Power Of Attorney Questionnaire

We The People

Request For Power of Attorney

The following is a worksheet that will assist We The People in preparing your Power of Attorney Documents. A power of attorney is a legal document that grants another person the right to act on your behalf. The person who signs(executes) a power of attorney is called the principal. Thepower of attorney for finances and property mattersgives legal authority to another person (called an agent or attorney-in-fact) to make property, financial and other legal decisions for the principal. Ahealth care power of attorneygives legal authority to another person (called an agent or attorney-in-fact) to make medical and other legal decisions for the principal. While some states refer to a health care power of attorney as a “health care proxy,” a “health care directive,” an “advance directive,” or a “medical power of attorney,” in this Workbook we will refer to such documents generally as a health care power of attorney.

  •  Please read the instructions carefully and answer each question according to the instructions.
  •  If a question is optional and does not apply, mark “NA”.
  •  Answers that go beyond the scope of the workbook will not be typed and may cause delays.
  •  Changes requested after your documents have been prepared, may result in additional charges.
If yes, we can prepare that for you for an additional charge.Please ask for a Revocation Workbook.
[4] Who is giving the power?
[9] In what county and state will this document be signed?

Power of Attorney For Finances and Property Matters:


Answer questions 10 - 15 if you need a power of attorney for financial matters.
Note that the springing power of attorney is not an option in the form for Minnesota.
Be sure to review the discussion about potential issues with a springing power of attorney in the We The People Guide to Powers of Attorney.

Enter the information below for the persons to act as your financial agent.

The forms allow you to list up to three financial agents—additional agents will not be typed.
[11] First financial agent:
If you wish for your spouse to act as your financial agent, be sure to include your spouse's name below. *
[13] Third financial agents(optional):
The above answers were provided by me and I did not receive any legal advice from We The People personnel in completing my forms.

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