Hawaii Durable Power of Attorney
This Durable Power of Attorney is created pursuant to the Hawaii Uniform Power of Attorney Act. It grants the person selected, known as the Agent, broad powers to handle affairs, financial or otherwise, on behalf of the Principal. This document remains effective even if the Principal becomes incapacitated, disabled, or incompetent.
Principal Information:
- Name: ___________________________________________________
- Address: _________________________________________________
- City: ______________________ State: HI Zip Code: ___________
- Phone Number: ___________________________________________
Agent Information:
- Name: ___________________________________________________
- Address: _________________________________________________
- City: ______________________ State: HI Zip Code: ___________
- Phone Number: ___________________________________________
Alternate Agent Information (Optional):
- Name: ___________________________________________________
- Address: _________________________________________________
- City: ______________________ State: HI Zip Code: ___________
- Phone Number: ___________________________________________
This Power of Attorney shall become effective immediately upon signing and shall remain in effect indefinitely unless the Principal specifies an ending date here: ______________________.
By this document, the Principal grants the Agent the power to act on the Principal's behalf in all matters, including but not limited to:
- Real property transactions
- Tangible personal property transactions
- Stock and bond transactions
- Commodity and option transactions
- Banking and other financial institution transactions
- Business operating transactions
- Insurance and annuity transactions
- Estate, trust, and other beneficiary transactions
- Claims and litigation
- Personal and family maintenance
- Benefits from social security, Medicare, Medicaid, or other governmental programs, or military service
- Retirement plan transactions
- Tax matters
The Principal may add or restrict the powers granted to the Agent by specifying them below:
________________________________________________________________
________________________________________________________________
________________________________________________________________
In accordance with Hawaii Uniform Power of Attorney Act, this document grants the Agent the authority to make decisions on the Principal’s behalf and in the Principal's best interests. The Principal reserves the right to revoke this Durable Power of Attorney at any time, as long as the Principal is competent.
Principal Signature: ______________________________ Date: _____________
Agent Signature: _________________________________ Date: _____________
Alternate Agent Signature (Optional): _________________________ Date: _____________
State of Hawaii
County of __________________
On this day, ______________, before me appeared ____________________, known to me to be the person(s) whose name(s) is/are subscribed to the within instrument, and acknowledged that they executed the same for the purposes therein contained.
In Witness Whereof, I hereunto set my hand and official seal.
Notary Public: ___________________________________
My Commission Expires: ___________________________