Sec. 1-43. Form. (a) The use of the following form in the creation of a power of
attorney is authorized, and, when used, it shall be construed in accordance with the
provisions of this chapter:
"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 to
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 section 45a-175.
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 .... (insert name and address of the principal) do hereby appoint .... (insert name
and address of the agent, or each agent, if more than one is designated) my attorney(s)-in-fact TO ACT .....
If more than one agent is designated and the principal wishes each agent alone to be
able to exercise the power conferred, insert in this blank the word `severally'. Failure
to make any insertion or the insertion of the word `jointly' shall require the agents to
act jointly.
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 (K), inclusive, shall automatically constitute an
elimination also of subdivision (L).)
To strike out any subdivision the principal must draw a line through the text of that
subdivision AND write his initials in the box opposite.
| (A) real estate transactions; | ( ) |
| (B) chattel and goods transactions; | ( ) |
| (C) bond, share and commodity transactions; | ( ) |
| (D) banking transactions; | ( ) |
| (E) business operating transactions; | ( ) |
| (F) insurance transactions; | ( ) |
| (G) estate transactions; | ( ) |
| (H) claims and litigation; | ( ) |
| (I) personal relationships and affairs; | ( ) |
| (J) benefits from military service; | ( ) |
| (K) records, reports and statements; | ( ) |
| (L) all other matters; | ( ) |
.... (Signature of Principal) (Seal)
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Sec. 1-55. General authority of agent. In a statutory short form power of attorney,
the language conferring general authority with respect to all other matters shall be construed to mean that the principal authorizes the agent to act as an alter ego of the principal
with respect to any matters and affairs not enumerated in sections 1-44 to 1-54, inclusive,
except health care decisions, and which the principal can do through an agent.
(February, 1965, P.A. 573, S. 14; P.A. 91-406, S. 1, 29; P.A. 06-195, S. 59; P.A. 07-252, S. 2.)
History: P.A. 91-406 made a technical change, substituting reference to Sec. 1-54a for reference to Sec. 1-54; P.A. 06-195 substituted reference to Sec. 1-54 for reference to Sec. 1-54a; P.A. 07-252 removed health care decisions from the
general authority conferred to an agent in a statutory short form power of attorney.
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