Power of Attorney Form | Ironwood Notary Richmond, BC

FORMS

Services are available in English, French, Hindi and Punjabi.

FORMS Power of Attorney Questionnaire

An Attorney is someone you can trust who can handle your legal and financial affairs for your benefit if you become mentally incapacitated prior to death. It is recommended that everyone execute a Power of Attorney while they are mentally fit to ensure their affairs are in order if the need for an Attorney ever arises.

Legal name / any other names you go by

Address

Occupation

Marital status

Name of spouse

Place of birth

Date of birth

Phone number

Do you currently have a POA?

If yes, are you replacing your old POA or adding to it?

Who is named as your Attorney?

What is the main purpose for giving POA?

Who do you wish to give a Power of Attorney to?

Name

Address

Occupation

Relationship

Name

Address

Occupation

Relationship

Would you like them to act independently (either one can act) or together (must act in agreement with one another)?

Should the attorney be paid when acting?

If so, on what basis? Hourly or percentage?

SUMMARY OF ASSETS

Please list approximate balance of cash and term deposits:

Financial Institution

Balance

Financial Institution

Balance

Financial Institution

Balance

Do you want your Attorney to have access to your safety deposit box?

Real Estate / Property Owned

Address

Name(s) on title

Joint Tenancy or Tenants in Common

Approximate value

Mortgage amount

Do you want the Attorney to be able to transfer your property into his/her name?

Address

Name(s) on title

Joint Tenancy or Tenants in Common

Approximate value

Mortgage amount

Do you want the Attorney to be able to transfer your property into his/her name?

Do you want your attorney to have the power to appoint a substitute attorney (in the event he/she becomes ill and can no longer act as your attorney)?

LOCATION WHERE YOU WILL KEEP YOUR POA

Richmond Office - 604-368-8475

info@ironwoodnotary.com

FORMS

Services are available in English, French, Hindi and Punjabi.

FORMS Power of Attorney Questionnaire

SUMMARY OF ASSETS

CONTACT

Arti Sood Notary Corporation

3080-11666 Steveston Hwy

Richmond Office - 604-368-8475

info@ironwoodnotary.com

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