Maine Power of Attorney

DURABLE POWER OF ATTORNEY FOR HEALTH CARE

You may designate an agent to make health care decisions for you when you are no longer capable of making them yourself. Your agent may consent, refuse to consent, or withdraw consent to medical treatment and may make decisions about withdrawing or withholding life-sustaining treatment. Your agent is authorized to apply for your admission to a medical, nursing, residential, mental health or other similar facility. This is a durable power of attorney.

ADDITIONAL INFORMATION ABOUT THIS POWER OF ATTORNEY

	Authority of Agent Your agent has broad authority to make medical decisions for you. However, there are limitations on this authority. Your agent cannot consent or direct any of the following: commitment to a state institution, sterilization, or termination of treatment if you are pregnant and if the withdrawal of that treatment is deemed likely to terminate the pregnancy unless the failure to withhold the treatment will be physically harmful to you or prolong severe pain which cannot be alleviated by medication. If you want to give your agent authority to withhold or withdraw the artificial providing of nutrition and fluids, your document must say so. Otherwise, your agent will not be able to direct that.
	Revocation You have the right to revoke the authority granted to your agent by informing him or her or your health care provider orally or in writing.
	Reservation of Rights Notwithstanding the above, this power of attorney reserves you the right to make health care decisions for yourself as long as you are able to give informed consent with respect to a particular decision. In addition, no treatment may be give to you over your objection.
	Executing and Delivering your Power of Attorney After you have printed your power or attorney, you must sign in front of a notary public OR or sign before two witnesses (over 18). If you sign before witnesses, please note the qualifications of the witnesses contained in the witness statement. A fully executed original or copy should be submitted to your physician for entry in your medical records. Copies may be made and given to trusted family members. This power of attorney consists of approximately four pages.

DURABLE POWER OF ATTORNEY FOR FINANCIAL MATTERS

This power of attorney may be a general or limited power of attorney. For example, you may empower your agent to do any act which you could do yourself (general power of attorney) or limit your agent's authority to a specific transaction (limited power of attorney). Options in this form include appointing an agent to dispose of your property, collect your debts, endorse your checks, execute government vouchers, deposit money or other property, borrow money, acquire property, recover possession of property, institute or defend lawsuits, prepare and file tax returns, transfer title to automobiles and perform any act which you may do yourself. This is a durable power of attorney meaning it is not affected by your subsequent disability or incompetence.

ADDITIONAL INFORMATION ABOUT THIS POWER OF ATTORNEY

General Power of Attorney

After you print out your document, a space is provided for your initials beside each power you want to grant your agent. If this is to be a general power of attorney, you may initial beside the option granting all powers to your agent. If you are granting a general power of attorney over your finances your agent must act in your best interest and failure to do so may result in criminal charges or civil liability.

Limited Power of Attorney

If this is to be a limited power of attorney then you must specify this limitation while filling out the information form. For example, if you only want your agent to sell your automobile you should so specify and identify the automobile your agent is authorized to sell. If your agent is only authorized to sell real estate, you should specify and include the legal description of the property. If your agent is only authorized to sell for a specific price you must indicate this while filling out the information form. You must list in this power of attorney the acts you want your agent to perform.

Revocation of Power of Attorney

Unless your power of attorney expires by its terms, you have a right to revoke your power of attorney at any time by oral or written notice to your agent. Notice of the revocation should be given to anyone who has knowledge of the agency that may be adversely affected.

Executing and Delivering Your Power of Attorney

After you have printed your power of attorney you must gather two witnesses over eighteen (18) and appear before a notary public for signing. Neither witness may be the agent designated in the power of attorney.

This power of attorney consists of approximately three pages.

The price of this
Durable Power of Attorney
is $10.00