 | | - | This section of the form provides for designation of two or more coagents. Coagents are |
---|
743 | | - | required to act together unanimously unless you otherwise provide in this form. |
---|
744 | | - | |
---|
745 | | - | I, ___________________________________________________________________________, |
---|
746 | | - | |
---|
747 | | - | (Name of Principal) |
---|
748 | | - | |
---|
749 | | - | Name the following persons as coagents: |
---|
750 | | - | |
---|
751 | | - | Name of Coagent: ____________________________________________________________ |
---|
752 | | - | |
---|
753 | | - | Coagent’s Address: ___________________________________________________________ WES MOORE, Governor Ch. 697 |
---|
754 | | - | |
---|
755 | | - | – 17 – |
---|
756 | | - | |
---|
757 | | - | Coagent’s Telephone Number: _________________________________________________ |
---|
758 | | - | |
---|
759 | | - | Name of Coagent: ____________________________________________________________ |
---|
760 | | - | |
---|
761 | | - | Coagent’s Address: ___________________________________________________________ |
---|
762 | | - | |
---|
763 | | - | Coagent’s Telephone Number: _________________________________________________ |
---|
764 | | - | |
---|
765 | | - | Special Instructions Regarding Coagents: ____________________________________________ |
---|
766 | | - | ___________________________________________________________________________________ |
---|
767 | | - | ___________________________________________________________________________________ |
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768 | | - | ___________________________________________________________________________________ |
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769 | | - | |
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770 | | - | DESIGNATION OF SUCCESSOR AGENT(S) (OPTIONAL ) |
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771 | | - | |
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772 | | - | If my agent is unable or unwilling to act for me, I name as my successor agent: |
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773 | | - | |
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774 | | - | Name of Successor Agent: _____________________________________________________ |
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775 | | - | Successor Agent’s |
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776 | | - | Address: _____________________________________________________________________ |
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777 | | - | Successor Agent’s Telephone Number: __________________________________________ |
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778 | | - | |
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779 | | - | If my successor agent is unable or unwilling to act for me, I name as my second successor |
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780 | | - | agent: |
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781 | | - | |
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782 | | - | Name of Second Successor |
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783 | | - | Agent: _______________________________________________________________________ |
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784 | | - | Second Successor Agent’s |
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785 | | - | Address: _____________________________________________________________________ |
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786 | | - | Second Successor Agent’s Telephone Number: ___________________________________ |
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787 | | - | |
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788 | | - | GRANT OF GENERAL AUTHORITY |
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789 | | - | |
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790 | | - | I (“the principal”) grant my agent and any successor agent, with respect to each subject |
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791 | | - | that I choose below, the authority to do all acts that I could do to: |
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792 | | - | |
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793 | | - | (1) Demand, receive, and obtain by litigation or otherwise, money or |
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794 | | - | another thing of value to which the principal is, may become, or claims to be entitled, and |
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795 | | - | conserve, invest, disburse, or use anything so received or obtained for the purposes |
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796 | | - | intended; |
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797 | | - | |
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798 | | - | (2) Contract with another person, on terms agreeable to the agent, to |
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799 | | - | accomplish a purpose of a transaction and perform, rescind, cancel, terminate, reform, |
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800 | | - | restate, release, or modify the contract or another contract made by or on behalf of the |
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801 | | - | principal; Ch. 697 2023 LAWS OF MARYLAND |
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802 | | - | |
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803 | | - | – 18 – |
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804 | | - | |
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805 | | - | (3) Execute, acknowledge, seal, deliver, file, or record any instrument or |
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806 | | - | communication the agent considers desirable to accomplish a purpose of a transaction, |
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807 | | - | including creating a schedule contemporaneously or at a later time listing some or all of the |
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808 | | - | principal’s property and attaching the schedule to this power of attorney; |
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809 | | - | |
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810 | | - | (4) Initiate, participate in, submit to alternative dispute resolution, settle, |
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811 | | - | oppose, or propose or accept a compromise with respect to a claim existing in favor of or |
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812 | | - | against the principal or intervene in litigation relating to the claim; |
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813 | | - | |
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814 | | - | (5) Seek on the principal’s behalf the assistance of a court or other |
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815 | | - | governmental agency to carry out an act authorized in this power of attorney; |
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816 | | - | |
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817 | | - | (6) Engage, compensate, and discharge an attorney, accountant, |
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818 | | - | discretionary investment manager, expert witness, or other advisor; |
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819 | | - | |
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820 | | - | (7) Prepare, execute, and file a record, report, or other document to |
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821 | | - | safeguard or promote the principal’s interest under a statute or regulation; |
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822 | | - | |
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823 | | - | (8) Communicate with representatives or employees of a government or |
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824 | | - | governmental subdivision, agency, or instrumentality, on behalf of the principal; |
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825 | | - | |
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826 | | - | (9) Access communications intended for, and communicate on behalf of the |
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827 | | - | principal, whether by mail, electronic transmission, telephone, or other means; and |
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828 | | - | |
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829 | | - | (10) Do lawful acts with respect to the subject and all property related to the |
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830 | | - | subject. |
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831 | | - | |
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832 | | - | (INITIAL each authority in any subject you want to include in the agent’s general |
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833 | | - | authority. Cross through each authority in any subject that you want to exclude. If you |
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834 | | - | wish to grant general authority over an entire subject, you may initial “All of the above” |
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835 | | - | instead of initialing each authority.) |
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836 | | - | |
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837 | | - | SUBJECTS AND AUTHORITY |
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838 | | - | |
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839 | | - | A. Real Property – With respect to this category, I authorize my agent to: |
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840 | | - | |
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841 | | - | (___) Demand, buy, lease, receive, accept as a gift or as security for an |
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842 | | - | extension of credit, or otherwise acquire or reject an interest in real property or a right |
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843 | | - | incident to real property |
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844 | | - | |
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845 | | - | (___) Sell, exchange, convey with or without covenants, representations, or |
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846 | | - | warranties, quitclaim, release, surrender, retain title for security, encumber, partition, |
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847 | | - | consent to partitioning, subject to an easement or covenant, subdivide, apply for zoning or |
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848 | | - | other governmental permits, plat or consent to platting, develop, grant an option |
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849 | | - | concerning, lease, sublease, contribute to an entity in exchange for an interest in that WES MOORE, Governor Ch. 697 |
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850 | | - | |
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851 | | - | – 19 – |
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852 | | - | entity, or otherwise grant or dispose of an interest in real property or a right incident to |
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853 | | - | real property |
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854 | | - | |
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855 | | - | (___) Pledge or mortgage an interest in real property or right incident to real |
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856 | | - | property as security to borrow money or pay, renew, or extend the time of payment of a |
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857 | | - | debt of the principal or a debt guaranteed by the principal, including a reverse mortgage |
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858 | | - | |
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859 | | - | (___) Release, assign, satisfy, or enforce by litigation or otherwise a |
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860 | | - | mortgage, deed of trust, conditional sale contract, encumbrance, lien, or other claim to real |
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861 | | - | property that exists or is asserted |
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862 | | - | |
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863 | | - | (___) Manage or conserve an interest in real property or a right incident to |
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864 | | - | real property owned or claimed to be owned by the principal, including: |
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865 | | - | |
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866 | | - | (1) Insuring against liability or casualty or other loss; |
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867 | | - | |
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868 | | - | (2) Obtaining or regaining possession of or protecting the interest or |
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869 | | - | right by litigation or otherwise; |
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870 | | - | |
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871 | | - | (3) Paying, assessing, compromising, or contesting taxes or |
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872 | | - | assessments or applying for and receiving refunds in connection with them; and |
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873 | | - | |
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874 | | - | (4) Purchasing supplies, hiring assistance or labor, and making |
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875 | | - | repairs or alterations to the real property |
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876 | | - | |
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877 | | - | (___) Use, develop, alter, replace, remove, erect, or install structures or other |
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878 | | - | improvements on real property in or incident to which the principal has, or claims to have, |
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879 | | - | an interest or right |
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880 | | - | |
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881 | | - | (___) Participate in a reorganization with respect to real property or an entity |
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882 | | - | that owns an interest in or a right incident to real property and receive, hold, and act with |
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883 | | - | respect to stocks and bonds or other property received in a plan of reorganization, including: |
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884 | | - | |
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885 | | - | (1) Selling or otherwise disposing of the stocks and bonds or other |
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886 | | - | property; |
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887 | | - | |
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888 | | - | (2) Exercising or selling an option, a right of conversion, or a similar |
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889 | | - | right with respect to the stocks and bonds or other property; and |
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890 | | - | |
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891 | | - | (3) Exercising voting rights in person or by proxy |
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892 | | - | |
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893 | | - | (___) Change the form of title of an interest in or a right incident to real |
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894 | | - | property |
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895 | | - | |
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896 | | - | (___) Dedicate to public use, with or without consideration, easements or |
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897 | | - | other real property in which the principal has, or claims to have, an interest Ch. 697 2023 LAWS OF MARYLAND |
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898 | | - | |
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899 | | - | – 20 – |
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900 | | - | |
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901 | | - | (___) All of the above |
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902 | | - | |
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903 | | - | B. Tangible Personal Property – With respect to this subject, I authorize my |
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904 | | - | agent to: |
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905 | | - | |
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906 | | - | (___) Demand, buy, receive, accept as a gift or as security for an extension of |
---|
907 | | - | credit, or otherwise acquire or reject ownership or possession of tangible personal property |
---|
908 | | - | or an interest in tangible personal property |
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909 | | - | |
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910 | | - | (___) Sell, exchange, convey with or without covenants, representations, or |
---|
911 | | - | warranties, quitclaim, release, surrender, create a security interest in, grant options |
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912 | | - | concerning, lease, sublease, or otherwise dispose of tangible personal property or an |
---|
913 | | - | interest in tangible personal property |
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914 | | - | |
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915 | | - | (___) Grant a security interest in tangible personal property or an interest in |
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916 | | - | tangible personal property as security to borrow money or pay, renew, or extend the time |
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917 | | - | of payment of a debt of the principal or a debt guaranteed by the principal |
---|
918 | | - | |
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919 | | - | (___) Release, assign, satisfy, or enforce by litigation or otherwise, a security |
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920 | | - | interest, lien, or other claim on behalf of the principal, with respect to tangible personal |
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921 | | - | property or an interest in tangible personal property |
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922 | | - | |
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923 | | - | (___) Manage or conserve tangible personal property or an interest in |
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924 | | - | tangible personal property on behalf of the principal, including: |
---|
925 | | - | |
---|
926 | | - | (1) Insuring against liability or casualty or other loss; |
---|
927 | | - | |
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928 | | - | (2) Obtaining or regaining possession of or protecting the property |
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929 | | - | or interest, by litigation or otherwise; |
---|
930 | | - | |
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931 | | - | (3) Paying, assessing, compromising, or contesting taxes or |
---|
932 | | - | assessments or applying for and receiving refunds in connection with taxes or assessments; |
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933 | | - | |
---|
934 | | - | (4) Moving the property from place to place; |
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935 | | - | |
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936 | | - | (5) Storing the property for hire or on a gratuitous bailment; and |
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937 | | - | |
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938 | | - | (6) Using and making repairs, alterations, or improvements to the |
---|
939 | | - | property |
---|
940 | | - | |
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941 | | - | (___) Change the form of title of an interest in tangible personal property |
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942 | | - | |
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943 | | - | (___) All of the above |
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944 | | - | |
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945 | | - | C. Stocks and Bonds – With respect to this subject, I authorize my agent to: WES MOORE, Governor Ch. 697 |
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946 | | - | |
---|
947 | | - | – 21 – |
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948 | | - | |
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949 | | - | (___) Buy, sell, and exchange stocks and bonds |
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950 | | - | |
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951 | | - | (___) Establish, continue, modify, or terminate an account with respect to |
---|
952 | | - | stocks and bonds |
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953 | | - | |
---|
954 | | - | (___) Pledge stocks and bonds as security to borrow, pay, renew, or extend |
---|
955 | | - | the time of payment of a debt of the principal |
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956 | | - | |
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957 | | - | (___) Receive certificates and other evidences of ownership with respect to |
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958 | | - | stocks and bonds |
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959 | | - | |
---|
960 | | - | (___) Exercise voting rights with respect to stocks and bonds in person or by |
---|
961 | | - | proxy, enter into voting trusts, and consent to limitations on the right to vote |
---|
962 | | - | |
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963 | | - | (___) All of the above |
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964 | | - | |
---|
965 | | - | D. Commodities – With respect to this subject, I authorize my agent to: |
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966 | | - | |
---|
967 | | - | (___) Buy, sell, exchange, assign, settle, and exercise commodity futures |
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968 | | - | contracts and call or put options on stocks or stock indexes traded on a regulated option |
---|
969 | | - | exchange |
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970 | | - | |
---|
971 | | - | (___) Establish, continue, modify, and terminate option accounts |
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972 | | - | |
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973 | | - | (___) All of the above |
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974 | | - | |
---|
975 | | - | E. Banks and Other Financial Institutions – With respect to this subject, I |
---|
976 | | - | authorize my agent to: |
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977 | | - | |
---|
978 | | - | (___) Continue, modify, transact all business in connection with, and |
---|
979 | | - | terminate an account or other banking arrangement made by or on behalf of the principal |
---|
980 | | - | |
---|
981 | | - | (___) Establish, modify, transact all business in connection with, and |
---|
982 | | - | terminate an account or other banking arrangement with a bank, trust company, savings |
---|
983 | | - | and loan association, credit union, thrift company, brokerage firm, or other financial |
---|
984 | | - | institution selected by the agent |
---|
985 | | - | |
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986 | | - | (___) Contract for services available from a financial institution, including |
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987 | | - | renting a safe deposit box or space in a vault |
---|
988 | | - | |
---|
989 | | - | (___) Deposit by check, money order, electronic funds transfer, or otherwise |
---|
990 | | - | with, or leave in the custody of, a financial institution money or property of the principal |
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991 | | - | |
---|
992 | | - | (___) Withdraw, by check, money order, electronic funds transfer, or |
---|
993 | | - | otherwise, money or property of the principal deposited with or left in the custody of a Ch. 697 2023 LAWS OF MARYLAND |
---|
994 | | - | |
---|
995 | | - | – 22 – |
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996 | | - | financial institution |
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997 | | - | |
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998 | | - | (___) Receive statements of account, vouchers, notices, and similar |
---|
999 | | - | documents from a financial institution and act with respect to them |
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1000 | | - | |
---|
1001 | | - | (___) Enter a safe deposit box or vault and withdraw or add to the contents |
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1002 | | - | |
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1003 | | - | (___) Borrow money and pledge as security personal property of the principal |
---|
1004 | | - | necessary to borrow money or pay, renew, or extend the time of payment of a debt of the |
---|
1005 | | - | principal or a debt guaranteed by the principal |
---|
1006 | | - | |
---|
1007 | | - | (___) Make, assign, draw, endorse, discount, guarantee, and negotiate |
---|
1008 | | - | promissory notes, checks, drafts, and other negotiable or nonnegotiable paper of the |
---|
1009 | | - | principal or payable to the principal or the principal’s order, transfer money, receive the |
---|
1010 | | - | cash or other proceeds of those transactions, and accept a draft drawn by a person on the |
---|
1011 | | - | principal and pay the draft when due |
---|
1012 | | - | |
---|
1013 | | - | (___) Receive for the principal and act on a sight draft, warehouse receipt, |
---|
1014 | | - | other document of title whether tangible or electronic, or other negotiable or nonnegotiable |
---|
1015 | | - | instrument |
---|
1016 | | - | |
---|
1017 | | - | (___) Apply for, receive, and use letters of credit, credit cards and debit cards, |
---|
1018 | | - | electronic transaction authorizations, and traveler’s checks from a financial institution and |
---|
1019 | | - | give an indemnity or other agreement in connection with letters of credit |
---|
1020 | | - | |
---|
1021 | | - | (___) Consent to an extension of the time of payment with respect to |
---|
1022 | | - | commercial paper or a financial transaction with a financial institution |
---|
1023 | | - | |
---|
1024 | | - | (___) All of the above |
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1025 | | - | |
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1026 | | - | F. Operation of an Entity or a Business – With respect to this subject, I authorize |
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1027 | | - | my agent to: |
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1028 | | - | |
---|
1029 | | - | (___) Operate, buy, sell, enlarge, reduce, or terminate an ownership interest |
---|
1030 | | - | |
---|
1031 | | - | (___) Perform a duty or discharge a liability and exercise in person or by |
---|
1032 | | - | proxy a right, power, privilege, or an option that the principal has, may have, or claims to |
---|
1033 | | - | have |
---|
1034 | | - | |
---|
1035 | | - | (___) Enforce the terms of an ownership agreement |
---|
1036 | | - | |
---|
1037 | | - | (___) Initiate, participate in, submit to alternative dispute resolution, settle, |
---|
1038 | | - | oppose, or propose or accept a compromise with respect to litigation to which the principal |
---|
1039 | | - | is a party because of an ownership interest |
---|
1040 | | - | |
---|
1041 | | - | (___) Exercise in person or by proxy, or enforce by litigation or otherwise, a WES MOORE, Governor Ch. 697 |
---|
1042 | | - | |
---|
1043 | | - | – 23 – |
---|
1044 | | - | right, power, privilege, or an option the principal has or claims to have as the holder of |
---|
1045 | | - | stocks and bonds |
---|
1046 | | - | |
---|
1047 | | - | (___) Initiate, participate in, submit to alternative dispute resolution, settle, |
---|
1048 | | - | oppose, or propose or accept a compromise with respect to litigation to which the principal |
---|
1049 | | - | is a party concerning stocks and bonds |
---|
1050 | | - | |
---|
1051 | | - | (___) With respect to an entity or business owned solely by the principal: |
---|
1052 | | - | |
---|
1053 | | - | (1) Continue, modify, renegotiate, extend, and terminate a contract |
---|
1054 | | - | made by or on behalf of the principal with respect to the entity or business before execution |
---|
1055 | | - | of this power of attorney; |
---|
1056 | | - | |
---|
1057 | | - | (2) Determine: |
---|
1058 | | - | |
---|
1059 | | - | (i) The location of the operation of the entity or business; |
---|
1060 | | - | |
---|
1061 | | - | (ii) The nature and extent of the business of the entity or |
---|
1062 | | - | business; |
---|
1063 | | - | |
---|
1064 | | - | (iii) The methods of manufacturing, selling, merchandising, |
---|
1065 | | - | financing, accounting, and advertising employed in the operation of the entity or business; |
---|
1066 | | - | |
---|
1067 | | - | (iv) The amount and types of insurance carried by the entity |
---|
1068 | | - | or business; and |
---|
1069 | | - | |
---|
1070 | | - | (v) The mode of engaging, compensating, and dealing with the |
---|
1071 | | - | employees and accountants, attorneys, or other advisors of the entity or business; |
---|
1072 | | - | |
---|
1073 | | - | (3) Change the name or form of organization under which the entity |
---|
1074 | | - | or business is operated and enter into an ownership agreement with other persons to take |
---|
1075 | | - | over all or part of the operation of the entity or business; and |
---|
1076 | | - | |
---|
1077 | | - | (4) Demand and receive money due or claimed by the principal or on |
---|
1078 | | - | the principal’s behalf in the operation of the entity or business and control and disburse the |
---|
1079 | | - | money in the operation of the entity or business |
---|
1080 | | - | |
---|
1081 | | - | (___) Put additional capital into an entity or a business in which the principal |
---|
1082 | | - | has an interest |
---|
1083 | | - | |
---|
1084 | | - | (___) Join in a plan of reorganization, consolidation, conversion, |
---|
1085 | | - | domestication, or merger of the entity or business |
---|
1086 | | - | |
---|
1087 | | - | (___) Sell or liquidate all or part of an entity or business |
---|
1088 | | - | |
---|
1089 | | - | (___) Establish the value of an entity or a business under a buyout agreement Ch. 697 2023 LAWS OF MARYLAND |
---|
1090 | | - | |
---|
1091 | | - | – 24 – |
---|
1092 | | - | to which the principal is a party |
---|
1093 | | - | |
---|
1094 | | - | (___) Prepare, sign, file, and deliver reports, compilations of information, |
---|
1095 | | - | returns, or other papers with respect to an entity or business and make related payments |
---|
1096 | | - | |
---|
1097 | | - | (___) Pay, compromise, or contest taxes, assessments, fines, or penalties and |
---|
1098 | | - | perform other acts to protect the principal from illegal or unnecessary taxation, |
---|
1099 | | - | assessments, fines, or penalties, with respect to an entity or a business, including attempts |
---|
1100 | | - | to recover, as permitted by law, money paid before or after the execution of this power of |
---|
1101 | | - | attorney |
---|
1102 | | - | |
---|
1103 | | - | (___) All of the above |
---|
1104 | | - | |
---|
1105 | | - | G. Insurance and Annuities – With respect to this subject, I authorize my agent |
---|
1106 | | - | to: |
---|
1107 | | - | |
---|
1108 | | - | (___) Continue, pay the premium or make a contribution on, modify, |
---|
1109 | | - | exchange, rescind, release, or terminate a contract procured by or on behalf of the principal |
---|
1110 | | - | that insures or provides an annuity to either the principal or another person, whether or |
---|
1111 | | - | not the principal is a beneficiary under the contract |
---|
1112 | | - | |
---|
1113 | | - | (___) Procure new, different, and additional contracts of insurance and |
---|
1114 | | - | annuities for the principal and the principal’s spouse, children, and other dependents, and |
---|
1115 | | - | select the amount, type of insurance or annuity, and mode of payment |
---|
1116 | | - | |
---|
1117 | | - | (___) Pay the premium or make a contribution on, modify, exchange, rescind, |
---|
1118 | | - | release, or terminate a contract of insurance or annuity procured by the agent |
---|
1119 | | - | |
---|
1120 | | - | (___) Apply for and receive a loan secured by a contract of insurance or |
---|
1121 | | - | annuity |
---|
1122 | | - | |
---|
1123 | | - | (___) Surrender and receive the cash surrender value on a contract of |
---|
1124 | | - | insurance or annuity |
---|
1125 | | - | |
---|
1126 | | - | (___) Exercise an election |
---|
1127 | | - | |
---|
1128 | | - | (___) Exercise investment powers available under a contract of insurance or |
---|
1129 | | - | annuity |
---|
1130 | | - | |
---|
1131 | | - | (___) Change the manner of paying premiums on a contract of insurance or |
---|
1132 | | - | annuity |
---|
1133 | | - | |
---|
1134 | | - | (___) Change or convert the type of insurance or annuity with respect to |
---|
1135 | | - | which the principal has or claims to have authority described in this section |
---|
1136 | | - | |
---|
1137 | | - | (___) Apply for and procure a benefit or assistance under a statute or WES MOORE, Governor Ch. 697 |
---|
1138 | | - | |
---|
1139 | | - | – 25 – |
---|
1140 | | - | regulation to guarantee or pay premiums of a contract of insurance on the life of the |
---|
1141 | | - | principal |
---|
1142 | | - | |
---|
1143 | | - | (___) Collect, sell, assign, hypothecate, borrow against, or pledge the interest |
---|
1144 | | - | of the principal in a contract of insurance or annuity |
---|
1145 | | - | |
---|
1146 | | - | (___) Select the form and timing of the payment of proceeds from a contract |
---|
1147 | | - | of insurance or annuity |
---|
1148 | | - | |
---|
1149 | | - | (___) Pay, from proceeds or otherwise, compromise or contest, and apply for |
---|
1150 | | - | refunds in connection with a tax or assessment levied by a taxing authority with respect to |
---|
1151 | | - | a contract of insurance or annuity or the proceeds or liability from the contract of insurance |
---|
1152 | | - | or annuity accruing by reason of the tax or assessment |
---|
1153 | | - | |
---|
1154 | | - | (___) All of the above |
---|
1155 | | - | |
---|
1156 | | - | H. Estates, Trusts, and Other Beneficial Interests (including trusts, probate |
---|
1157 | | - | estates, guardianships, conservatorships, escrows, or custodianships or funds from which |
---|
1158 | | - | the principal is, may become, or claims to be entitled to a share or payment) – With respect |
---|
1159 | | - | to this subject, I authorize my agent to: |
---|
1160 | | - | |
---|
1161 | | - | (___) Accept, receive, receipt for, sell, assign, pledge, or exchange a share in |
---|
1162 | | - | or payment from the fund described above |
---|
1163 | | - | |
---|
1164 | | - | (___) Demand or obtain money or another thing of value to which the |
---|
1165 | | - | principal is, may become, or claims to be entitled by reason of the fund described above, by |
---|
1166 | | - | litigation or otherwise |
---|
1167 | | - | |
---|
1168 | | - | (___) Exercise for the benefit of the principal a presently exercisable general |
---|
1169 | | - | power of appointment held by the principal |
---|
1170 | | - | |
---|
1171 | | - | (___) Initiate, participate in, submit to alternative dispute resolution, settle, |
---|
1172 | | - | oppose, or propose or accept a compromise with respect to litigation to ascertain the |
---|
1173 | | - | meaning, validity, or effect of a deed, will, declaration of trust, or other instrument or |
---|
1174 | | - | transaction affecting the interest of the principal |
---|
1175 | | - | |
---|
1176 | | - | (___) Initiate, participate in, submit to alternative dispute resolution, settle, |
---|
1177 | | - | oppose, or propose or accept a compromise with respect to litigation to remove, substitute, |
---|
1178 | | - | or surcharge a fiduciary |
---|
1179 | | - | |
---|
1180 | | - | (___) Conserve, invest, disburse, or use anything received for an authorized |
---|
1181 | | - | purpose |
---|
1182 | | - | |
---|
1183 | | - | (___) Transfer an interest of the principal in real property, stocks and bonds, |
---|
1184 | | - | accounts with financial institutions or securities intermediaries, insurance, annuities, and |
---|
1185 | | - | other property to the trustee of a revocable trust created by the principal as settlor Ch. 697 2023 LAWS OF MARYLAND |
---|
1186 | | - | |
---|
1187 | | - | – 26 – |
---|
1188 | | - | |
---|
1189 | | - | (___) Reject, renounce, disclaim, release, or consent to a reduction in or |
---|
1190 | | - | modification of a share in or payment from the fund described above |
---|
1191 | | - | |
---|
1192 | | - | (___) Elect to take an elective share of an estate subject to election under § |
---|
1193 | | - | 3–403 of the Estates and Trusts Article |
---|
1194 | | - | |
---|
1195 | | - | (___) All of the above |
---|
1196 | | - | |
---|
1197 | | - | I. Claims and Litigation – With respect to this subject, I authorize my agent to: |
---|
1198 | | - | |
---|
1199 | | - | (___) Assert and maintain before a court or administrative agency a claim, |
---|
1200 | | - | claim for relief, cause of action, counterclaim, offset, recoupment, or defense, including an |
---|
1201 | | - | action to recover property or other thing of value, recover damages sustained by the |
---|
1202 | | - | principal, eliminate or modify tax liability, or seek an injunction, specific performance, or |
---|
1203 | | - | other relief |
---|
1204 | | - | |
---|
1205 | | - | (___) Bring an action to determine adverse claims or intervene or otherwise |
---|
1206 | | - | participate in litigation |
---|
1207 | | - | |
---|
1208 | | - | (___) Seek an attachment, garnishment, order of arrest, or other preliminary, |
---|
1209 | | - | provisional, or intermediate relief and use an available procedure to effect or satisfy a |
---|
1210 | | - | judgment, order, or decree |
---|
1211 | | - | |
---|
1212 | | - | (___) Make or accept a tender, offer of judgment, or admission of facts, submit |
---|
1213 | | - | a controversy on an agreed statement of facts, consent to examination, and bind the |
---|
1214 | | - | principal in litigation |
---|
1215 | | - | |
---|
1216 | | - | (___) Submit to alternative dispute resolution, settle, and propose or accept |
---|
1217 | | - | a compromise |
---|
1218 | | - | |
---|
1219 | | - | (___) Waive the issuance and service of process on the principal, accept |
---|
1220 | | - | service of process, appear for the principal, designate persons on which process directed to |
---|
1221 | | - | the principal may be served, execute and file or deliver stipulations on the principal’s |
---|
1222 | | - | behalf, verify pleadings, seek appellate review, procure and give surety and indemnity |
---|
1223 | | - | bonds, contract and pay for the preparation and printing of records and briefs, receive, |
---|
1224 | | - | execute, and file or deliver a consent, waiver, release, confession of judgment, satisfaction |
---|
1225 | | - | of judgment, notice, agreement, or other instrument in connection with the prosecution, |
---|
1226 | | - | settlement, or defense of a claim or litigation |
---|
1227 | | - | |
---|
1228 | | - | (___) Act for the principal with respect to bankruptcy or insolvency, whether |
---|
1229 | | - | voluntary or involuntary, concerning the principal or some other person, or with respect to |
---|
1230 | | - | a reorganization, receivership, or application for the appointment of a receiver or trustee |
---|
1231 | | - | that affects an interest of the principal in property or other thing of value |
---|
1232 | | - | |
---|
1233 | | - | (___) Pay a judgment, award, or order against the principal or a settlement WES MOORE, Governor Ch. 697 |
---|
1234 | | - | |
---|
1235 | | - | – 27 – |
---|
1236 | | - | made in connection with a claim or litigation |
---|
1237 | | - | |
---|
1238 | | - | (___) Receive money or other thing of value paid in settlement of or as |
---|
1239 | | - | proceeds of a claim or litigation |
---|
1240 | | - | |
---|
1241 | | - | (___) All of the above |
---|
1242 | | - | |
---|
1243 | | - | J. Personal and Family Maintenance – With respect to this subject, I authorize |
---|
1244 | | - | my agent to: |
---|
1245 | | - | |
---|
1246 | | - | (___) Perform the acts necessary to maintain the customary standard of |
---|
1247 | | - | living of the principal, the principal’s spouse, and the following individuals, whether living |
---|
1248 | | - | when this power of attorney is executed or later born: |
---|
1249 | | - | |
---|
1250 | | - | (1) The principal’s children; |
---|
1251 | | - | |
---|
1252 | | - | (2) Other individuals legally entitled to be supported by the |
---|
1253 | | - | principal; and |
---|
1254 | | - | |
---|
1255 | | - | (3) The individuals whom the principal has customarily supported |
---|
1256 | | - | or indicated the intent to support; |
---|
1257 | | - | |
---|
1258 | | - | (___) Make periodic payments of child support and other family maintenance |
---|
1259 | | - | required by a court or governmental agency or an agreement to which the principal is a |
---|
1260 | | - | party |
---|
1261 | | - | |
---|
1262 | | - | (___) Provide living quarters for the individuals described above by: |
---|
1263 | | - | |
---|
1264 | | - | (1) Purchase, lease, or other contract; or |
---|
1265 | | - | |
---|
1266 | | - | (2) Paying the operating costs, including interest, amortization |
---|
1267 | | - | payments, repairs, improvements, and taxes, for premises owned by the principal or |
---|
1268 | | - | occupied by those individuals |
---|
1269 | | - | |
---|
1270 | | - | (___) Provide normal domestic help, usual vacations and travel expenses, and |
---|
1271 | | - | funds for shelter, clothing, food, appropriate education, including postsecondary and |
---|
1272 | | - | vocational education, and other current living costs for the individuals described above |
---|
1273 | | - | |
---|
1274 | | - | (___) Pay expenses for necessary health care and custodial care on behalf of |
---|
1275 | | - | the individuals described above |
---|
1276 | | - | |
---|
1277 | | - | (___) Act as the principal’s personal representative in accordance with the |
---|
1278 | | - | Health Insurance Portability and Accountability Act, §§ 1171 through 1179 of the Social |
---|
1279 | | - | Security Act, 42 U.S.C. § 1320d, and applicable regulations in making decisions related to |
---|
1280 | | - | the past, present, or future payment for the provision of health care consented to by the |
---|
1281 | | - | principal or anyone authorized under the law of this State to consent to health care on Ch. 697 2023 LAWS OF MARYLAND |
---|
1282 | | - | |
---|
1283 | | - | – 28 – |
---|
1284 | | - | behalf of the principal |
---|
1285 | | - | |
---|
1286 | | - | (___) Continue provisions made by the principal for automobiles or other |
---|
1287 | | - | means of transportation, including registering, licensing, insuring, and replacing the |
---|
1288 | | - | means of transportation, for the individuals described above |
---|
1289 | | - | |
---|
1290 | | - | (___) Maintain credit and debit accounts for the convenience of the |
---|
1291 | | - | individuals described above and open new accounts |
---|
1292 | | - | |
---|
1293 | | - | (___) Continue payments incidental to the membership or affiliation of the |
---|
1294 | | - | principal in a religious institution, club, society, order, or other organization or to continue |
---|
1295 | | - | contributions to those organizations |
---|
1296 | | - | |
---|
1297 | | - | (NOTE: Authority with respect to personal and family maintenance is neither |
---|
1298 | | - | dependent on, nor limited by, authority that an agent may or may not have with respect to |
---|
1299 | | - | gifts under this power of attorney.) |
---|
1300 | | - | |
---|
1301 | | - | (___) All of the above |
---|
1302 | | - | |
---|
1303 | | - | K. Benefits from Governmental Programs or Civil or Military Service (including |
---|
1304 | | - | any benefit, program, or assistance provided under a statute or regulation including Social |
---|
1305 | | - | Security, Medicare, and Medicaid) – With respect to this subject, I authorize my agent to: |
---|
1306 | | - | |
---|
1307 | | - | (___) Execute vouchers in the name of the principal for allowances and |
---|
1308 | | - | reimbursements payable by the United States or a foreign government or by a state or |
---|
1309 | | - | subdivision of a state to the principal, including allowances and reimbursements for |
---|
1310 | | - | transportation of the individuals described in “J. Personal and Family Maintenance” above, |
---|
1311 | | - | and for shipment of the household effects of those individuals |
---|
1312 | | - | |
---|
1313 | | - | (___) Take possession and order the removal and shipment of property of the |
---|
1314 | | - | principal from a post, warehouse, depot, dock, or other place of storage or safekeeping, |
---|
1315 | | - | either governmental or private, and execute and deliver a release, voucher, receipt, bill of |
---|
1316 | | - | lading, shipping ticket, certificate, or other instrument for that purpose |
---|
1317 | | - | |
---|
1318 | | - | (___) PERFORM THE ACTS NECE SSARY TO ENABLE THE PRINCIPAL TO |
---|
1319 | | - | QUALIFY FOR A GOVERNMENTAL BENEFIT OR PROGRAM , INCLUDING OBTAINING |
---|
1320 | | - | PERSONAL AND FINANCI AL RECORDS AND , TO THE EXTENT SPECIF ICALLY |
---|
1321 | | - | AUTHORIZED BELOW , TO TRANSFER OR GIFT THE PRINCIPAL’S PROPERTY |
---|
1322 | | - | |
---|
1323 | | - | (___) Enroll in, apply for, select, reject, change, amend, or discontinue, on the |
---|
1324 | | - | principal’s behalf, a GOVERNMENTAL benefit or program |
---|
1325 | | - | |
---|
1326 | | - | (___) Prepare, file, and maintain a claim of the principal for a benefit or |
---|
1327 | | - | assistance, financial or otherwise, to which the principal may be entitled under a statute |
---|
1328 | | - | or regulation |
---|
1329 | | - | WES MOORE, Governor Ch. 697 |
---|
1330 | | - | |
---|
1331 | | - | – 29 – |
---|
1332 | | - | (___) Initiate, participate in, submit to alternative dispute resolution, settle, |
---|
1333 | | - | oppose, or propose or accept a compromise with respect to litigation concerning a benefit or |
---|
1334 | | - | assistance the principal may be entitled to receive under a statute or regulation |
---|
1335 | | - | |
---|
1336 | | - | (___) Receive the financial proceeds of a claim described above and conserve, |
---|
1337 | | - | invest, disburse, or use for a lawful purpose anything so received |
---|
1338 | | - | |
---|
1339 | | - | (___) All of the above |
---|
1340 | | - | |
---|
1341 | | - | L. Retirement Plans (including a plan or account created by an employer, the |
---|
1342 | | - | principal, or another individual to provide retirement benefits or deferred compensation of |
---|
1343 | | - | which the principal is a participant, beneficiary, or owner, including a plan or account |
---|
1344 | | - | under the following sections of the Internal Revenue Code: |
---|
1345 | | - | |
---|
1346 | | - | (1) An individual retirement account under Internal Revenue Code Section |
---|
1347 | | - | 408, 26 U.S.C. § 408; |
---|
1348 | | - | |
---|
1349 | | - | (2) A Roth individual retirement account under Internal Revenue Code |
---|
1350 | | - | Section 408A, 26 U.S.C. § 408A; |
---|
1351 | | - | |
---|
1352 | | - | (3) A deemed individual retirement account under Internal Revenue Code |
---|
1353 | | - | Section 408(q), 26 U.S.C. § 408(q); |
---|
1354 | | - | |
---|
1355 | | - | (4) An annuity or mutual fund custodial account under Internal Revenue |
---|
1356 | | - | Code Section 403(b), 26 U.S.C. § 403(b); |
---|
1357 | | - | |
---|
1358 | | - | (5) A pension, profit–sharing, stock bonus, or other retirement plan |
---|
1359 | | - | qualified under Internal Revenue Code Section 401(a), 26 U.S.C. § 401(a); |
---|
1360 | | - | |
---|
1361 | | - | (6) A plan under Internal Revenue Code Section 457(b), 26 U.S.C. § 457(b); |
---|
1362 | | - | and |
---|
1363 | | - | |
---|
1364 | | - | (7) A nonqualified deferred compensation plan under Internal Revenue |
---|
1365 | | - | Code Section 409A, 26 U.S.C. § 409A) – With respect to this subject, I authorize my agent |
---|
1366 | | - | to: |
---|
1367 | | - | |
---|
1368 | | - | (___) Select the form and timing of payments under a retirement plan and |
---|
1369 | | - | withdraw benefits from a plan |
---|
1370 | | - | |
---|
1371 | | - | (___) Make a rollover, including a direct trustee–to–trustee rollover, of |
---|
1372 | | - | benefits from one retirement plan to another |
---|
1373 | | - | |
---|
1374 | | - | (___) Establish a retirement plan in the principal’s name |
---|
1375 | | - | |
---|
1376 | | - | (___) Make contributions to a retirement plan |
---|
1377 | | - | Ch. 697 2023 LAWS OF MARYLAND |
---|
1378 | | - | |
---|
1379 | | - | – 30 – |
---|
1380 | | - | (___) Exercise investment powers available under a retirement plan |
---|
1381 | | - | |
---|
1382 | | - | (___) Borrow from, sell assets to, or purchase assets from a retirement plan |
---|
1383 | | - | |
---|
1384 | | - | (___) All of the above |
---|
1385 | | - | |
---|
1386 | | - | M. Taxes – With respect to this subject, I authorize my agent to: |
---|
1387 | | - | |
---|
1388 | | - | (___) Prepare, sign, and file federal, state, local, and foreign income, gift, |
---|
1389 | | - | payroll, property, Federal Insurance Contributions Act, and other tax returns, claims for |
---|
1390 | | - | refunds, requests for extension of time, petitions regarding tax matters, and other |
---|
1391 | | - | tax–related documents, including receipts, offers, waivers, consents, including consents |
---|
1392 | | - | and agreements under Internal Revenue Code Section 2032A, 26 U.S.C. § 2032A, closing |
---|
1393 | | - | agreements, and other powers of attorney required by the Internal Revenue Service or other |
---|
1394 | | - | taxing authority with respect to a tax year on which the statute of limitations has not run |
---|
1395 | | - | and the following 25 tax years |
---|
1396 | | - | |
---|
1397 | | - | (___) Pay taxes due, collect refunds, post bonds, receive confidential |
---|
1398 | | - | information, and contest deficiencies determined by the Internal Revenue Service or other |
---|
1399 | | - | taxing authority |
---|
1400 | | - | |
---|
1401 | | - | (___) Exercise elections available to the principal under federal, state, local, |
---|
1402 | | - | or foreign tax law |
---|
1403 | | - | |
---|
1404 | | - | (___) Act for the principal in all tax matters for all periods before the Internal |
---|
1405 | | - | Revenue Service, or other taxing authority |
---|
1406 | | - | |
---|
1407 | | - | (___) All of the above |
---|
1408 | | - | |
---|
1409 | | - | N. Gifts [(including gifts to] AND TRANSFERS – WITH RESPECT TO THIS |
---|
1410 | | - | SUBJECT, I AUTHORIZE MY AGENT T O: |
---|
1411 | | - | |
---|
1412 | | - | (___) MAKE A GIFT OR TRANSF ER TO A PERSON, OR CREATE AND FUND |
---|
1413 | | - | FOR THE BENEFIT OF A PERSON, INCLUDING THE PRINCI PAL, a trust, an account under |
---|
1414 | | - | the Uniform Transfers to Minors Act, a tuition savings account or prepaid tuition plan as |
---|
1415 | | - | defined under Internal Revenue Code Section 529, 26 U.S.C. § 529, [and] an ABLE account |
---|
1416 | | - | as defined under Internal Revenue Code Section 529A, 26 U.S.C. § 529A[) – With respect |
---|
1417 | | - | to this subject, I authorize my agent to: |
---|
1418 | | - | |
---|
1419 | | - | (___) Make outright to, or for the benefit of, a person, a gift], OR A SPECIAL |
---|
1420 | | - | NEEDS TRUST OR ANY T RUST AUTHORIZED UNDE R § 1917 OF THE FEDERAL SOCIAL |
---|
1421 | | - | SECURITY ACT, of part or all of the principal’s property, including by the exercise of a |
---|
1422 | | - | presently exercisable general power of appointment held by the principal, in an amount for |
---|
1423 | | - | each donee not to exceed the annual dollar limits of the federal gift tax exclusion under |
---|
1424 | | - | Internal Revenue Code Section 2503(b), 26 U.S.C. § 2503(b), without regard to whether the WES MOORE, Governor Ch. 697 |
---|
1425 | | - | |
---|
1426 | | - | – 31 – |
---|
1427 | | - | federal gift tax exclusion applies to the gift, or if the principal’s spouse agrees to consent to |
---|
1428 | | - | a split gift pursuant to Internal Revenue Code Section 2513, 26 U.S.C. § 2513, in an amount |
---|
1429 | | - | for each donee not to exceed twice the annual federal gift tax exclusion limit |
---|
1430 | | - | |
---|
1431 | | - | (___) Consent, pursuant to Internal Revenue Code Section 2513, 26 U.S.C. § |
---|
1432 | | - | 2513, to the splitting of a gift made by the principal’s spouse in an amount for each donee |
---|
1433 | | - | not to exceed the aggregate annual gift tax exclusions for both spouses |
---|
1434 | | - | |
---|
1435 | | - | (NOTE: An agent may only make a gift of the principal’s property as the agent |
---|
1436 | | - | determines is consistent with the principal’s objectives if actually known by the agent and, |
---|
1437 | | - | if unknown, as the agent determines is consistent with the principal’s best interest based |
---|
1438 | | - | on all relevant factors, including: |
---|
1439 | | - | |
---|
1440 | | - | (1) The value and nature of the principal’s property; |
---|
1441 | | - | |
---|
1442 | | - | (2) The principal’s foreseeable obligations and need for maintenance; |
---|
1443 | | - | |
---|
1444 | | - | (3) Minimization of taxes, including income, estate, inheritance, |
---|
1445 | | - | generation–skipping transfer, and gift taxes; |
---|
1446 | | - | |
---|
1447 | | - | (4) Eligibility for a benefit, a program, or assistance under a statute or |
---|
1448 | | - | regulation; and |
---|
1449 | | - | |
---|
1450 | | - | (5) The principal’s personal history of making or joining in making gifts.) |
---|
1451 | | - | |
---|
1452 | | - | (___) All of the above |
---|
1453 | | - | |
---|
1454 | | - | GRANT OF SPECIFIC AUTHORITY (OPTIONAL) |
---|
1455 | | - | |
---|
1456 | | - | [My agent MAY NOT] IN ADDITION, MY AGENT MAY do any of the following specific acts |
---|
1457 | | - | for me [UNLESS] ONLY IF I have INITIALED the specific authority listed below: |
---|
1458 | | - | |
---|
1459 | | - | (Caution: Granting any of the following will give your agent the authority to take actions |
---|
1460 | | - | that could significantly reduce your property or change how your property is distributed at |
---|
1461 | | - | your death. In addition, granting your agent the authority to make gifts to, or to designate |
---|
1462 | | - | as the beneficiary of any retirement plan, the agent, the agent’s spouse, or a dependent of |
---|
1463 | | - | the agent may constitute a taxable gift by you and may make the property subject to that |
---|
1464 | | - | authority taxable as part of the agent’s estate. INITIAL ONLY the specific authority you |
---|
1465 | | - | WANT to give your agent.) |
---|
1466 | | - | |
---|
1467 | | - | (___) TAKE ANY OF THE ACTIO NS I HAVE AUTHORIZED IN S ECTION N OF THIS |
---|
1468 | | - | POWER OF ATTORNEY WI THOUT RESTRICTION ON THE AMOUNT OF THE GI FT OR |
---|
1469 | | - | TRANSFER |
---|
1470 | | - | |
---|
1471 | | - | (___) TAKE ANY OF THE ACTIO NS I HAVE AUTHORIZED IN S ECTION N OF THIS |
---|
1472 | | - | POWER OF ATTORNEY IN FAVOR OF MY AGENT Ch. 697 2023 LAWS OF MARYLAND |
---|
1473 | | - | |
---|
1474 | | - | – 32 – |
---|
1475 | | - | |
---|
1476 | | - | (___) Create AND FUND an inter vivos trust, [or amend, revoke, or terminate an |
---|
1477 | | - | existing inter vivos trust if the trust expressly authorizes that action by the agent] |
---|
1478 | | - | INCLUDING A SPECIAL NEEDS TRUST , ANY TRUST AUTHORIZED UNDER § 1917 OF |
---|
1479 | | - | THE FEDERAL SOCIAL SECURITY ACT, OR A THIRD–PARTY SPECIAL NEEDS TRUST, |
---|
1480 | | - | OR ESTABLISH AND FUN D AN ABLE ACCOUNT AS DEFINED U NDER § 529A OF THE |
---|
1481 | | - | INTERNAL REVENUE CODE, FOR THE BENEFIT OF T HE PRINCIPAL OR THE |
---|
1482 | | - | PRINCIPAL’S FAMILY, HEIRS AT LAW, OR DESCENDANTS , OR ANY OTHER PERSON |
---|
1483 | | - | DESIGNATED BY THE PR INCIPAL AS A BENEFIC IARY UNDER AN EXISTI NG WILL, |
---|
1484 | | - | TRUST, OR OTHER INSTRUMENT |
---|
1485 | | - | |
---|
1486 | | - | (___) AMEND, REVOKE, OR TERMINATE AN EXISTING INTER VIVOS TRUST IF |
---|
1487 | | - | THE TRUST EXPRESSLY AUTHORIZES THAT ACTI ON BY THE AGENT |
---|
1488 | | - | |
---|
1489 | | - | (___) Make a gift, subject to any special instructions in this power of attorney, |
---|
1490 | | - | INCLUDING A GIFT OF THE PRINCIPAL ’S ASSETS TO ASSIST T HE PRINCIPAL IN |
---|
1491 | | - | MEETING THE ELIG IBILITY REQUIREMENTS AND QUALIFYING FOR A |
---|
1492 | | - | GOVERNMENTAL BENEFIT OR PROGRAM , INCLUDING GIFTS TO O R IN FAVOR OF MY |
---|
1493 | | - | AGENT WHO IS MY SPOU SE OR DESCENDANT |
---|
1494 | | - | |
---|
1495 | | - | (___) Create or change rights of survivorship |
---|
1496 | | - | |
---|
1497 | | - | (___) Create or change a beneficiary designation, subject to any special instructions |
---|
1498 | | - | in this power of attorney; and, if I wish to authorize my agent to designate the agent, the |
---|
1499 | | - | agent’s spouse, or a dependent of the agent as a beneficiary, I will explicitly state this |
---|
1500 | | - | authority within the special instructions of this power of attorney or in a separate power of |
---|
1501 | | - | attorney |
---|
1502 | | - | |
---|
1503 | | - | (___) Authorize another person to exercise the authority granted under this power |
---|
1504 | | - | of attorney |
---|
1505 | | - | |
---|
1506 | | - | (___) Waive the principal’s right to be a beneficiary of a joint and survivor annuity, |
---|
1507 | | - | including a survivor benefit under a retirement plan |
---|
1508 | | - | |
---|
1509 | | - | (___) Exercise fiduciary powers that the principal has authority to delegate |
---|
1510 | | - | |
---|
1511 | | - | (___) Disclaim or refuse an interest in property, including a power of appointment |
---|
1512 | | - | |
---|
1513 | | - | (___) In accordance with the Maryland Fiduciary Access to Digital Assets Act, |
---|
1514 | | - | access and take control of (1) the content of any of my electronic communications, (2) any |
---|
1515 | | - | catalogue of electronic communications sent or received by me, and (3) any other digital |
---|
1516 | | - | asset in which I have a right or interest |
---|
1517 | | - | |
---|
1518 | | - | (___) Demand the delivery of the principal’s will from the custodian of the will and, |
---|
1519 | | - | on delivery of the principal’s will, take custody of the will subject to the requirements of WES MOORE, Governor Ch. 697 |
---|
1520 | | - | |
---|
1521 | | - | – 33 – |
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1522 | | - | Title 4, Subtitle 2 of the Estates and Trusts Article |
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1523 | | - | |
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1524 | | - | LIMITATION ON AGENT’S AUT HORITY |
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1525 | | - | |
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1526 | | - | An agent that is not my ancestor, spouse, or descendant MAY NOT use my property to |
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1527 | | - | benefit the agent or a person to whom the agent owes an obligation of support unless I have |
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1528 | | - | included that authority in the Special Instructions. |
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1529 | | - | |
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1530 | | - | SPECIAL INSTRUCTION S (OPTIONAL) |
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1531 | | - | |
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1532 | | - | You may give special instructions on the following lines: |
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1533 | | - | |
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1534 | | - | ___________________________________________________________________________________ |
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1535 | | - | ___________________________________________________________________________________ |
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1536 | | - | ___________________________________________________________________________________ |
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1537 | | - | ___________________________________________________________________________________ |
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1538 | | - | ___________________________________________________________________________________ |
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1539 | | - | ___________________________________________________________________________________ |
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1540 | | - | ___________________________________________________________________________________ |
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1541 | | - | |
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1542 | | - | EFFECTIVE DATE |
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1543 | | - | |
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1544 | | - | This power of attorney is effective immediately unless I have stated otherwise in the Special |
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1545 | | - | Instructions. |
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1546 | | - | |
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1547 | | - | TERMINATION DATE (OPTIONAL) |
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1548 | | - | |
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1549 | | - | This power of attorney shall terminate on _______________________________, 20______. |
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1550 | | - | (Use a specific calendar date) |
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1551 | | - | |
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1552 | | - | NOMINATION OF GUARDIAN (OPTIONAL) |
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1553 | | - | |
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1554 | | - | If it becomes necessary for a court to appoint a guardian of my property or guardian of my |
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1555 | | - | person, I nominate the following person(s) for appointment: |
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1556 | | - | |
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1557 | | - | Name of Nominee for guardian of my property: |
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1558 | | - | _____________________________________________________________________________ |
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1559 | | - | Nominee’s Address: __________________________________________________________ |
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1560 | | - | Nominee’s Telephone Number: ________________________________________________ |
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1561 | | - | |
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1562 | | - | Name of Nominee for guardian of my person: |
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1563 | | - | ______________________________________________________________________________ |
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1564 | | - | Nominee’s Address: ___________________________________________________________ |
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1565 | | - | Nominee’s Telephone Number: _________________________________________________ |
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1566 | | - | |
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1567 | | - | SIGNATURE AND ACKNOWLEDGMENT Ch. 697 2023 LAWS OF MARYLAND |
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1568 | | - | |
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1569 | | - | – 34 – |
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1570 | | - | |
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1571 | | - | _____________________________________________ ______________________________ |
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1572 | | - | Your Signature Date |
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1573 | | - | |
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1574 | | - | ______________________________________________________________________________ |
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1575 | | - | Your Name Printed |
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1576 | | - | |
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1577 | | - | ______________________________________________________________________________ |
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1578 | | - | ______________________________________________________________________________ |
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1579 | | - | Your Address |
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1580 | | - | |
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1581 | | - | ______________________________________________________________________________ |
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1582 | | - | Your Telephone Number |
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1583 | | - | |
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1584 | | - | STATE OF MARYLAND |
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1585 | | - | (COUNTY) OF _______________________________________________________________ |
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1586 | | - | |
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1587 | | - | This document was acknowledged before me on |
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1588 | | - | ______________________________________________________________________________, |
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1589 | | - | (Date) |
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1590 | | - | |
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1591 | | - | by ___________________________________________________________________________. |
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1592 | | - | (Name of Principal) |
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1593 | | - | |
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1594 | | - | __________________________________________________________________ (Seal, if any) |
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1595 | | - | Signature of Notary |
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1596 | | - | My commission expires: _______________________________________________________ |
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1597 | | - | |
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1598 | | - | WITNESS ATTESTATION |
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1599 | | - | |
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1600 | | - | The foregoing power of attorney was, on the date written above, published and declared by |
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1601 | | - | ______________________________________________________________________________ |
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1602 | | - | (Name of Principal) |
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1603 | | - | |
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1604 | | - | in our presence to be his/her power of attorney. We, in his/her presence and at his/her |
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1605 | | - | request, and in the presence of each other, have attested to the same and have signed our |
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1606 | | - | names as attesting witnesses. |
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1607 | | - | |
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1608 | | - | ____________________________________________ |
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1609 | | - | Witness #1 Signature |
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1610 | | - | ____________________________________________ |
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1611 | | - | Witness #1 Name Printed |
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1612 | | - | ____________________________________________ |
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1613 | | - | ____________________________________________ |
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1614 | | - | Witness #1 Address |
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1615 | | - | ____________________________________________ WES MOORE, Governor Ch. 697 |
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1616 | | - | |
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1617 | | - | – 35 – |
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1618 | | - | Witness #1 Telephone Number |
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1619 | | - | |
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1620 | | - | ____________________________________________ |
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1621 | | - | Witness #2 Signature |
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1622 | | - | ____________________________________________ |
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1623 | | - | Witness #2 Name Printed |
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1624 | | - | ____________________________________________ |
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1625 | | - | ____________________________________________ |
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1626 | | - | Witness #2 Address |
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1627 | | - | ____________________________________________ |
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1628 | | - | Witness #2 Telephone Number |
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1629 | | - | |
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1630 | | - | This document prepared by: |
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1631 | | - | |
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1632 | | - | ___________________________________________________________________________________ |
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1633 | | - | _________________________________________________________________________ |
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1634 | | - | |
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1635 | | - | IMPORTANT INFORMATION FOR AGENT |
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1636 | | - | |
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1637 | | - | Agent’s Duties |
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1638 | | - | |
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1639 | | - | When you accept the authority granted under this power of attorney, a special legal |
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1640 | | - | relationship is created between you and the principal. This relationship imposes on you |
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1641 | | - | legal duties that continue until you resign or the power of attorney is terminated or revoked. |
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1642 | | - | You must: |
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1643 | | - | |
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1644 | | - | (1) Do what you know the principal reasonably expects you to do with the |
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1645 | | - | principal’s property or, if you do not know the principal’s expectations, act in the principal’s |
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1646 | | - | best interest; |
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1647 | | - | |
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1648 | | - | (2) Act with care, competence, and diligence for the best interest of the principal; |
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1649 | | - | |
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1650 | | - | (3) Do nothing beyond the authority granted in this power of attorney; and |
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1651 | | - | |
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1652 | | - | (4) Disclose your identity as an agent whenever you act for the principal by |
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1653 | | - | writing or printing the name of the principal and signing your own name as “agent” in the |
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1654 | | - | following manner: |
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1655 | | - | |
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1656 | | - | __________________________________ ______________________________________ |
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1657 | | - | (Principal’s Name) by (Your Signature) as Agent |
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1658 | | - | |
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1659 | | - | Unless the Special Instructions in this power of attorney state otherwise, you must also: |
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1660 | | - | |
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1661 | | - | (1) Act loyally for the principal’s benefit; |
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1662 | | - | |
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1663 | | - | (2) Avoid conflicts that would impair your ability to act in the principal’s best Ch. 697 2023 LAWS OF MARYLAND |
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1664 | | - | |
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1665 | | - | – 36 – |
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1666 | | - | interest; |
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1667 | | - | |
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1668 | | - | (3) Keep a record of all receipts, disbursements, and transactions made on behalf |
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1669 | | - | of the principal; |
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1670 | | - | |
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1671 | | - | (4) Cooperate with any person that has authority to make health care decisions |
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1672 | | - | for the principal to do what you know the principal reasonably expects or, if you do not |
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1673 | | - | know the principal’s expectations, to act in the principal’s best interest; and |
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1674 | | - | |
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1675 | | - | (5) Attempt to preserve the principal’s estate plan if you know the plan and |
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1676 | | - | preserving the plan is consistent with the principal’s best interest. |
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1677 | | - | |
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1678 | | - | Termination of Agent’s Authority |
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1679 | | - | |
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1680 | | - | You must stop acting on behalf of the principal if you learn of any event that terminates |
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1681 | | - | this power of attorney or your authority under this power of attorney. Events that |
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1682 | | - | terminate a power of attorney or your authority to act under a power of attorney include: |
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1683 | | - | |
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1684 | | - | (1) Death of the principal; |
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1685 | | - | |
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1686 | | - | (2) The principal’s revocation of the power of attorney or your authority; |
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1687 | | - | |
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1688 | | - | (3) The occurrence of a termination event stated in the power of attorney; |
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1689 | | - | |
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1690 | | - | (4) The purpose of the power of attorney is fully accomplished; or |
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1691 | | - | |
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1692 | | - | (5) If you are married to the principal, a legal action is filed with a court to end |
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1693 | | - | your marriage, or for your legal separation, unless the Special Instructions in this power of |
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1694 | | - | attorney state that such an action will not terminate your authority. |
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1695 | | - | |
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1696 | | - | Liability of Agent |
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1697 | | - | |
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1698 | | - | The meaning of the authority granted to you is defined in the Maryland Power of Attorney |
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1699 | | - | Act, Title 17 of the Estates and Trusts Article. If you violate the Maryland Power of |
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1700 | | - | Attorney Act, Title 17 of the Estates and Trusts Article, or act outside the authority |
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1701 | | - | granted, you may be liable for any damages caused by your violation. |
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1702 | | - | |
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1703 | | - | If there is anything about this document or your duties that you do not understand, you |
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1704 | | - | should seek legal advice.” |
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1705 | | - | |
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1706 | | - | SECTION 2. AND BE IT FURTHER ENACTED, That this Act shall take effect |
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1707 | | - | October 1, 2023. |
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1708 | | - | |
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1709 | | - | Approved by the Governor, May 16, 2023. |
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| 1733 | + | Speaker of the House of Delegates. |
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