Limited Power of Attorney - Kansas

LIMITED POWER OF ATTORNEY — KANSAS

Before you use this: Complete the transaction, permitted acts, property, amount limit, and end time before signing. This form does not authorize a sale, mortgage, gift, or other alienation of the principal's homestead. For any other land transaction, attach its legal description and coordinate any recording with the register of deeds.

1. Principal and attorney in fact

I, [PRINCIPAL FULL LEGAL NAME], of [ADDRESS], appoint [ATTORNEY IN FACT FULL LEGAL NAME], of [ADDRESS], as my attorney in fact solely for the transaction described below.

2. Limited grant

Specific transaction and counterparty: [DESCRIBE]

Acts the attorney in fact may perform and documents the attorney in fact may sign: [LIST EACH ACT AND DOCUMENT]

Property, account, or asset involved: [IDENTIFY; FOR LAND, ATTACH LEGAL DESCRIPTION; NO HOMESTEAD ALIENATION]

Maximum payment, receipt, or commitment: $[AMOUNT / NONE]

Additional conditions: [DESCRIBE / NONE]

My attorney in fact may communicate with the named counterparty and obtain records only as reasonably needed to perform the listed acts. A blank act or property description grants no authority. This instrument grants no general authority over my other property or affairs.

3. Powers withheld

My attorney in fact may not create, amend, or revoke a trust; fund a trust not created by me; make or revoke a gift; disclaim property; create or change survivorship interests or beneficiary designations; alienate my homestead; nominate a guardian or conservator; appoint a substitute or successor attorney in fact; delegate this authority; exercise authority over the content of my electronic communications; make health-care decisions; or make, amend, or revoke my will. None of the actions in K.S.A. 58-654(f) is granted.

4. Durability and end

This is a durable power of attorney and the authority of my attorney in fact shall not terminate if I become disabled or in the event of later uncertainty as to whether I am dead or alive.

This power takes effect when I execute it. My attorney in fact's authority ends when the stated transaction is complete and, in all events, no later than [DATE AND TIME, INCLUDING TIME ZONE]. It may end sooner under K.S.A. 58-657 or my later valid modification or revocation. This power does not revoke another power unless I identify it here: [PRIOR INSTRUMENT TO REVOKE / NONE].

5. Attorney in fact's duties

If my attorney in fact acts, that person must act in my interest, avoid self-dealing and impairing conflicts, follow my instructions, and keep records of receipts, disbursements, and transactions. My funds and assets must be kept separate from the attorney in fact's own funds and assets.

6. Principal's signature

I sign and date this limited power of attorney voluntarily on [__/__/____] at [CITY, STATE].

Principal's signature: ____________________________________

Printed name: [PRINCIPAL FULL LEGAL NAME]

7. Notarial acknowledgment

State of Kansas, County of [COUNTY].

On [__/__/____], [PRINCIPAL FULL LEGAL NAME] personally appeared before me, was identified to my satisfaction, and acknowledged signing this instrument voluntarily.

Notarial officer's signature: ____________________________________

Printed name and title: [NAME AND TITLE]

Commission expiration, if applicable: [DATE] Official stamp: [STAMP]

8. Attorney in fact's receipt (optional)

I acknowledge receipt of this instrument and agree to act only within its stated limits.

Attorney in fact's signature: ____________________________________ Date: [__/__/____]

9. Land-recording instruction

K.S.A. 58-652(c) does not make recording this power a condition of its validity. If this power is recorded for a non-homestead land transaction, coordinate the deed or other instrument with the county register of deeds. A later revocation of a recorded power must also be recorded in the same manner to be effective. Check the register's submission requirements before recording.