Limited Power of Attorney - Connecticut
LIMITED POWER OF ATTORNEY
CONNECTICUT TRANSACTION-SPECIFIC DURABLE FORM
Before you use this: Complete the transaction, permitted acts, property, amount limit, and end date before signing. The principal must date and sign this form with two witnesses; an acknowledgment is included for use with a deed. For a land conveyance signed by the agent, arrange to record the POA with the deed unless it is already recorded in the town's land records and the deed refers to it.
1. Principal and agent
I, [PRINCIPAL FULL LEGAL NAME], of [PRINCIPAL ADDRESS], appoint [AGENT FULL LEGAL NAME], of [AGENT ADDRESS], as my agent only for the transaction and acts stated below.
2. Limited grant
Single transaction or purpose: [DESCRIBE THE TRANSACTION AND IDENTIFY THE COUNTERPARTY]
Acts my agent may perform and documents the agent may sign: [LIST EACH ACT AND DOCUMENT]
Property or account involved: [IDENTIFY PRECISELY; FOR LAND, ATTACH THE LEGAL DESCRIPTION / NONE]
Maximum payment, receipt, or commitment: $[AMOUNT / NONE]
Other conditions: [STATE CONDITIONS / NONE]
My agent may communicate with the identified counterparty, obtain records necessary for this transaction, and sign only the listed documents. These incidental acts do not enlarge the limited grant. An unfilled act or property description grants no authority. No general authority over other property or transactions is granted.
3. Powers withheld
My agent may not create, amend, revoke, or terminate a trust; make gifts; create or change survivorship rights or beneficiary designations; waive a joint-and-survivor annuity right; exercise my fiduciary powers; disclaim property or a power of appointment; exercise broad powers over my digital devices, accounts, assets, or communications; or exercise my intellectual-property owner powers. None of the exceptional powers in Conn. Gen. Stat. § 1-351(a) is granted. My agent also may not delegate this authority, transfer my property to the agent or for the agent's benefit, make health-care decisions, or execute a will or codicil.
4. Effect, durability, and end
This power of attorney is effective when I execute it. It is durable and is not terminated by my later incapacity.
My agent's authority ends when the stated purpose is accomplished and, in any event, no later than [DATE AND TIME, INCLUDING TIME ZONE]. It may end earlier upon my death, revocation, or another event under Conn. Gen. Stat. § 1-350i. I expressly revoke this earlier power of attorney, if any: [IDENTIFY SPECIFIC PRIOR INSTRUMENT / NONE].
5. Agent's duties
My agent must act within this limited grant, in good faith, in accord with my reasonable expectations or otherwise in my best interest, and must keep records of receipts, disbursements, and transactions. This instrument does not waive mandatory duties under Conn. Gen. Stat. § 1-350m(a).
6. Principal's dated signature
I sign this limited power of attorney voluntarily on [DATE].
Principal's signature: ____________________________________
Printed name: [PRINCIPAL FULL LEGAL NAME]
7. Two witnesses
We witnessed the principal sign or direct the signing of this power of attorney.
Witness 1 signature: ____________________________________ Date: [DATE]
Witness 1 printed name and address: [NAME AND ADDRESS]
Witness 2 signature: ____________________________________ Date: [DATE]
Witness 2 printed name and address: [NAME AND ADDRESS]
8. Principal's acknowledgment
State of Connecticut, County of [COUNTY].
On [DATE], [PRINCIPAL FULL LEGAL NAME] personally appeared before me, proved identity to my satisfaction, and acknowledged signing this instrument voluntarily for its stated purposes.
Signature of notary or other authorized officer: ______________________________
Printed name and title: [NAME AND TITLE]
Official seal, if applicable: [SEAL]
Commission expires, if applicable: [DATE]
9. Agent's receipt (optional)
I acknowledge receipt of this instrument and agree to act only within its limits.
Agent's signature: ____________________________________ Date: [DATE]
10. Land-recording instruction
If the agent executes a land conveyance, deliver this instrument and the deed for recording in the town where the land lies. If this POA has already been recorded there, put its recording reference in the deed. Conn. Gen. Stat. § 47-10(a) requires one of those routes.
About this template
- Last updated
- October 4, 2026
- Citations checked
- October 4, 2026
- Jurisdiction
- Connecticut
- Category
- Estate Planning & Wills
Legal authority
- Conn. Gen. Stat. § 1-350b(2) (health-care exclusion)
- Conn. Gen. Stat. § 1-350c (durability)
- Conn. Gen. Stat. § 1-350d (dated signature, two witnesses, acknowledgment)
- Conn. Gen. Stat. § 1-350h(a) (effective time)
- Conn. Gen. Stat. § 1-350i(a) (termination)
- Conn. Gen. Stat. § 1-350m(a), (b)(4) (agent duties)
- Conn. Gen. Stat. § 1-351(a) (powers requiring express grant)
- Conn. Gen. Stat. § 1-352(a)(1) (other POA forms permitted)
- Conn. Gen. Stat. § 47-10(a) (land conveyance and POA recording)
Estate planning documents decide what happens to your property, your children, and your medical care when you cannot make those decisions yourself. Wills, trusts, powers of attorney, and health care directives each serve different purposes and each have to meet state law requirements for signing, witnessing, and notarization. A document that looks fine on the page but was not executed correctly can be rejected in probate, which is exactly when it is too late to fix.
Not legal advice
This template is provided for informational purposes. We recommend having an attorney review any legal document before signing, especially for high-value or complex matters.
Checked against the law it cites
A reviewer verified this template's legal citations against the official source on October 4, 2026.
Conn. Gen. Stat. § 1-350b(2) (checked October 4, 2026): "A power to make health care decisions;"
Conn. Gen. Stat. § 1-350c (checked October 4, 2026): "A power of attorney created under sections 1-350 to 1-353b , inclusive, is durable unless it expressly provides that it is terminated by the incapacity of the principal."
Conn. Gen. Stat. § 1-350d (checked October 4, 2026): "A power of attorney must be dated and signed by the principal or in the principal's conscious physical presence by another individual directed by the principal to sign the principal's name on the power of attorney and witnessed by two witnesses."
Conn. Gen. Stat. § 1-350d (checked October 4, 2026): "A signature on a power of attorney is presumed to be genuine if the principal acknowledges the signature before a notary public, a commissioner of the Superior Court or other individual authorized by law to take acknowledgments."
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