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§ 17-204. Form used to certify facts concerning power of attorney

West's Annotated Code of MarylandEstates and TrustsEffective: October 1, 2010

West's Annotated Code of Maryland
Estates and Trusts (Refs & Annos)
Title 17. Maryland General and Limited Power of Attorney Act (Refs & Annos)
Subtitle 2. Statutory Forms (Refs & Annos)
Effective: October 1, 2010
MD Code, Estates and Trusts, § 17-204
§ 17-204. Form used to certify facts concerning power of attorney
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 Maryland
(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 on 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)
SIGNATURE AND ACKNOWLEDGMENT
___________________________________________
_________________________________
Agent's Signature
Date
___________________________________________
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: __________.”

Credits

Added by Acts 2010, c. 689, § 1, eff. Oct. 1, 2010; Acts 2010, c. 690, § 1, eff. Oct. 1, 2010.
MD Code, Estates and Trusts, § 17-204, MD EST & TRST § 17-204
Current through legislation effective through June 1, 2024, from the 2024 Regular Session of the General Assembly. Some statute sections may be more current, see credits for details.
End of Document