From Individual to Attorney or Government Agency
Requesting costs for legal services
From individual to attorney or Legal Office
I am in need of the following legal documents for my wife and myself:
• A simple will, conveying interest in our home and financial investments to our children and their successors in the event of our deaths;
• A health care proxy, giving permission to our children to make necessary medical decisions in the event both of us are incapacitated or otherwise unable to make decisions; and
• A Durable Power of Attorney giving permission to our children to make necessary financial and legal decisions in the event both of us are incapacitated or otherwise unable to make decisions.
Could you please tell me the cost for preparation and court filing (where necessary) for these forms?
Thank you for your assistance.
Notification of loss of state-issued identification card
From individual to government agency
Regarding personal identification card PID-23048-2323
I am writing to notify you that my state-issued identification card, along with other personal identification, was stolen while on a trip in Rome, Italy.
I have filed a police report with Italian authorities, but would like to put on record with the state the fact that my PID card was taken and block any attempt at misuse of the card by any unauthorized person.
I am currently still in Europe, but upon my return I will be applying for a new PID with a changed identification number.
Submission of power-of-attorney forms to government agency
From individual to government agency
(NOTE: Consult with your attorney or legal advisor for advice on drawing up and filing power-of-attorney and other basic legal forms. Be aware that if you grant such powers to another you may be giving up some or all control over important financial and other matters.)
Regarding: Ben Adams
Account: 225 Rolling Stone Drive, Holliston, NY
Enclosed please find certified copies of a Durable Power of Attorney granted by Ben Adams to me, granting me authority to act on his behalf in all personal business and real estate matters.
Although Mr. Adams retains ownership of the above-listed home in Holliston, please send all tax notices, sewer and water bills, and other correspondence to my attention at the address listed below. I will be paying all bills and managing Mr. Adams affairs on his behalf.
Please contact me if you have any questions about this matter.
From Individual to Organization or Third Party
Authorizing guardian to approve medical care for minor
From individual to school or other third party
I am the parent (or legal guardian) of the following minor child:
Child’s name:
Permanent address:
Date of birth:
I hereby give full authorization and consent for the following person to act as temporary guardian for my child, and to make necessary decisions on behalf of my child for medical or dental care as recommended by a qualified doctor, medical practitioner, or dentist:
Temporary guardian’s name:
Date of birth:
Social Security number:
Address:
The temporary guardian is authorized to sign any insurance forms or medical release forms necessary for services provided. Further, I grant permission to the temporary guardian to pay necessary medical, dental, or living expenses related to the care of my child.
This temporary authorization shall be in effect from (DATE) to (DATE) only.
Parent or legal guardian’s name:
Signature:
Date of Birth:
Social Security number:
Today’s date:
Authorizing guardian to approve academic decisions for minor
From individual to third party
I am the parent (or legal guardian) of the following minor child:
Child’s name:
Permanent address:
Date of birth:
I hereby give full authorization and consent for the following person to act as temporary guardian for my child, and to make necessary decisions on behalf of my child for academic and recreational activities as required by authorized school, camp, or recreational group officials.
Temporary guardian’s name:
Address:
Date of birth:
Social Security number:
The temporary guardian is authorized to sign any necessary permission or legal release forms. Further, I grant permission to the temporary guardian to pay necessary fees or expenses related to the care of my child.
This temporary authorization shall be in effect from (DATE) to (DATE) only.
Parent or legal guardian’s name:
Signature:
Date of Birth:
Social Security number:
Today’s date:
Authorizing third party as power of attorney for specific business purposes
From individual to third party
(NOTE: Consult an attorney before using this form for any complex or high-value business purpose.)
Name of Grantor of Permission:)_____________
Address of Grantor of Permission:_____________
Date of Birth:_____________
Social Security Number:_____________
I hereby appoint (NAME OF THIRD PARTY) as my Attorney-in-Fact to act in my place for the specific purposes stated below.
Name of Attorney-in-Fact:_____________
Address of Attorney-in-Fact:_____________
Date of Birth:_____________
Social Security Number:_____________
Permitted Activities for Attorney-in-Fact:_____________
This limited power of attorney takes effect on the following date (STARTING DATE) and continues in effect until (ENDING DATE); it may also be terminated in writing by me at any time for any purpose.
The Attorney-in-Fact may make decisions and enter into contracts related to the above-mentioned permitted activities, and I declare that I will ratify all lawful acts performed in exercising these powers.
Any person, business, agency, or organization who receives or is given a copy of this limited power of attorney may act under it for the limited purposes listed above. I agree to indemnify any third party for any claims that arise against it because of reliance on this power of attorney for the performance of any lawful service or delivery of any lawful product within the scope of the purposes listed above.
If this power of attorney is revoked, such revocation will only be effective upon a third party after they have received notification of such withdrawal of permission.
Signed:
This_____________day of _____________, 20xx
State of:_____________ County of:_____________
Signature of Grantor (principal):
Printed Name of Grantor:
Signature of Attorney-in-Fact:
Printed Name of Attorney-in-Fact:
Witnessed by:
Notarized by:
Submission of power-of-attorney forms to financial institution
From individual to bank or financial institution
(NOTE: Consult with your attorney or legal advisor for advice on drawing up and filing power-of-attorney and other basic legal forms. Be aware that if you grant such powers to another you may be giving up some or all control over important financial and other matters.)
Regarding: Ben Adams
Account: 6SJ7-34310-21
Enclosed please find certified copies of Durable Power of Attorney forms that give me permission to make the specified decisions regarding the finances of Ben Adams.
Please notate your files to indicate that I have been granted power of attorney for Mr. Adams and please add my name and address to your records and issue second copies of all bank statements and correspondence to me.
I expect to take over the management of Mr. Adams’ checking and savings accounts to pay bills, make transfers, and perform other banking tasks while he is incapacitated.
Please feel free to contact me if you have any questions about the paperwork I am submitting.