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Nebraska statutory property and finance form
Download the August 2026 Nebraska Statutory Form Power of Attorney under Neb. Rev. Stat. § 30-4041 of the Nebraska Uniform Power of Attorney Act, for appointing an agent to handle property and finances. Get the statutory form and optional Agent's Certification in editable Word and true fillable PDF. Add the completed sample PDF if you want a filled-in reference.
A state-specific statutory form power of attorney packet, reviewed against the current Nebraska statute and ready for instant secure access.
Reproduces the Neb. Rev. Stat. § 30-4041 form under the Nebraska Uniform Power of Attorney Act, including general authority initials, optional specific authority, and the agent notice.
Banks and other third parties may request a § 30-4042 agent certification before accepting a power of attorney. The optional certification ships with your download.
Download the files, complete them on your own device, then print, initial, and sign before a notary. Your personal details are never entered into an online form builder.
This download includes 2 documents in editable Word and fillable PDF formats. Use the Word version for editing; the fillable PDF can be completed on screen, then printed and signed.
Review the complete form text below before purchasing. Your licensed download (editable Word and fillable PDF) is delivered after checkout.
NEBRASKA
STATUTORY FORM POWER OF ATTORNEY
Neb. Rev. Stat. § 30-4041
IMPORTANT INFORMATION
This power of attorney authorizes another person (your agent) to make decisions concerning your property for you (the principal). Your agent will be able to make decisions and act with respect to your property (including your money) whether or not you are able to act for yourself. The meaning of authority over subjects listed on this form is explained in the Nebraska Uniform Power of Attorney Act.
This power of attorney does not authorize the agent to make health care decisions for you.
You should select someone you trust to serve as your agent. Unless you specify otherwise, generally the agent's authority will continue until you die or revoke the power of attorney or the agent resigns or is unable to act for you.
This form will not revoke a power of attorney previously executed by you unless you add that the previous power of attorney is revoked or that all other powers of attorney are revoked by this power of attorney.
Your agent is entitled to reasonable compensation unless you state otherwise in the Special Instructions.
This form provides for designation of one agent. If you wish to name more than one agent you may name a coagent 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.
If you have questions about the power of attorney or the authority you are granting to your agent, you should seek legal advice before signing this form.
DESIGNATION OF AGENT
I, ________________________________________________________
(Name of Principal)
name 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: ____________________________________________________
RELEASE OF INFORMATION
I agree to, authorize, and allow full release of information, by any governmental agency, business, creditor, or third party who may have information pertaining to my assets or income, to my agent named herein.
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 Nebraska Uniform Power of Attorney Act:
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 initial "All Preceding Subjects" instead of initialing each subject.
(___) 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
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. INITIAL ONLY the specific authority you WANT to give your agent.
(___) Create, amend, revoke, or terminate an inter vivos trust
(___) Make a gift, subject to the limitations of the Nebraska Uniform Power of Attorney Act and any special instructions in this power of attorney Create or change rights of survivorship
(___) Create or change a beneficiary designation
(___) Delegate to 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
(___) Renounce or disclaim an interest in property, including a power of appointment
LIMITATION ON AGENT'S AUTHORITY
Except as otherwise authorized by the Power of Personal and Family Maintenance, an agent 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 or the Grant of Specific Authority.
SPECIAL INSTRUCTIONS (OPTIONAL)
You may give special instructions on the following lines:
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
EFFECTIVE DATE
This power of attorney is effective immediately unless I have stated otherwise in the Special Instructions.
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 it has terminated or is invalid.
SIGNATURE AND ACKNOWLEDGMENT
Your Signature: ________________________________________________
Date: ____________________________
Your Name Printed: ________________________________________________
Your Address: ____________________________________________________
Your Telephone Number: ________________________________________
State of ____________________________________
County of ____________________________________
This document was acknowledged before me on ______________________ (Date) by ____________________________________ (Name of Principal).
Signature of Notary: ____________________________________________
(Seal, if any)
My commission expires: ________________________________
This document prepared by: ________________________________________
IMPORTANT INFORMATION FOR AGENT
Agent's Duties When you accept the 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 of attorney is terminated or revoked. 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; and
4. Disclose your identity as an agent whenever you act for the principal by 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 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. Keep a record of all receipts, disbursements, and transactions made on behalf of the principal;
5. Cooperate with any person that has authority to make health care decisions for the principal to do what you know the principal reasonably expects or, if you do not know the principal's expectations, to act in the principal's best interest; and
6. Attempt 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 this power of attorney. Events that terminate a power of attorney or your authority to act under a power of attorney 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 of attorney;
4. The purpose of the power of attorney being fully accomplished; or
5. If you are married to the principal, a legal action 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.
Liability of Agent The meaning of the authority granted to you is defined in the Nebraska Uniform Power of Attorney Act. If you violate the Nebraska Uniform Power of Attorney Act or act outside the authority granted, you may be liable for any damages caused by your violation. If there is anything about this document or your duties that you do not understand, you should seek legal advice.
Legal currency, verified
This form is Nebraska's optional statutory form power of attorney under Neb. Rev. Stat. § 30-4041 of the Nebraska Uniform Power of Attorney Act. It appoints an agent to handle property and financial matters. It does not authorize health care decisions. Nebraska's separate health care power of attorney is a different product.
The Nebraska Uniform Power of Attorney Act is Neb. Rev. Stat. §§ 30-4001 to 30-4045 (Laws 2012, LB 1113, effective January 1, 2013). Section 30-4041 supplies the optional statutory form. A power of attorney under the Act must be signed by the principal and acknowledged before a notary public or other individual authorized to take acknowledgments (Neb. Rev. Stat. § 30-4005). No witnesses are required for ordinary execution. A power of attorney created after January 1, 2013 is durable by default unless it expressly terminates on incapacity (Neb. Rev. Stat. § 30-4004). This packet was verified against the Nebraska Legislature statute pages in August 2026.
You name an agent and optional successors, initial general authority subjects or All Preceding Subjects, optionally initial specific authority (gifts, trusts, survivorship or beneficiary changes, and related acts), add special instructions, nominate a conservator or guardian if you wish, and sign before a notary. The download also includes the optional Agent's Certification under Neb. Rev. Stat. § 30-4042 for banks and other third parties. Files are editable Word and true fillable PDF.
Sign the power of attorney and acknowledge your signature before a notary public or other individual authorized to take acknowledgments (Neb. Rev. Stat. § 30-4005). The Act does not require witnesses for ordinary principal execution. Wet signatures and initials stay handwritten after you print. The agent certification is signed by the agent and acknowledged when a third party requests it.
Your purchase includes the Nebraska Statutory Form Power of Attorney and the optional Agent's Certification, each in editable Word and true fillable PDF. Add the completed sample PDF if you want a filled-in reference.
An optional agent certification form ships with your download. Banks and other third parties may request it before accepting the power of attorney.
This form is not legal advice and does not replace advice from a Nebraska attorney about your circumstances.
ILRG is committed to top quality legal forms that are valid in all states. If you are not 100 percent satisfied after purchase, contact us for a full refund.
Yes. The document tracks the optional statutory form in Neb. Rev. Stat. § 30-4041 under the Nebraska Uniform Power of Attorney Act. Reviewed against the Nebraska Legislature statute pages in August 2026.
Sign the power of attorney and acknowledge your signature before a notary public or other individual authorized to take acknowledgments (Neb. Rev. Stat. § 30-4005). Ordinary execution does not require witnesses.
Yes by default. Under Neb. Rev. Stat. § 30-4004, a power of attorney created after January 1, 2013 is durable unless it expressly provides that it terminates on the principal's incapacity.
No. The statutory form states that it does not authorize the agent to make health care decisions. Use a separate Nebraska health care power of attorney for medical decisions.
It is the optional certification under Neb. Rev. Stat. § 30-4042. An agent may use it to certify facts about the power of attorney when a bank or other third party requests certification before acceptance.
Both contain the same form text. Word is editable and the PDF is fillable before printing. Complete initials and wet signatures after printing.