Michigan General Durable Power of Attorney for Property & Finances (Immediate)

Michigan General Durable Power of Attorney
for Property & Finances (Immediate)

PACKET GUIDE — REMOVE THIS GUIDE BEFORE SIGNING OR RECORDING. THE STATUTORY FORM BEGINS ON THE PAGE TITLED "MICHIGAN STATUTORY FORM POWER OF ATTORNEY."

Michigan General Durable Power of Attorney for Property & Finances — Packet Guide

This packet contains the Michigan statutory form power of attorney (MCL 556.401), which is effective immediately when signed and acknowledged, plus the optional Agent's Acknowledgment (MCL 556.402) and Agent's Certification (MCL 556.403) templates, a completed-sample reference, and an optional recording cover page.

(Michigan Compiled Laws — 2023 PA 187, Uniform Power of Attorney Act (MCL 556.201–556.505))

What this document is

This packet builds on Michigan's statutory form power of attorney under the uniform power of attorney act (2023 PA 187, MCL 556.201 to 556.505, effective July 1, 2024). A document "substantially" in the statutory form creates a power of attorney with the meaning and effect the act prescribes (MCL 556.401). This packet uses the statutory form with clearly labeled optional additions, each described below. Read this guide, then remove it before signing and before recording: it is not part of the power of attorney.

The form is "durable" if you sign it as the statute requires: your agent's authority then continues even if you later become incapacitated (MCL 556.204). It covers property and finances only — it does not authorize health-care decisions. Michigan health-care decisions use a patient advocate designation under MCL 700.5506, which is a separate document excluded from this act (MCL 556.203(b)).

Which version you purchased

Immediate. The EFFECTIVE DATE section says the power of attorney is effective immediately unless you state otherwise in the Special Instructions, and no Special Instruction is needed. (If you want authority that begins only upon your incapacity, use the "Upon Disability" version of this product instead.)

How to sign (the execution ceremony)

In Michigan, durability depends on HOW you sign (MCL 556.204 and 556.205). You have two tracks, and the form's signature page carries both: (1) sign before a notary public (or another individual authorized to take acknowledgments), or (2) sign in the presence of two witnesses, neither of whom is named as your agent or successor agent (one witness may also be the notary). If someone signs your name for you at your direction and in your conscious presence, TWO WITNESSES ARE ALWAYS REQUIRED, whether or not you also use a notary (MCL 556.205(3)).

Acknowledgment before a notary is the stronger track and the one we recommend: an acknowledged signature is presumed genuine (MCL 556.205(4)), and only an acknowledged power gets the acceptance rules of MCL 556.219 and 556.220 — a person presented with an acknowledged power generally must accept it or ask for a certification, translation, or opinion of counsel within 7 business days (and then accept within 5 business days after receiving the requested item), and a wrongful refusal can be compelled by a court with attorney fees and costs. A witnessed-only power is durable but is NOT "acknowledged" (MCL 556.205(5)). Michigan also permits remote online notarization under the Michigan law on notarial acts (2003 PA 238, as amended); if you use it, follow your notary's process.

You may sign outside Michigan: the instrument remains valid if its execution complied with the law of the jurisdiction whose law governs its meaning and effect or where you were domiciled (MCL 556.206(2)), and the "State of / [County] of" lines should name the place you actually sign. A photocopy or electronic copy of the signed original has the same effect as the original (MCL 556.206(3)). A military power of attorney under 10 USC 1044b is also valid (MCL 556.206(2)(b)).

After signing: the Agent's Acknowledgment (a Michigan requirement)

Before your agent exercises authority under a durable power, Michigan requires the agent to sign an acknowledgment of the agent's duties substantially in the optional template at MCL 556.402 (MCL 556.213(2)). That template is included in this packet, right after the statutory form. Failing to sign it does not strip the agent's authority (MCL 556.213(3)), but a bank or other person presented with the power may require the signed acknowledgment before accepting the power (MCL 556.219(3)) — have each agent sign it as soon as the document is complete, and again if a successor begins to serve.

Using the optional additions

The OPTIONAL ADDITIONAL PROVISIONS page is NOT part of the statutory form. Each election is drafted to work with the act and operates as a Special Instruction the form itself invites: revoke all earlier property powers (MCL 556.210(6)); state that the agent serves without compensation (MCL 556.212); or state that a divorce, annulment, or legal-separation filing will not end a spouse-agent's authority (MCL 556.210(2)(c)). Initial ONLY the elections you want; a line left blank keeps the statutory default.

The GRANT OF SPECIFIC AUTHORITY section of the form lists nine powers your agent may NOT exercise unless you initial them — including gifts, changing beneficiary designations, and access to electronic communications. Read the CAUTION above that section. Gifts an agent makes are limited by MCL 556.317 (your objectives and best interest, including tax and benefit eligibility), and an agent who is not your ancestor, spouse, or descendant may not use your property to benefit the agent or someone the agent must support unless you add that authority in the Special Instructions (MCL 556.301(2); the form's LIMITATION ON AGENT'S AUTHORITY restates this).

Naming a conservator or guardian, just in case

The NOMINATION OF CONSERVATOR OR GUARDIAN section lets you tell the court whom to appoint if a protective proceeding for you is ever started (MCL 556.208(1)). If a court does appoint a conservator or guardian of your estate, this power of attorney is NOT terminated — your agent's authority continues unless the court itself limits, suspends, or terminates it (MCL 556.208(2)).

Recording for real-estate transactions

A power of attorney does not generally need to be recorded to be valid, but if your agent will sign a deed or other instrument affecting Michigan real estate, plan to record the power (or the agent's certification in recordable form) in the county register of deeds where the property lies, and if you later revoke a recorded power, record the revocation in the same county. Michigan recording formatting requires a 2½-inch blank top margin on the first page, ½-inch margins elsewhere, black type no smaller than 10-point, a single statement on the first printed line identifying the recordable event, and the drafter's name and address (MCL 565.201(1)); the statutory form already carries a "This document prepared by:" block for that purpose. If you want the recording format handled for you, use the OPTIONAL RECORDING COVER PAGE at the end of this packet: it supplies the 2½-inch stamp space and first-line statement, and the register's stamps land on the cover page rather than on the form itself. Remove the cover page if you do not plan to record.

A completed sample of this packet is available as a separate reference download from your order page. This guide is general information, not legal advice; for advice about your situation, consult a licensed Michigan attorney.

MICHIGAN

STATUTORY FORM POWER OF ATTORNEY

IMPORTANT INFORMATION

This power of attorney authorizes another person (your agent) to make decisions concerning your property for you (the principal). It is, therefore, an important legal document, and you are taking a serious step if you decide to make use of this form without seeking legal advice; for if the person you designate as your agent accepts authority granted under this power of attorney, the agent will be able to make decisions and act with respect to your property (including your money). The extent of your agent's authority over subjects listed on this form is explained in the uniform power of attorney act, MCL 556.201 to 556.505.

This power of attorney does not authorize the agent to make health care decisions for you and it does not authorize the agent to exercise powers you have as a parent or guardian regarding care, custody, or property of a minor child or ward.

You should select someone you trust to serve as your agent and you should ask yourself as you review each section of this form, whether you have chosen the right person(s) to act in that capacity. If your signature on this form is notarized or witnessed as provided below, then unless you specify otherwise, the agent's authority will generally continue until you die or revoke the power of attorney or the agent resigns or is unable to act for you.

Your agent is entitled to reasonable compensation unless you state otherwise in the Special Instructions.

This form provides for designation of an agent and successor agent(s) who serve one at a time, as opposed to coagents who serve simultaneously. If you wish to name coagents, you may do so in the Special Instructions. Coagents are not required to act together unless you include that requirement in the Special Instructions.

If your agent is unable or unwilling to act for you, your power of attorney will end unless you have named a successor agent. You may also name a second successor agent.

This power of attorney becomes effective immediately unless you state otherwise in the Special Instructions. And unless you state otherwise in the Special Instructions, this power of attorney does not revoke any other power of attorney you may have created.

If you have questions about the power of attorney or the authority it grants to your agent, you should seek legal advice before signing this form.

DESIGNATION OF AGENT

I ____________________________________________________________ name

(Name of Principal)

the following person as my agent:

Name of Agent: _______________________________________________________

Agent's Address: ______________________________________________________

Agent's Telephone Number: ____________________________________________

DESIGNATION OF SUCCESSOR AGENT(S) (OPTIONAL)

If my agent is unable or unwilling to act for me, I name as my successor agent:

Name of Successor Agent: ______________________________________________

Successor Agent's Address: ____________________________________________

Successor Agent's Telephone Number: ____________________________________

If my successor agent is unable or unwilling to act for me, I name as my second successor agent:

Name of Second Successor Agent: _______________________________________

Second Successor Agent's Address: _____________________________________

Second Successor Agent's Telephone Number: _____________________________

GRANT OF GENERAL AUTHORITY

I grant my agent and any successor agent general authority to act for me with respect to the following subjects as defined in the uniform power of attorney act, MCL 556.201 to 556.505:

(INITIAL each subject you want to include in the agent's general authority. If you wish to grant general authority over all of the subjects, you may simply initial "All Preceding Subjects.")

(___) Real Property

(___) Tangible Personal Property

(___) Stocks and Bonds

(___) Commodities and Options

(___) Banks and Other Financial Institutions

(___) Operation of Entity or Business

(___) Insurance and Annuities

(___) Estates, Trusts, and Other Beneficial Interests

(___) Claims and Litigation

(___) Personal and Family Maintenance

(___) Benefits from Governmental Programs or Civil or Military Service

(___) Retirement Plans

(___) Taxes

(___) All Preceding Subjects (regardless of whether any of the preceding subjects are initialed)

GRANT OF SPECIFIC AUTHORITY (OPTIONAL)

My agent MAY NOT do any of the following specific acts for me UNLESS I have INITIALED the specific authority listed below:

CAUTION! Granting any of the following will give your agent the authority to take actions that could significantly reduce your property or change how your property is distributed at your death. Furthermore, depending on the amount in one or more of the accounts mentioned in the last item listed below (which refers to 31 CFR 1010.350), granting that particular power may subject your agent to burdensome federal reporting obligations that are subject to stiff penalties. INITIAL ONLY the specific authority you WANT to give your agent. If you have questions about the wisdom of granting any specific authority to your agent, you should seek legal advice before signing this form. If you are inclined to grant specific authority but doubt the wisdom of granting that authority to a particular person you have designated as your agent or successor agent, you should ask yourself whether you have designated the right person(s).

(___) Create, amend, revoke, or terminate an inter vivos trust

(___) Make a gift as limited by section 217 of the uniform power of attorney act, MCL 556.317, and any special instructions in this power of attorney

(___) Create or change rights of survivorship by, for example, creating a joint account

(___) Create or change a beneficiary designation

(___) Authorize another person to exercise the authority granted under this power of attorney

(___) Waive the principal's right to be a beneficiary of a joint and survivor annuity, including a survivor benefit under a retirement plan

(___) Exercise fiduciary powers that the principal has authority to delegate

(___) Access the content of electronic communications

(___) Exercise authority over any "bank, securities, or other financial account in a foreign country" within the meaning of 31 CFR 1010.350

LIMITATION ON AGENT'S AUTHORITY

Even if I have authorized my agent to make a gift (by initialing the relevant line above), an agent who is not my ancestor, spouse, or descendant MAY NOT use my property to benefit the agent or a person to whom the agent owes an obligation of support unless I have included that authority in the Special Instructions.

SPECIAL INSTRUCTIONS (OPTIONAL)

You may give special instructions on the following lines.

CAUTION! Special instructions are liable to cause ambiguities that may impair the effectiveness of this power of attorney. You are taking a solemn step if you decide to make any use of this form without seeking legal advice; you should be especially wary of providing special instructions without the benefit of legal counsel.

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

EFFECTIVE DATE

This power of attorney is effective immediately unless I have stated otherwise in the Special Instructions.

EFFECT ON PREVIOUS POWERS OF ATTORNEY

Unless I have said otherwise in the Special Instructions, the execution of this power of attorney does not revoke any prior power of attorney.

NOMINATION OF CONSERVATOR OR GUARDIAN (OPTIONAL)

If it becomes necessary for a court to appoint a conservator or guardian of my estate or guardian of my person, I nominate the following person(s) for appointment:

Name of Nominee for Conservator or Guardian of My Estate: ____________

Nominee's Address: _____________________________________________

Nominee's Telephone Number: ______________________________________

Name of Nominee for Guardian of My Person: _________________

Nominee's Address: _____________________________________________

Nominee's Telephone Number: ______________________________________

RELIANCE ON THIS POWER OF ATTORNEY

Any person, including my agent, may rely upon the validity of this power of attorney or a copy of it unless that person knows that the power has terminated or is invalid.

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OPTIONAL ADDITIONAL PROVISIONS

The following elections are NOT part of the statutory form. Each is drafted to work with the uniform power of attorney act, MCL 556.201 to 556.505, and operates as a Special Instruction the form itself invites. Initial ONLY the elections you want; a line left blank keeps the statutory default.

_____ Revocation of earlier powers. I revoke all earlier powers of attorney for property and finances that I have signed (MCL 556.210(6)). This does not revoke a patient advocate designation, and if an earlier power of attorney was recorded I will record my revocation in the same county.

_____ No agent compensation. I state as a Special Instruction of this power of attorney that my agent is NOT entitled to compensation; my agent remains entitled to reimbursement of expenses reasonably incurred on my behalf (MCL 556.212; absent this Special Instruction the agent is entitled to reasonable compensation).

_____ Dissolution, annulment, or legal separation. I state as a Special Instruction of this power of attorney that if my agent is my spouse, the filing of an action for dissolution or annulment of our marriage or for our legal separation will not terminate my agent's authority (MCL 556.210(2)(c)).

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SIGNATURE OF PRINCIPAL, SIGNATURES OF WITNESSES, AND ACKNOWLEDGMENT

CAUTION! Unless you provide otherwise in the Special Instructions, this form will create a "durable" power of attorney if you sign it either before a notary public (or other individual authorized to take acknowledgments) or in the presence of two witnesses neither of whom is designated as your agent or successor agent, both of whom sign below (and one of whom may be the notary public or other individual authorized by law to take acknowledgments who also signs below in his or her official capacity). The power's being "durable" means that unless the power is revoked or the agent's authority is otherwise terminated beforehand, your agent's authority will continue during any period in which you are alive but incapacitated. If you have questions about the wisdom of making this power durable, you should seek legal advice before signing this form.

CAUTION! You have an important motivation to acknowledge your signature before a notary public (or other individual authorized to take acknowledgments) regardless of the question of durability (described above): doing so will make it harder, under section 120 of the uniform power of attorney act, MCL 556.220, for someone to whom the power is presented to decline to accept the power and your agent's authority to act on your behalf.

_________________________________ _____________________

Your Signature Date

_____________________________________________________

Your Name Printed

_____________________________________________________

Your Address

_____________________________________________________

Your Telephone Number

If this power is signed in the presence of witnesses, both witnesses must sign below. Neither witness may be a person designated as your agent or successor agent. If another individual signs your name at your direction and in your conscious presence, two witnesses are required even if this power is also acknowledged.

_________________________________ _____________________

Witness No. 1's Signature Date

_____________________________________________________

Witness No. 1's Name Printed

_____________________________________________________

Witness No. 1's Address

_________________________________ _____________________

Witness No. 2's Signature Date

_____________________________________________________

Witness No. 2's Name Printed

_____________________________________________________

Witness No. 2's Address

State of ______________________________

[County] of ___________________________

This document was acknowledged before me on ___________________________________________

(Date)

by __________________________________________________________________________.

(Name of Principal)

___________________________________________

(Seal, if any)

Signature of Notary ______________________________________________

My commission expires: ______________________

This document prepared by:

________________________________________________________________________

________________________________________________________________________

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IMPORTANT INFORMATION FOR AGENT

Agent's Duties

When you accept authority granted under this power of attorney, a special legal relationship is created between you and the principal. This relationship imposes upon you legal duties that continue until you resign or the power or your authority under it is terminated by a termination event described in the uniform power of attorney act, MCL 556.201 to 556.505. You must:

(1) Do what you know the principal reasonably expects you to do with the principal's property or, if you do not know the principal's expectations, act in the principal's best interest;

(2) Act in good faith;

(3) Do nothing beyond the authority granted in this power of attorney;

(4) Keep a record of receipts, disbursements, and transactions made on behalf of the principal;

(5) Disclose your identity as an agent whenever you act for the principal by, for example, writing or printing the name of the principal and signing your own name as "agent" in the following manner:

_______________ (Principal's Name) by _______________ (Your Signature) as Agent;

(6) And if the power is "durable" in the sense described below, you must, before acting as agent under the power, sign an acknowledgment of your duties as agent that contains all the declarations contained in the optional template "Agent's Acknowledgment" provided in section 302 of the uniform power of attorney act, MCL 556.402, in substantially the form of that optional template.

Unless the Special Instructions in this power of attorney state otherwise, you must also:

(1) Act loyally for the principal's benefit;

(2) Avoid conflicts that would impair your ability to act in the principal's best interest;

(3) Act with care, competence, and diligence;

(4) Cooperate with any person that has authority to make health care decisions for the principal to do what you know the principal reasonably expects concerning health care or, if you do not know the principal's expectations, to act in the principal's best interest; and

(5) Attempt, to the extent of the powers you have been granted as agent, to preserve the principal's estate plan if you know the plan and preserving the plan is consistent with the principal's best interest.

Termination of Agent's Authority

You must stop acting on behalf of the principal if you learn of any event that terminates this power of attorney or your authority under it. Events that terminate a power of attorney or your authority to act under such a power include:

(1) Death of the principal;

(2) The principal's revocation of the power of attorney or your authority;

(3) The occurrence of a termination event stated in the power;

(4) If the power is intended only for a specified, limited purpose, the specified purpose of the power is fully accomplished; or

(5) If you are married to the principal, a legal action is filed with a court to end your marriage, or for your legal separation, unless the Special Instructions in this power of attorney state that such an action will not terminate your authority.

Statutory Duty to Acknowledge Agent's Duties under "Durable" Power

Unless the Special Instructions in this power of attorney state otherwise, this form will create a "durable" power of attorney (meaning that unless the power is revoked or your authority is otherwise terminated beforehand, your authority as agent will continue during any period in which the principal is alive but incapacitated) if the principal signs it either before a notary public (or other individual authorized to take acknowledgments) or in the presence of two witnesses neither of whom is designated as the principal's agent or successor agent and both of whom also sign the form. If this power of attorney is durable, then before you act as agent under the power, you must execute an acknowledgment of your duties as agent that contains all the declarations contained in the optional template "Agent's Acknowledgment" provided in section 302 of the uniform power of attorney act, MCL 556.402, in substantially the form of that optional template.

Liability of Agent

The meaning of the authority granted to you is defined in the uniform power of attorney act, MCL 556.201 to 556.505. If you violate that act or the terms of this power, you may be liable for any damages caused by your violation.

If there is anything about this document or your duties under it that you do not understand, you should seek legal advice.

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AGENT'S ACKNOWLEDGMENT

MCL 556.213(2) requires an agent to sign this acknowledgment — substantially in this optional template — before exercising authority under a durable power of attorney. Each agent (including each successor, when that successor begins to serve) should sign and keep a copy with the power of attorney.

I, _______________________, have been appointed agent for _______________________ (Your Name), the principal _______________________ (Name of Principal), under a durable power of attorney dated ________________. By signing this document, I acknowledge that if and when I act as agent under the power, all of the following apply:

MY DUTIES AS AGENT

I must:

1. Do what I know the principal reasonably expects me to do with the principal's property or, if I do not know the principal's expectations, act in the principal's best interest.

2. Act in good faith.

3. Do nothing beyond the authority granted in the durable power of attorney.

4. Keep reasonable records of receipts, disbursements, and transactions I make on behalf of the principal.

5. Disclose my identity as an agent whenever I act for the principal by writing or printing the principal's name and signing my own name as "agent".

6. And depending on the terms of the power of attorney, I may have additional duties described in section 114 of the uniform power of attorney act, MCL 556.201 to 556.505, including the presumptive duties to act loyally for the principal's benefit, avoid conflicts of interest that would make it hard for me to act in the principal's best interest, and act with care, competence, and diligence.

POWERS REQUIRING SPECIFIC AUTHORITY

Unless specifically provided in the durable power of attorney or by judicial order, I cannot do any of the following:

1. Create, amend, revoke, or terminate an inter vivos trust.

2. Make a gift of the principal's property to someone else, let alone to myself.

3. Create or change rights of survivorship by, for example, creating a joint account.

4. Create or change a beneficiary designation.

5. Delegate authority granted under the durable power of attorney.

6. Exercise fiduciary powers that the principal has authority to delegate.

7. Waive the principal's right to be a beneficiary of a joint and survivor annuity, including a survivor benefit under a retirement plan.

8. Exercise authority over the content of electronic communications, as defined in 18 USC 2510, sent or received by the principal.

9. Exercise authority over any bank, securities, or other financial account in a foreign country within the meaning of 31 CFR 1010.350.

TERMINATION OF MY AUTHORITY

I must stop acting on behalf of the principal if I learn of any event that terminates the durable power of attorney or my authority under the power, including the death of the principal or the principal's revocation of either the power or my authority to act under it.

MY POTENTIAL LIABILITY AS AGENT

If I violate the uniform power of attorney act, MCL 556.201 to 556.505, or act outside the authority granted in the durable power, I may be liable to the principal or the principal's successors for damages caused by my violation and to civil or criminal penalties. An exoneration clause in the power (if any) does not relieve me of liability for acts or omissions committed in bad faith or, in some cases, for acts or omissions committed with reckless indifference to the purposes of the power of attorney or the interests of the principal.

Signature: __________________________________________

Date: _______________________________________________

If there is anything about this document or your duties that you do not understand, you should seek legal advice.

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CERTIFICATION AS TO THE VALIDITY OF POWER OF ATTORNEY AND AGENT'S AUTHORITY

MCL 556.403 provides this optional template, which your agent (or an attorney at law for the agent or for you) may use when a bank or other person asks for proof that the power of attorney is still in effect. The certification is not a condition of the agent's authority. A spare blank copy follows this one.

State of _______________________________________

[County] of ____________________________________

I, _____________________________________________ (Name of Certifier), certify under penalty of perjury that _________________________ (Name of Principal) granted ___________________________________ (Name of Agent) authority as an agent or successor agent in a power of attorney dated ________________________.

I further certify that to my knowledge:

(1) The Principal is alive and has not revoked the Power of Attorney or the Agent's authority to act under the Power and the Power and the Agent's authority to act under the Power have not otherwise terminated;

(2) If the Power of Attorney was drafted to become effective upon the happening of a specified event or contingency, the specified event or contingency has occurred;

(3) If the Agent was named as a successor agent, the prior agent is unable or unwilling to serve; and

(4) __________________________________________________________________

______________________________________________________________________

______________________________________________________________________

(Insert other relevant statements. You may attach separate sheets if additional space is needed.)

SIGNATURE AND ACKNOWLEDGMENT

_____________________________________________________

Certifier's Signature

_____________________________________________________

Certifier's Name Printed

_____________________________________________________

Certifier's Capacity (as Agent, attorney at law for Agent, or attorney at law for Principal)

_____________________________________________________

Certifier's Address

_____________________________________________________

Certifier's Telephone Number

This document was acknowledged before me on _______________,

by ____________________________________________.

(Name of Certifier)

_____________________________________________________

Signature of Notary

My commission expires: ______________________

This document prepared by:

________________________________________________________________________

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ADDITIONAL BLANK CERTIFICATION (OPTIONAL — SPARE COPY)

State of _______________________________________

[County] of ____________________________________

I, _____________________________________________ (Name of Certifier), certify under penalty of perjury that _________________________ (Name of Principal) granted ___________________________________ (Name of Agent) authority as an agent or successor agent in a power of attorney dated ________________________.

I further certify that to my knowledge:

(1) The Principal is alive and has not revoked the Power of Attorney or the Agent's authority to act under the Power and the Power and the Agent's authority to act under the Power have not otherwise terminated;

(2) If the Power of Attorney was drafted to become effective upon the happening of a specified event or contingency, the specified event or contingency has occurred;

(3) If the Agent was named as a successor agent, the prior agent is unable or unwilling to serve; and

(4) __________________________________________________________________

______________________________________________________________________

______________________________________________________________________

(Insert other relevant statements. You may attach separate sheets if additional space is needed.)

SIGNATURE AND ACKNOWLEDGMENT

_____________________________________________________

Certifier's Signature

_____________________________________________________

Certifier's Name Printed

_____________________________________________________

Certifier's Capacity (as Agent, attorney at law for Agent, or attorney at law for Principal)

_____________________________________________________

Certifier's Address

_____________________________________________________

Certifier's Telephone Number

This document was acknowledged before me on _______________,

by ____________________________________________.

(Name of Certifier)

_____________________________________________________

Signature of Notary

My commission expires: ______________________

This document prepared by:

________________________________________________________________________

Durable Power of Attorney

(First-line statement identifying the recordable event, MCL 565.201(1)(f)(ii))

OPTIONAL RECORDING COVER PAGE — REMOVE IF NOT RECORDING. IF YOU RECORD THIS POWER OF ATTORNEY, PLACE THIS PAGE ON TOP AS PAGE 1 OF THE RECORDED DOCUMENT.

County of recording (Register of Deeds): _________________________

Principal (name and address): ____________________________________

________________________________________________________________________

Agent (name and address): ________________________________________

________________________________________________________________________

When recorded, return to (name and address): _____________________

________________________________________________________________________

This cover page is provided for your convenience if the power of attorney will be recorded with a Michigan county register of deeds — for example, when the agent will sign a deed or other instrument affecting real estate. It supplies the 2½-inch blank top margin and the first-line recordable-event statement that Michigan recording standards require (MCL 565.201(1)(f)), and it keeps the register's recording stamps off the statutory form itself. Recording is not required for the power of attorney to be valid. If you revoke a power of attorney that was recorded, record the revocation in the same county. When recording, submit this cover page followed by the statutory form through its notary and "This document prepared by" blocks — do not record the packet guide. If the destination county publishes its own required cover sheet, use the county's instead.