New Mexico Power of Attorney Template
This Power of Attorney document is designed according to the laws of the State of New Mexico, specifically referring to the New Mexico Statutory Power of Attorney Act. By completing this document, the Principal grants authority to an Agent to act on their behalf.
Principal Information
Full Name: _________________________________________
Address: ___________________________________________
City, State, Zip: ___________________________________
Phone Number: ______________________________________
Agent Information
Full Name: _________________________________________
Address: ___________________________________________
City, State, Zip: ___________________________________
Phone Number: ______________________________________
Alternate Agent Information (Optional)
Full Name: _________________________________________
Address: ___________________________________________
City, State, Zip: ___________________________________
Phone Number: ______________________________________
This Power of Attorney shall be effective on the date of ________________________, 20___.
The powers granted to my Agent include the following (initial all that apply):
- _____ Real Property Transactions
- _____ Personal Property Transactions
- _____ Stock and Bond Transactions
- _____ Banking and other Financial Institution Transactions
- _____ Business Operating Transactions
- _____ Insurance and Annuity Transactions
- _____ Estate, Trust, and other Beneficiary Transactions
- _____ Claims and Litigation
- _____ Personal and Family Maintenance
- _____ Benefits from Social Security, Medicare, Medicaid, or other governmental programs, or military service
- _____ Tax matters, including, but not limited to, the preparation and filing of documents, or the receipt of notices and correspondence
Additional powers or limitations (if any): ___________________________________________________________
______________________________________________________________________________________________________
This Power of Attorney will continue to be effective in the event that I become disabled, incapacitated, or incompetent.
Signatures:
Principal's Signature: _____________________________ Date: ________________
Agent's Signature: ________________________________ Date: ________________
Alternate Agent's Signature (If any): _______________ Date: ________________
State of New Mexico, County of ____________________________
This document was acknowledged before me on __________________ (date) by _________________________________ (name of principal).
__________________________________
Notary Public
My Commission Expires: _____________