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Connecticut Statutory Power of Attorney Form

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The Connecticut statutory power of attorney is a statutory form of Connecticut used by the grantor to authorize the attorney-in-fact to act on his/her behalf in his/her property and other matters.

Connecticut Statutory Power of Attorney Form
STATUTORY SHORT FORM POWER OF ATTORNEY
NOTICE: The powers granted by this document are broad and sweeping. They are
defined in Connecticut Statutory Short Form Power of Attorney Act, sections 1-42
through 1-56, inclusive, of the general statutes, which expressly permits the use of any
other or different form of power of attorney desired by the parties concerned. The grantor
of any power of attorney or the attorney-in-fact may make application to a court of
probate for an accounting as provided in subsection (b) of Connecticut laws on
accounting.
Know all Men by these Presents, which are intended to constitute a GENERAL
POWER OF ATTORNEY pursuant to Connecticut Statutory Short Form Power of
Attorney Act:
That I, _____________, of ___________, Connecticut, do hereby appoint:
(Print your name) (Town)
[WRITE IN NAME, TOWN, AND STATE OF ONE OR MORE INDIVIDUALS OR
CORPORATIONS TO ACT AS YOUR ATTORNEY-IN-FACT; ADD MORE IF
NECESSARY; "x" OUT LINES NOT COMPLETED]
____________________________________, of ________________________________,
(Name) (Town and State)
____________________________________, of ________________________________,
(Name) (Town and State)
____________________________________, of ________________________________,
(Name) (Town and State)
as my attorney(s)-in-fact TO ACT:
CHECK ONE BOX IF APPOINTING MORE THAN ONE ATTORNEY-IN-FACT
[ ]SEVERALLY (independently
[ ]JOINTLY (requiring both to consent and sign)
First: in my name, place and stead in any way which I myself could do, if I were
personally present, with respect to the following matters as each of them is defined in the
Connecticut Statutory Short Form Power of Attorney Act to the extent that I am
permitted by law to act through an agent:
(Strike out and initial in the opposite box any one or more of the subdivisions as to which
the principal does NOT desire to give the agent authority. Such elimination of any one or
more of subdivisions (A) to (L), inclusive, shall automatically constitute an elimination of
subdivision (L).)
Connecticut Statutory Power of Attorney Form
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