1. Appointment of Agent
I, [[Principal Full Legal Name]] ("Principal"), of [[Principal Full Address, City, New Hampshire, ZIP]], born on [[Principal Date of Birth]], appoint:
Agent: [[Agent Full Legal Name]]
Address: [[Agent Full Address, City, State, ZIP]]
Phone: [[Agent Phone]] | Email: [[Agent Email]]
as my true and lawful Attorney-in-Fact (the "Agent") to act for me and in my name, place, and stead.
If the Agent is unable or unwilling to serve, I appoint the following successor Agent(s) in the order listed:
- [[Successor Agent 1 Full Name]] - [[Successor Agent 1 Address, Phone, Email]]
- [[Successor Agent 2 Full Name]] - [[Successor Agent 2 Address, Phone, Email]]
2. Durability
This Power of Attorney shall not be affected by my subsequent disability, incapacity, or incompetence. It is intended to be a durable power of attorney under New Hampshire law, including RSA 564-E (Uniform Power of Attorney Act) and any successor statutes.
3. Effective Date and Duration
This Power of Attorney is effective immediately upon signing and shall remain in full force and effect until revoked by me in writing or until my death.
4. Powers Granted
The Agent is authorized to perform any act that I could perform if present and competent, including but not limited to the following specific powers (initial or check those that apply; all apply if none crossed out):
4.1 Real Property
- Buy, sell, lease, mortgage, manage, maintain, and improve real property in my name.
- Execute deeds, leases, mortgages, and related documents.
- [[Specific real property addresses or "All real property I own or may acquire"]]
4.2 Personal Property
- Buy, sell, lease, exchange, and manage tangible and intangible personal property.
- Collect debts, receive payments, and give receipts.
4.3 Banking and Financial Institutions
- Open, close, and maintain bank, credit union, and brokerage accounts.
- Make deposits, withdrawals, and transfers.
- Write checks, sign drafts, and use electronic banking on my behalf.
- Apply for and manage credit cards and lines of credit.
4.4 Investments and Securities
- Buy, sell, exchange, and manage stocks, bonds, mutual funds, and other securities.
- Exercise voting rights and receive dividends.
4.5 Retirement Accounts and Benefits
- Manage IRA, 401(k), pension, and other retirement accounts.
- Make contributions, withdrawals, and beneficiary designations consistent with my estate plan.
4.6 Taxes
- Prepare, sign, and file federal, state, and local tax returns.
- Receive refunds and pay taxes on my behalf.
- Represent me before the IRS and New Hampshire Department of Revenue.
4.7 Insurance and Annuities
- Purchase, maintain, modify, or terminate insurance policies and annuities.
- Make claims and receive proceeds.
4.8 Business Interests
- Operate, manage, buy, sell, or dissolve any business interest I own.
- Sign contracts, hire and fire employees or contractors, and manage payroll.
4.9 Legal Proceedings
- Initiate, defend, settle, or compromise any legal action or proceeding on my behalf.
- Retain attorneys and pay legal fees.
4.10 Health Care and Personal Matters (limited)
- This document does not grant authority to make health care decisions. A separate Health Care Power of Attorney or Advance Directive should be used for medical decisions.
4.11 Digital Assets
- Access, manage, close, or transfer digital accounts, email, social media, cloud storage, and cryptocurrency wallets consistent with applicable law and terms of service.
4.12 Gifts and Transfers
- Make gifts to individuals or charities on my behalf, not to exceed the annual gift tax exclusion or such larger amounts as my estate plan permits, and only if consistent with my known wishes.
5. Limitations and Prohibitions
The Agent shall NOT have authority to:
- Create, modify, or revoke my will or trust (unless specifically authorized by separate document).
- Exercise powers for the Agent's own benefit except as expressly permitted.
- Make decisions that the Agent knows conflict with my known wishes or best interests.
- [[Additional limitations: [[Describe any specific restrictions on Agent authority]]]]
6. Agent's Duties and Standard of Care
The Agent shall:
- Act in good faith and in my best interest.
- Keep accurate records of all transactions.
- Provide an accounting to me or my guardian upon request.
- Avoid conflicts of interest and self-dealing unless expressly authorized.
- Comply with New Hampshire RSA 564-E and any fiduciary duties under law.
7. Compensation and Reimbursement
The Agent may receive reasonable compensation for services rendered at the rate of $[[Hourly Rate or "reasonable market rate"]] per hour, plus reimbursement for all reasonable out-of-pocket expenses incurred while acting under this Power of Attorney. Successor Agents shall be entitled to the same.
8. Revocation
I reserve the right to revoke this Power of Attorney at any time by delivering written notice of revocation to the Agent and any third parties who have relied on it. Revocation is effective upon receipt of written notice unless otherwise specified.
9. Third-Party Reliance
Any third party who receives a properly executed copy of this Power of Attorney may rely upon it without further inquiry. A photocopy or electronic copy has the same force as the original.
10. Governing Law
This Power of Attorney shall be governed by and construed in accordance with the laws of the State of New Hampshire, including the New Hampshire Uniform Power of Attorney Act (RSA 564-E), without regard to conflicts of law principles.
11. Severability
If any provision of this document is held invalid or unenforceable, the remaining provisions shall continue in full force and effect.
12. Signature of Principal
I, the Principal, sign this Power of Attorney voluntarily and understand its meaning and effect.
Principal Signature: _______________________________
Printed Name: [[Principal Full Legal Name]]
Date: [[Execution Date]]
Address: [[Principal Address]]
13. Agent's Acknowledgment and Acceptance
I, the Agent, accept appointment and agree to act in accordance with the terms of this Power of Attorney and applicable New Hampshire law. I understand my fiduciary duties.
Agent Signature: _______________________________
Printed Name: [[Agent Full Legal Name]]
Date: [[Execution Date]]
Successor Agent 1 Acknowledgment (if applicable):
Signature: _______________________________ Date: [[Date]]
Printed Name: [[Successor Agent 1 Full Name]]
14. Notary Acknowledgment (Recommended for Durability and Third-Party Acceptance)
State of New Hampshire
County of [[County]]
On this [[Execution Date]], before me personally appeared [[Principal Full Legal Name]], known to me (or proved to me on the basis of satisfactory evidence) to be the person whose name is subscribed to the within instrument and acknowledged to me that they executed the same for the purposes therein stated.
Notary Public Signature: _______________________________
Printed Name: [[Notary Name]]
My Commission Expires: [[Notary Commission Expiration Date]]
(Seal)
Template - not professional advice. This is a sample durable power of attorney form for New Hampshire. Requirements for execution, witnessing, and acceptance may vary. New Hampshire follows the Uniform Power of Attorney Act (RSA 564-E). Some financial institutions may require their own forms. Verify current law and consult a licensed New Hampshire attorney. Effective June 2026. All variable inputs use [[Merge Fields]].
New Hampshire Execution Notes (as of 2026)
- Signature by Principal is required.
- Notarization is strongly recommended for acceptance by banks, title companies, and courts.
- No witnesses are strictly required under the Uniform Act for most powers, but some institutions may request them.
- The Agent must keep records and is subject to fiduciary standards.
- For healthcare decisions, execute a separate New Hampshire Advance Directive / Durable Power of Attorney for Health Care.
Sources: RSA 564-E (New Hampshire Uniform Power of Attorney Act); New Hampshire Judicial Branch and Secretary of State resources. Verified June 2026.
