Clark County General Durable Power of Attorney Form

Additional Indiana and Clark County documents included at no extra charge:

Where to Record Your Documents

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Cities and Jurisdictions in Clark County

Properties in any of these areas use Clark County forms:

• Bethlehem
• Borden
• Charlestown
• Clarksville
• Henryville
• Jeffersonville
• Marysville
• Memphis
• Nabb
• New Washington
• Otisco
• Sellersburg

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(5) Five Page General Durable Power of Attorney, following Indiana Code and subjects listed below.

By this General Durable Power of Attorney, you name an attorney-in-fact with power to act on your behalf pursuant to Indiana Code 30-5, as it exists and is amended in the future.

(a) REAL PROPERTY. Authority with respect to real property transactions pursuant to Indiana Code 30-5-5-2

(b) TANGIBLE PERSONAL PROPERTY. Authority with respect to tangible personal property transactions pursuant to Indiana Code 30-5-5-3

(c) BOND, SHARE AND COMMODITY. Authority with respect to bond, share. and commodity transactions pursuant to Indiana Code 30-5-5-4,

(d) BANKING. Authority with respect to banking transactions pursuant to Indiana Code 30-5-5-5, including but not limited to the authority:

(e) BUSINESS. Authority with respect to business operating transactions pursuant to Indiana Code 30-5-5-6, including the power:

(f) INSURANCE. Authority with respect to insurance transactions pursuant to
Indiana Code 30-5-5-7.

(g) BENEFICIARY. Authority with respect to beneficiary transactions pursuant to
Indiana Code 30-5-5-8.

(h) GIFTS. In the event I become permanently mentally incapacitated, to make gifts of my property and to have general authority with respect to gift transactions as provided in IC 30-5-5- 9

(i) FIDUCIARY. Authority with respect to fiduciary transactions pursuant to Indiana Code 30-5-5-10

(j) CLAIMS AND LITIGATION. Authority with respect to claims and litigation pursuant to
Indiana Code 30-5-5-11.

(k) FAMILY MAINTENANCE. Authority with respect to family maintenance pursuant to
Indiana Code 30-5-5-12.

(l) MILITARY SERVICE. Authority with respect to benefits from military service pursuant to
Indiana Code 30-5-5-13.

(m) RECORDS, REPORTS AND STATEMENTS. Authority with respect to records, reports and statements pursuant to Indiana Code 30-5-5-14, including, but not limited to, the power to execute on my behalf any

(n) ESTATE TRANSACTIONS. Authority with respect to estate transaction pursuant to
Indiana Code 30-5-5-15.

(o) DELEGATING AUTHORITY. Authority with respect in delegating authority in writing to one (1) or more persons as to any or all powers given to the attorney-in-fact by this General Durable Power of Attorney document, pursuant to Indiana Code 30-5-5-18.

(p) TAX MATTERS. Authority: (a) to prepare, execute and file on your behalf.

(q) SOCIAL SECURITY ADMINISTRATION. Authority to act as your representative and attorney-in-fact for all matters involving the Social Security Administration and benefits from the administration.

(r) ALL OTHER MATTERS. Authority with respect to all other possible matters and affairs affecting property owned by you pursuant to Indiana Code 30-5-5-19.

(Indiana General Durable POA Package includes form, guidelines, and completed example)

Important: Your property must be located in Clark County to use these forms. Documents should be recorded at the county recording office listed above.

This General Durable Power of Attorney meets all recording requirements specific to Clark County.

Our Promise

The documents you receive here are guaranteed to meet or exceed the applicable Clark County recording format requirements. If there is a rejection caused by our formatting, we will correct the issue or refund your payment. This guarantee applies to document formatting only and does not extend to information entered by the user, the selection of the form, or the legal effect of the completed document.

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