Vermont Statutes Title 14 Sec. 4053
Terms Used In Vermont Statutes Title 14 Sec. 4053
- Agent: means a person granted authority to act for a principal under a power of attorney, whether denominated an agent, attorney-in-fact, or otherwise. See
- following: when used by way of reference to a section of the law shall mean the next preceding or following section. See
- Power of attorney: means a writing or other record that grants authority to an agent to act in the place of the principal, whether or not the term power of attorney is used. See
- Power of attorney: A written instrument which authorizes one person to act as another's agent or attorney. The power of attorney may be for a definite, specific act, or it may be general in nature. The terms of the written power of attorney may specify when it will expire. If not, the power of attorney usually expires when the person granting it dies. Source: OCC
- Principal: means an individual who grants authority to an agent in a power of attorney. See
- State: means a state of the United States, the District of Columbia, Puerto Rico, the U. See
§ 4053. Agent‘s certification
The following optional form may be used by an agent to certify facts concerning a power of attorney.
AGENT’S CERTIFICATION AS TO THE VALIDITY OF POWER OF ATTORNEY AND AGENT’S AUTHORITY
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) the Principal is alive and has not revoked the Power of Attorney or my authority to act under the Power of Attorney and the Power of Attorney and my authority to act under the Power of Attorney have not terminated;
(2) if the Power of Attorney was drafted to become effective upon the happening of an event or contingency, the event or contingency has occurred;
(3) if I was named as a successor agent, the prior agent is no longer able or willing to serve; and
(4) (Insert other relevant statements below)
—————– _________________________________________
—————– _________________________________________
—————– _________________________________________
—————– _________________________________________
—————– _________________________________________
SIGNATURE AND ACKNOWLEDGMENT
—————– _________________________________________
Agent’s Name Printed _______________________________________________________________________
Agent’s Address _______________________________________________________________________
Agent’s Telephone Number _______________________________________________________________________
This document was acknowledged before me on (Date) _________________________________________ by _______________________________________________________________________
(Name of Agent)
_______________________________________________________________________Signature of Notary (Seal, if any)
My commission expires: _________________________________________
(Added 2023, No. 60, § 1, eff. July 1, 2023.)