General and Durable Power of Attorney

General and Durable Power of Attorney

Please complete all sections to initiate your Power of Attorney document. This form is for Nevada residents and includes all required legal details.
NRS240A DISCLOSURE - Read Carefully.

I, DEBORAH BARNHART, DOING BUSINESS AS DPS OF NORTHERN NEVADA, AM NOT AN ATTORNEY IN THE STATE OF NEVADA. I AM NOT AUTHORIZED TO GIVE LEGAL ADVICE OR LEGAL REPRESENTATION. I MAY NOTACCEPT FEES FOR GIVING LEGAL ADVICE OR LEGAL REPRESENTATION.
Principal Information

Details about the person granting power of attorney (Principal).
Full legal name of Principal*

First NameMiddle NameLast NameSuffix
List any aliases or other names used by the Principal
Principal's physical address*

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
County of residence*
Principal's phone number*
Please enter a valid phone number.
Principal's email address*
example@example.com
Principal's date of birth*

MonthDayYear
Date
Agent/Attorney-in-Fact Information

Details about the individual(s) appointed to act on behalf of the Principal.
Primary Agent's full name*

First NameMiddle NameLast NameSuffix
Relationship to Principal*
Primary Agent's physical address*

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Primary Agent's phone number*
Please enter a valid phone number.
Primary Agent's email address*
example@example.com
Successor Agent Information (if the primary agent cannot serve)

Optional: Provide details for a backup agent.
Successor Agent's full name

First NameMiddle NameLast NameSuffix
Relationship to Principal (Successor Agent)
Successor Agent's physical address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Successor Agent's phone number
Please enter a valid phone number.
Successor Agent's email address
example@example.com
Type of Power of Attorney

Select the type of power being granted.
Select the type of Power of Attorney you wish to grant*

General and Durable Power of AttorneySpringing Power of Attorney (effective upon a future event)
Effective Date of Power of Attorney*

MonthDayYear
Date
Scope of Authority

Select all powers you wish to grant to your agent.
Check all areas of authority you wish to grant your Agent*

Real property transactionsPersonal property transactionsBanking and financial transactionsInvestmentsBusiness operationsInsurance mattersEstate planningGiftsTax mattersDigital assetsLitigation and legal mattersGovernment benefitsOther
Special instructions or limitations (optional)
Nomination of Guardian or Conservator (if needed)
Compensation and reimbursement for Agent (specify terms, if any)
Reliance and indemnification (explain any provisions for agent protection)
Third-party reliance (explain any provisions for third parties)
Revocation of Prior Powers of Attorney (if any)
Witness Information

If required, provide witness details.
Witness 1 Full Name

First NameMiddle NameLast NameSuffix
Witness 1 Physical Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Witness 2 Full Name

First NameMiddle NameLast NameSuffix
Witness 2 Physical Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Upload any supporting documents (optional)

Cancelof
NRS240A DISCLOSURE - Read Carefully

I, DEBORAH BARNHART, DOING BUSINESS AS DPS OF NORTHERN NEVADA, AM NOT AN ATTORNEY IN THE STATE OF NEVADA. I AM NOT AUTHORIZED TO GIVE LEGAL ADVICE OR LEGAL REPRESENTATION. I MAY NOTACCEPT FEES FOR GIVING LEGAL ADVICE OR LEGAL REPRESENTATION.
I understand that Deborah Barnhart, dba DPS of NorthernNevada, is not an attorney and is acting solely as a legal document preparer.
Name*

PrefixFirst NameMiddle NameLast Name
Should be Empty:

General and Durable Power of Attorney

NRS240A DISCLOSURE - Read Carefully.

Principal Information

Agent/Attorney-in-Fact Information

Successor Agent Information (if the primary agent cannot serve)

Type of Power of Attorney

Scope of Authority

Witness Information

NRS240A DISCLOSURE - Read Carefully