Wisconsin Durable (Financial) Power of Attorney Form

WISCONSIN STATUTORY FORM
POWER OF ATTORNEY
FOR FINANCES AND PROPERTYDESIGNATION OF AGENTI [NAME] (name of principal) name the following person as my agent:

Name of agent: [NAME]
Agent’s address: [ADDRESS, CITY, STATE, ZIP CODE]
Agent’s telephone number: [PHONE NUMBER]

DESIGNATION OF SUCCESSOR AGENT(S) (OPTIONAL)

If my agent is unable or unwilling to act for me, I name as my successor agent:

Name of successor agent: [NAME]
Successor agent’s address: [ADDRESS, CITY, STATE, ZIP CODE]
Successor agent’s telephone number: [PHONE NUMBER]

GRANT OF GENERAL AUTHORITY

I grant my agent and any successor agent general authority to act for me with respect to the following subjects as defined in the Uniform Power of Attorney for Finances and Property Act in chapter 244 of the Wisconsin statutes:

[INITIALS] Real property
[INITIALS] Tangible personal property
[INITIALS] Digital property
[INITIALS] Stocks and bonds
[INITIALS] Commodities and options
[INITIALS] Banks and other financial institutions
[INITIALS] Operation of entity or business
[INITIALS] Insurance and annuities
[INITIALS] Estates, trusts, and other beneficial interests
[INITIALS] Claims and litigation
[INITIALS] Personal and family maintenance
[INITIALS] Benefits from governmental programs or civil or military service
[INITIALS] Retirement plans
[INITIALS] Taxes

LIMITATION ON AGENT’S AUTHORITY

An agent who is not my spouse or domestic partner MAY NOT use my property to benefit the agent or a person to whom the agent owes an obligation of support unless I have included that authority in the special instructions.

SPECIAL INSTRUCTIONS (OPTIONAL)

You may give special instructions in the following space. [SPECIAL INSTRUCTIONS]

EFFECTIVE DATE

This power of attorney is effective immediately unless I have stated otherwise in the special instructions.

RELIANCE ON THIS POWER OF ATTORNEY FOR FINANCES AND PROPERTY

Any person, including my agent, may rely upon the validity of this power of attorney or a copy of it unless that person knows that the power of attorney has been terminated or is invalid.

SIGNATURE AND ACKNOWLEDGMENT

Your signature _________________________ Date [DAY] day of [MONTH], 20[XX]
Your name printed: [NAME]
Your address [ADDRESS, CITY, STATE, ZIP CODE]
Your telephone number [PHONE NUMBER]

State of [STATE]
County of [COUNTY]
This document was acknowledged before me on [DAY] day of [MONTH], 20[XX], by [NAME] (name of principal).

(Seal, if any)

Signature of notary ______________________

My commission expires: [DAY] day of [MONTH], 20[XX]