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

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

PACKET GUIDE — REMOVE THIS GUIDE BEFORE SIGNING OR RECORDING. THIS GUIDE IS NOT PART OF THE LEGAL INSTRUMENT. THE INSTRUMENT BEGINS ON THE PAGE TITLED "WASHINGTON DURABLE POWER OF ATTORNEY."

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

This packet contains a Washington-drafted general durable power of attorney that is effective immediately when you sign and date it, an Agent's Duties summary, the Agent's Certification form Washington law provides for use with banks and others (two copies), a revocation form, and an optional recording cover sheet.

(Revised Code of Washington, Chapter 11.125 — Power of Attorney Act)

What this document is

This is a durable power of attorney for property and finances drafted for Washington under chapter 11.125 RCW (Washington's power of attorney act). Washington does not publish an official statutory instrument form — this is a PublicLegal-drafted instrument built directly on that law. "Durable" means your agent's authority continues even if you later become incapacitated — but only because the durability sentence Washington law requires (RCW 11.125.040) is printed in this document. It covers property and finances only: it does NOT authorize health-care decisions (Washington health-care powers use a separate instrument), and rights under Washington's death with dignity act can never be exercised through any power of attorney (RCW 11.125.420).

Which version you purchased

Immediate. The EFFECTIVE DATE section says this power of attorney is effective when you sign and date it, and no determination of incapacity 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)

Washington gives you two lawful ways to execute (RCW 11.125.050(1)). COMPLETE AT LEAST ONE TRACK IN FULL — a half-completed track (one witness, or a notary block left unsigned) is not a valid Washington execution. Completing both is valid. You must SIGN AND DATE the instrument — an undated signature is not valid.

TRACK 1 — NOTARY (recommended): sign before a notary public or other individual authorized to take acknowledgments. Three reasons: (1) your signature is PRESUMED genuine (RCW 11.125.050(3)); (2) Washington's acceptance machinery — a presented power must be accepted within seven business days or a certification or translation requested, with liability for unreasonable refusal — applies ONLY to an ACKNOWLEDGED power of attorney (RCW 11.125.190–.200); and (3) if the power will ever be used for real estate, recording requires an acknowledged instrument (RCW 65.04.030(1)). Washington notaries may also notarize remotely by audio-video technology (RCW 42.45.280).

TRACK 2 — TWO WITNESSES: if you do not use a notary, two or more competent witnesses must subscribe their names while in your presence and at your direction or request. A witness may NOT be (a) a home care provider for you, (b) a care provider at an adult family home or long-term care facility where you live, or (c) related to you or to your agent by blood, marriage, or state registered domestic partnership. A witnessed-only power is valid but is NOT "acknowledged," so the acceptance machinery and easy recording described above do not apply to it.

If you are physically unable to sign, Washington allows signature by mark (RCW 11.12.030) or directed execution (RCW 64.08.100 — the acknowledgment must state the signature was obtained under that section). Consult an attorney if you need either method (RCW 11.125.050(2)).

What your agent can do — subjects and express powers

The GRANT OF GENERAL AUTHORITY lists the twelve subjects Washington law defines (RCW 11.125.270 through 11.125.380). INITIAL each subject you grant, or initial the single ALL PRECEDING SUBJECTS line. This instrument deliberately does NOT grant health-care authority (RCW 11.125.400), authority over your minor children (RCW 11.125.410), or the power to make health-care decisions listed in RCW 11.125.240(1)(l).

The EXPRESS POWERS section lists the sensitive powers Washington grants ONLY when the power of attorney expressly grants them (RCW 11.125.240(1)): trusts; gifts (generally capped at the annual federal gift-tax exclusion per recipient under RCW 11.125.390); survivorship rights; beneficiary designations; limited delegation; annuity waivers; fiduciary powers; powers of appointment; community property agreements; trust distributions; and other nonprobate transfers. INITIAL ONLY the ones you intend. A line you do not initial is NOT granted.

Community property warnings (married or state registered domestic partners): (1) a community property agreement is a JOINT agreement of both spouses or partners (RCW 26.16.120) — your agent cannot create one alone, even with the election initialed. (2) The sale, conveyance, or encumbrance of community REAL property requires the other spouse or partner to join and acknowledge (RCW 26.16.030(3)) — this single-principal instrument does not let your agent convey the non-signing spouse's community interest (see RCW 26.16.090 for the powers-of-attorney paths). (3) Community property cannot be gifted without the other spouse's consent (RCW 26.16.030(2)).

Self-dealing limitation: unless you provide otherwise in the Special Instructions, an agent who is not your ancestor, spouse, state registered domestic partner, or descendant may not use this power to create an interest in your property for themselves or someone they must support (RCW 11.125.240(4)). Two statutory exceptions exist even without an election: transfers to a trust that benefits you alone with identical dispositive terms (RCW 11.125.240(2)), and transfers to qualify you for medical assistance not prohibited by chapter 74.09 RCW (RCW 11.125.240(3)).

Digital assets (RCW 11.120): the general grant carries authority over your digital assets and the catalogue of your electronic communications (RCW 11.120.100). Access to the CONTENT of your electronic communications requires the separate express election in the EXPRESS POWERS section (RCW 11.120.090) — and in either case your agent must certify the power's validity under penalty of perjury (the Agent's Certification in this packet serves). A direction you give through a provider's own online tool overrides this document (RCW 11.120.040).

Optional provisions (labeled elections)

Three elections appear under OPTIONAL PROVISIONS; a line left blank keeps the Washington-law default: (i) REVOKE EARLIER POWERS — signing a new power of attorney does NOT revoke an earlier one unless it says so (RCW 11.125.100(7)); initialing revokes your earlier property/financial powers (never any health-care directive), and if an earlier power was recorded, record a revocation too. (ii) NO COMPENSATION — Washington entitles your agent to reimbursement of expenses AND reasonable compensation by default (RCW 11.125.120); initialing removes compensation but keeps expense reimbursement. (iii) NOMINATION — you may nominate a conservator or guardian for the court's consideration (RCW 11.125.080); appointment of a conservator or guardian does NOT terminate this power of attorney, though the court may limit, suspend, or terminate the agent's authority.

Naming your agent — successors and coagents

Name one agent, plus an optional successor who acts only after ALL predecessor agents have resigned, died, become incapacitated, declined, or become unqualified (RCW 11.125.110(2)). If you name COAGENTS in the Special Instructions, Washington requires them to act JOINTLY unless you provide otherwise — though one coagent may delegate to another coagent (RCW 11.125.110(1), a non-uniform Washington rule). If your agent is your spouse or state registered domestic partner: the FILING of an action for dissolution, annulment, or legal separation automatically terminates that agent's authority unless your power of attorney provides otherwise — and the authority is REINSTATED immediately if the action is dismissed with both parties' consent or the petition is withdrawn (RCW 11.125.100(2)(c), (3)). To keep a spouse-agent's authority in place despite a filing, say so in the Special Instructions.

Using the document

A photocopy or electronically transmitted copy has the same effect as the original (RCW 11.125.060(4)) — though a third person may still ask to see the original. Your agent accepts the appointment simply by acting (RCW 11.125.130). Banks and others presented with an ACKNOWLEDGED power must accept it or timely request a certification or translation, and face court-ordered acceptance plus attorney's fees for unreasonable refusal (RCW 11.125.190–.200) — but other law applicable to financial institutions controls if inconsistent (RCW 11.125.220), so no form can guarantee every institution's compliance. The two Agent's Certification copies (RCW 11.125.430) let your agent certify the power's validity, your capacity at signing, and the happening of any contingency.

If the agent will deal with real estate: recording

This power of attorney is valid without recording, but for real-estate transactions it should be recorded with the county auditor where the land lies, and only an acknowledged power may be recorded (RCW 65.04.030(1)). Washington's recording rules require specific first-page information and margins (RCW 65.04.045) — the OPTIONAL RECORDING COVER SHEET at the end of this packet follows the statutory cover-sheet form (RCW 65.04.047); attach it as page 1 only if you record. Never put a Social Security number, date of birth, or a parent's maiden name on a recorded document (RCW 65.04.045(3)).

Revoking or changing this document

You may revoke this power of attorney at any time while you have capacity (RCW 11.125.100(1)(c)) — the REVOCATION form in this packet is drafted for that. Deliver copies to your agent and to everyone relying on the document; if the power was recorded, record the revocation in the same county. Termination is not effective against a person who acts in good faith without actual knowledge of it (RCW 11.125.100(5)). Your death terminates the power (RCW 11.125.100(1)(a)).

Sources: chapter 11.125 RCW (incl. RCW 11.125.020, .040, .050, .060, .070, .080, .090, .100, .110, .120, .130, .140, .150, .180, .190–.200, .220, .240, .250, .260–.410, .420, .430); chapter 11.120 RCW (digital assets); RCW 42.45.140, 42.45.280 (notarial certificates; remote notarization); RCW 65.04.030, 65.04.045, 65.04.047 (recording); RCW 26.16.030, 26.16.090, 26.16.120 (community property); RCW 11.12.030, 64.08.100 (alternative execution); chapter 11.130 RCW (guardianship). Official text: app.leg.wa.gov.

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WASHINGTON DURABLE POWER OF ATTORNEY

(General Durable Power of Attorney for Property & Finances — Effective Immediately)

THIS POWER OF ATTORNEY SHALL NOT BE AFFECTED BY DISABILITY OF THE PRINCIPAL.

The sentence above is the durability provision prescribed by RCW 11.125.040.

NOTICE TO THE PRINCIPAL

The powers you grant in this document are broad and sweeping. They are governed by chapter 11.125 of the Revised Code of Washington. This document does NOT authorize anyone to make medical or other health-care decisions for you — Washington health-care powers use a separate instrument, and rights under the Washington death with dignity act may not be exercised through a power of attorney (RCW 11.125.420). If you are married or a state registered domestic partner, transactions in community real property generally require your spouse or partner to join (RCW 26.16.030(3)). You may revoke this power of attorney at any time while you have capacity. If you have any questions about these powers, obtain competent legal advice before you sign.

1. DESIGNATION OF AGENT

I, the Principal named below, appoint the following person as my agent (attorney-in-fact) to act for me as provided in this power of attorney:

_____________________________________________________

Name of Agent

_____________________________________________________

Address of Agent (street, city, state, ZIP)

Telephone of Agent: _________________________

Optional successor. If my Agent resigns, dies, becomes incapacitated, is not qualified to serve, or declines to serve, I appoint the following person as successor Agent (RCW 11.125.110(2)). Unless I provide otherwise in the Special Instructions, a successor may not act until all predecessor agents are unable or unwilling to serve, and has the same authority as the original Agent:

_____________________________________________________

Name of successor Agent (optional)

_____________________________________________________

Address of successor Agent (street, city, state, ZIP)

Telephone of successor Agent: _________________________

2. EFFECTIVE DATE

This power of attorney is effective IMMEDIATELY upon my signing and dating it, and no determination of incapacity is required (RCW 11.125.090(1)). (A separate "Effective Upon Incapacity" version exists if you want authority that begins only upon a later written determination of incapacity.)

3. GRANT OF GENERAL AUTHORITY

I grant my Agent general authority to act for me with respect to the subjects below, as provided by RCW 11.125.250 through 11.125.380. INITIAL each subject you want to grant, OR initial the single "ALL PRECEDING SUBJECTS" line to grant every subject listed. A subject you do not initial is NOT granted. This power of attorney does NOT grant authority over health care (RCW 11.125.400), authority over my minor children (RCW 11.125.410), or the power to make health-care decisions described in RCW 11.125.240(1)(l).

(___) Real property (RCW 11.125.270)

(___) Tangible personal property (RCW 11.125.280)

(___) Stocks, bonds, and financial instruments (RCW 11.125.290)

(___) Banks and financial institutions (RCW 11.125.300)

(___) Operation of a business or entity (RCW 11.125.310)

(___) Insurance and annuities (RCW 11.125.320)

(___) Estates, trusts, and other beneficial interests (RCW 11.125.330)

(___) Claims and litigation (RCW 11.125.340)

(___) Personal and family maintenance (RCW 11.125.350)

(___) Government program and civil and military service benefits (RCW 11.125.360)

(___) Retirement benefits and deferred compensation (RCW 11.125.370)

(___) Taxes (RCW 11.125.380)

(___) ALL PRECEDING SUBJECTS — every subject listed above (RCW 11.125.270 through 11.125.380), and only those subjects.

My Agent's authority is exercisable with respect to property I have when this power of attorney is executed or acquire later, wherever the property is located (RCW 11.125.240(7)). An act my Agent performs under this power of attorney binds me and my successors in interest as if I had performed it (RCW 11.125.240(8)).

4. EXPRESS POWERS — INITIAL EACH POWER YOU GRANT

Washington grants the following powers ONLY where the power of attorney expressly grants them (RCW 11.125.240(1)). INITIAL each power you grant. A line you do not initial is NOT granted.

(___) Trusts — to create, amend, revoke, or terminate an inter vivos trust (RCW 11.125.240(1)(a)).

(___) Gifts — to make a gift of my property, subject to RCW 11.125.390 (generally limited per recipient to the annual federal gift-tax exclusion, or twice that amount with spousal gift-splitting) (RCW 11.125.240(1)(b), (5)).

(___) Survivorship — to create or change rights of survivorship (RCW 11.125.240(1)(c)).

(___) Beneficiary designations — to create or change a beneficiary designation (RCW 11.125.240(1)(d)).

(___) Delegation — to authorize another person to exercise SOME, but not all, of the authority granted under this power of attorney (RCW 11.125.240(1)(e); without this initial my agent may not delegate).

(___) Annuity waiver — to waive my right to be a beneficiary of a joint and survivor annuity, including a survivor benefit under a retirement plan (RCW 11.125.240(1)(f)).

(___) Fiduciary powers — to exercise fiduciary powers that I have authority to delegate (RCW 11.125.240(1)(g)).

(___) Powers of appointment — to exercise any power of appointment in favor of anyone other than me (RCW 11.125.240(1)(h)).

(___) Community property agreement — to create, amend, or revoke a community property agreement (RCW 11.125.240(1)(i)). A community property agreement is a JOINT agreement of both spouses or both state registered domestic partners (RCW 26.16.120) — my agent cannot make one alone, and this election can substantially change how my property passes at death.

(___) Trust distributions — to cause a trustee to make distributions of property held in trust under the same conditions that I could (RCW 11.125.240(1)(j)).

(___) Other nonprobate transfers — to make other provisions for nonprobate transfer at death contained in nontestamentary instruments described in RCW 11.02.091 (RCW 11.125.240(1)(k)).

DIGITAL ASSETS (Revised Uniform Fiduciary Access to Digital Assets Act, chapter 11.120 RCW):

(___) CONTENT of electronic communications — I EXPRESSLY GRANT my Agent authority over the content of electronic communications sent or received by me, as RCW 11.120.090 requires for content. (My general grant already carries my digital assets and the catalogue of my electronic communications under RCW 11.120.100. A direction I give through a provider's online tool overrides this document — RCW 11.120.040. My Agent must certify this power's validity under penalty of perjury when requesting disclosure; the Agent's Certification included with this power of attorney serves that purpose.)

LIMITATION ON AGENT'S AUTHORITY (self-dealing): unless I provide otherwise in the Special Instructions, an Agent who is not my ancestor, spouse, state registered domestic partner, or descendant may NOT exercise authority under this power of attorney to create in the Agent, or in an individual to whom the Agent owes a legal obligation of support, an interest in my property — whether by gift, right of survivorship, beneficiary designation, disclaimer, or otherwise (RCW 11.125.240(4)).

5. OPTIONAL PROVISIONS — INITIAL ONLY TO CHANGE THE WASHINGTON-LAW DEFAULT

_____ REVOKE EARLIER POWERS — I revoke every earlier power of attorney I signed covering property or financial matters (never any health-care directive). Signing a new power of attorney does not revoke an earlier one unless it says so (RCW 11.125.100(7)); if an earlier power was recorded, I should record a revocation. [OPTIONAL ELECTION — leave blank to keep the Washington-law default]

_____ NO COMPENSATION — my Agent shall serve WITHOUT compensation but remains entitled to reimbursement of expenses reasonably incurred on my behalf (default: reimbursement AND reasonable compensation, RCW 11.125.120). [OPTIONAL ELECTION — leave blank to keep the Washington-law default]

NOMINATION OF CONSERVATOR OR GUARDIAN (optional): if a court proceeding for my conservatorship or guardianship is later brought, I nominate the following person(s) for consideration by the court (RCW 11.125.080). Appointment of a conservator or guardian does NOT terminate this power of attorney.

Nominee for conservator of my estate: __________________________________

Nominee for guardian of my person: ___________________________________

6. SPECIAL INSTRUCTIONS

(Optional — for example: limits on gifts, instructions about particular property, coagent designations (coagents must act jointly unless you provide otherwise — RCW 11.125.110(1)), continuation of a spouse or partner's authority despite a dissolution filing (RCW 11.125.100(2)(c)), or other directions. Attach additional signed pages if needed.)

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

7. GOVERNING LAW AND RELIANCE

This power of attorney is executed under and governed by chapter 11.125 RCW, and its meaning and effect are determined by Washington law (RCW 11.125.070). A photocopy or electronically transmitted copy of this power of attorney has the same effect as the original (RCW 11.125.060(4)). Third persons may rely on this power of attorney and on my Agent's certification as provided by RCW 11.125.190 through 11.125.220 and RCW 11.125.430. This power of attorney does not have to be recorded to be valid; if it will be used for real-estate transactions it should be acknowledged and recorded (RCW 65.04.030(1)). It terminates on my death (RCW 11.125.100(1)(a)) and as otherwise provided by RCW 11.125.100.

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8. EXECUTION — SIGN AND DATE, THEN COMPLETE AT LEAST ONE TRACK

THIS POWER OF ATTORNEY SHALL NOT BE AFFECTED BY DISABILITY OF THE PRINCIPAL.

(Durability provision, RCW 11.125.040 — restated above the signature.)

I sign my name to this power of attorney on the date below. Washington law requires my signature AND the date (RCW 11.125.050(1)).

____________________________________________ _______________

Signature of PrincipalDate signed

_____________________________________________________

Printed name of Principal

_____________________________________________________

Address of Principal (street, city, state, ZIP)

Telephone of Principal: _________________________

COMPLETE AT LEAST ONE OF THE TWO TRACKS BELOW IN FULL. Completing both is valid. A half-completed track (for example, only one witness, or a notary block left unsigned) is NOT a valid Washington execution. TRACK 1 (notary) is recommended: it makes my signature presumptively genuine (RCW 11.125.050(3)), it activates Washington's acceptance rules for third persons (RCW 11.125.190–.200), and it is required if this power will be recorded for real-estate transactions (RCW 65.04.030(1)).

TRACK 1 — ACKNOWLEDGMENT BEFORE A NOTARY (RECOMMENDED)

(Notary public or other individual authorized by law to take acknowledgments — Washington short-form certificate, RCW 42.45.140(1))

State of Washington

County of ______________________________

This record was acknowledged before me on ________________________, (date)

by ____________________________________________.

(Name(s) of Principal)

____________________________________________ (Stamp)

Signature of notary public

____________________________________________

Title of office

My commission expires: ________________________ (date)

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TRACK 2 — ATTESTATION BY TWO WITNESSES (ONLY IF NO NOTARY)

If — and only if — this power of attorney is not acknowledged before a notary, two or more competent witnesses must subscribe their names while in my presence and at my direction or request (RCW 11.125.050(1)). By signing below, each witness declares: I am a competent adult; I am NOT a home care provider for the principal; I am NOT a care provider at an adult family home or long-term care facility in which the principal resides; I am NOT related to the principal or to the agent by blood, marriage, or state registered domestic partnership; and I subscribe my name while in the presence of the principal and at the principal's direction or request.

____________________________________________ _______________

Signature of Witness No. 1Date

_____________________________________________________

Printed name of Witness No. 1

_____________________________________________________

Address of Witness No. 1 (street, city, state, ZIP)

____________________________________________ _______________

Signature of Witness No. 2Date

_____________________________________________________

Printed name of Witness No. 2

_____________________________________________________

Address of Witness No. 2 (street, city, state, ZIP)

A power executed with witnesses alone is valid but is NOT "acknowledged" — see the Packet Guide for what that means.

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AGENT'S DUTIES UNDER WASHINGTON LAW

A summary for the Agent — keep with the power of attorney. (chapter 11.125 RCW)

You accept the appointment simply by exercising authority or otherwise acting as agent (RCW 11.125.130). Once you accept, Washington law makes you a fiduciary. In summary:

• ALWAYS: act in accordance with the principal's reasonable expectations to the extent you actually know them and, otherwise, in the principal's best interest; act in good faith; and act only within the scope of authority granted in the power of attorney (RCW 11.125.140(1) — these duties cannot be waived).

• Unless the power of attorney provides otherwise: act loyally for the principal's benefit; avoid conflicts of interest that impair your ability to act impartially in the principal's best interest; act with the care, competence, and diligence ordinarily exercised by agents in similar circumstances (any special skills you have or claimed count against you); keep a record of all receipts, disbursements, and transactions; cooperate with whoever has authority over the principal's health care; and attempt to preserve the principal's estate plan, to the extent you actually know it, where preserving it is consistent with the principal's best interest (RCW 11.125.140(2), (5)).

• You may be asked for an accounting: within 30 days of a proper written request (from the principal, a guardian or conservator, another fiduciary, a protective government agency, or — after the principal's death — the personal representative), you must comply or give a writing explaining why you need up to 30 more days (RCW 11.125.140(9)).

• You may NOT delegate your authority to another person unless the power of attorney expressly authorizes delegation, and then only some, not all, of it (RCW 11.125.140(8)); a coagent may delegate to another coagent (RCW 11.125.110(1)). Choose and monitor any person you engage with care — you are not relieved of liability for their discretionary acts that would have been breaches if you had done them (RCW 11.125.140(7), (8)).

• You are entitled to reimbursement of reasonable expenses and — unless the power of attorney says otherwise — reasonable compensation (RCW 11.125.120).

• Unless the power of attorney provides otherwise, you are not required to disclose receipts, disbursements, or transactions except on a proper request or court order (RCW 11.125.140(9)), and you are not liable for a decline in value of the principal's property absent a breach (RCW 11.125.140(6)). Acting in good faith, you are not liable to estate-plan beneficiaries for failing to preserve the plan (RCW 11.125.140(3)); acting with care, competence, and diligence, you are not liable merely because you also benefit from an act (RCW 11.125.140(4)). Nothing in the power of attorney can exonerate dishonesty or acts taken in bad faith (RCW 11.125.150).

• STOP acting if you learn of any event that terminates the power or your authority: the principal's death; revocation; a termination event stated in the power; accomplishment of a limited purpose; or — if you are the principal's spouse or state registered domestic partner — the filing of an action for dissolution, annulment, or legal separation, unless the power provides otherwise (authority so terminated is reinstated immediately if the action is dismissed with both parties' consent or the petition is withdrawn) (RCW 11.125.100). Good-faith acts without actual knowledge of a termination still bind the principal (RCW 11.125.100(5), (6)).

• If a court appoints a conservator or guardian for the principal, the power of attorney does NOT terminate, but you become accountable to that fiduciary, and the court may limit, suspend, or terminate your authority (RCW 11.125.080; chapters 11.130 RCW).

• You may resign only as permitted by RCW 11.125.180 — generally by giving notice to the principal and, if the principal is incapacitated, to the persons the statute lists.

• When the principal dies, stop acting, and be ready to account to the personal representative of the estate (RCW 11.125.100(1)(a), 11.125.140(9)).

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

The optional form Washington law provides for an agent to certify facts concerning a power of attorney (RCW 11.125.430)

State of ______________________________

County of _____________________________

I, ________________________________________ (Name of Agent), certify under penalty of perjury that ________________________________________ (Name of Principal) granted me authority as an agent or successor agent in a power of attorney dated ____________________.

I further certify that to my knowledge:

(1) I am acting in good faith pursuant to the authority given under the power of attorney;

(2) The principal is alive and has not terminated, revoked, limited, or modified the power of attorney or my authority to act under the power of attorney; nor has the power of attorney or my authority to act under the power of attorney been terminated, revoked, limited, or modified by any other circumstances;

(3) When the power of attorney was signed, the principal was competent to execute it and was not under undue influence to sign;

(4) All events necessary to making the power of attorney effective have occurred;

(5) If I was married or a registered domestic partner of the principal when the power of attorney was executed, there has been no subsequent dissolution, annulment, or legal separation, and no action is pending for the dissolution of the marriage or domestic partnership or for legal separation;

(6) If the power of attorney was drafted to become effective upon the happening of an event or contingency, the event or contingency has occurred;

(7) If I was named as a successor agent, the prior agent is no longer able or willing to serve, or the conditions stated in the power of attorney that cause me to become the acting agent have occurred; and

(8) ________________________________________________________________

________________________________________________________________________

(Insert other relevant statements)

SIGNATURE AND ACKNOWLEDGMENT

____________________________________________ _______________

Agent's SignatureDate

_____________________________________________________

Agent's Name Printed

_____________________________________________________

Agent's Address

Agent's Telephone Number: ____________________________

This document was acknowledged before me on ________________________, (Date)

by ____________________________________________

(Name of Agent)

____________________________________________ (Seal, if any)

Signature of Notary

My commission expires: ________________________

[This document prepared by: _____________________________________________]

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

SPARE COPY — use the first copy before this one

State of ______________________________

County of _____________________________

I, ________________________________________ (Name of Agent), certify under penalty of perjury that ________________________________________ (Name of Principal) granted me authority as an agent or successor agent in a power of attorney dated ____________________.

I further certify that to my knowledge:

(1) I am acting in good faith pursuant to the authority given under the power of attorney;

(2) The principal is alive and has not terminated, revoked, limited, or modified the power of attorney or my authority to act under the power of attorney; nor has the power of attorney or my authority to act under the power of attorney been terminated, revoked, limited, or modified by any other circumstances;

(3) When the power of attorney was signed, the principal was competent to execute it and was not under undue influence to sign;

(4) All events necessary to making the power of attorney effective have occurred;

(5) If I was married or a registered domestic partner of the principal when the power of attorney was executed, there has been no subsequent dissolution, annulment, or legal separation, and no action is pending for the dissolution of the marriage or domestic partnership or for legal separation;

(6) If the power of attorney was drafted to become effective upon the happening of an event or contingency, the event or contingency has occurred;

(7) If I was named as a successor agent, the prior agent is no longer able or willing to serve, or the conditions stated in the power of attorney that cause me to become the acting agent have occurred; and

(8) ________________________________________________________________

________________________________________________________________________

(Insert other relevant statements)

SIGNATURE AND ACKNOWLEDGMENT

____________________________________________ _______________

Agent's SignatureDate

_____________________________________________________

Agent's Name Printed

_____________________________________________________

Agent's Address

Agent's Telephone Number: ____________________________

This document was acknowledged before me on ________________________, (Date)

by ____________________________________________

(Name of Agent)

____________________________________________ (Seal, if any)

Signature of Notary

My commission expires: ________________________

[This document prepared by: _____________________________________________]

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REVOCATION OF POWER OF ATTORNEY

PublicLegal-drafted companion document (Washington publishes no revocation form) — use to revoke a power of attorney while you have capacity (RCW 11.125.100(1)(c))

I, ____________________________________________ (Name of Principal), of ________________________________________, Washington, REVOKE the power of attorney I signed on ____________________ (date), in which I named ____________________________________ as my agent, together with every authority granted to that agent and to any successor or coagent under it. That power of attorney and all authority under it are terminated as of the date I sign this revocation.

Notice: deliver a signed copy of this revocation to your agent and to every person or institution relying on the power of attorney. Termination is not effective against a person who acts in good faith without actual knowledge of it (RCW 11.125.100(5)). If the power of attorney was RECORDED, record this revocation in the same county auditor's office.

____________________________________________ _______________

Signature of PrincipalDate signed

_____________________________________________________

Printed name of Principal

Acknowledgment (recommended — required if this revocation will be recorded):

State of Washington

County of ______________________________

This record was acknowledged before me on ________________________, (date)

by ____________________________________________.

(Name(s) of Principal)

____________________________________________ (Stamp)

Signature of notary public

____________________________________________

Title of office

My commission expires: ________________________ (date)

Return Address:

________________________________________

Name

________________________________________

Street address

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City, state, ZIP

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WASHINGTON STATE RECORDER'S COVER SHEET

(RCW 65.04.047)

Document Title(s) (or transactions contained therein):

1. Durable Power of Attorney

Grantor(s) (Last name first, then first name and initials):

1. _______________________________________________________ (Principal)

☐ Additional names on page _____ of document.

Grantee(s) (Last name first, then first name and initials):

1. _______________________________________________________ (Agent)

☐ Additional names on page _____ of document.

Legal Description (abbreviated: i.e., lot, block, plat or section, township, range):

______________________________________________________________________________

☐ Additional legal description is on page _____ of document.

Assessor's Property Tax Parcel or Account Number at the time of recording:

________________________________________

Reference Number(s) of Documents assigned or released:

________________________________________

☐ Additional references on page _____ of document.

The Auditor or Recording Officer will rely on the information provided on this form. The staff will not read the document to verify the accuracy of or the completeness of the indexing information provided herein.

Optional cover sheet — attach as page 1 only if you record this power of attorney; it is not part of the legal instrument, and errors on it do not affect the instrument (RCW 65.04.047(1)). The blank 3-inch space at the top is reserved for the recorder (RCW 65.04.045).