Limited Power of Attorney - Maryland

LIMITED POWER OF ATTORNEY

MARYLAND SINGLE-TRANSACTION FORM

Before you use this: Identify the transaction, every permitted act and document, property, amount limit, and end date before signing. Sign physically with two adult witnesses present with you and each other, and acknowledge your signature before a notary. This custom transaction form differs from the statutory limited form in § 17-203; the statutory-form acceptance protection in § 17-104 applies to statutory forms.

1. Principal and agent

I, [PRINCIPAL FULL LEGAL NAME], of [ADDRESS], appoint [AGENT FULL LEGAL NAME], of [ADDRESS], as my agent solely for the transaction and acts stated below.

2. Limited grant

Single transaction or purpose: [DESCRIBE PRECISELY AND IDENTIFY COUNTERPARTY]

Acts my agent may perform and documents the agent may sign: [ENUMERATE EACH ACT AND DOCUMENT]

Property or account: [IDENTIFY; FOR LAND, ATTACH LEGAL DESCRIPTION / NONE]

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

Other conditions: [DETAIL / NONE]

My agent may obtain records and communicate with the named counterparty only as needed to carry out the listed acts. An unfilled act or property description grants no authority. No general authority over my other property or affairs is granted.

3. Powers withheld

My agent may not make gifts; create, change, or revoke a trust, survivorship right, or beneficiary designation; delegate this authority; waive a joint-and-survivor annuity right; exercise my fiduciary powers; disclaim property; access the content of my electronic communications; transfer property to the agent or for the agent's benefit; make health-care decisions; or execute a will or codicil. None of these exceptional or broad powers is granted.

4. Effect, durability, and end

This power takes effect when fully executed. 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 ends sooner upon my death, revocation, or another applicable statutory event. I expressly revoke this earlier instrument, if any: [IDENTIFY / NONE].

5. Agent's duties

My agent must act within this limited grant, in my best interest and with care, competence, and diligence, and must keep records of receipts, disbursements, and transactions. This instrument does not waive mandatory duties under Md. Code, Est. & Trusts § 17-113(a).

6. Principal's signature

I sign this limited power of attorney voluntarily on [DATE], in the physical presence of the two adult witnesses below.

Principal's signature: ____________________________________

Printed name: [PRINCIPAL FULL LEGAL NAME]

7. Two adult witnesses

We are adults. We each attest that the principal signed in our physical presence, and we sign in the physical presence of the principal and each other.

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 Maryland, 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.

Notary public's signature: ____________________________________

Printed name: [NAME]

Official seal: [SEAL]

Commission expires: [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 signs a deed, arrange for execution and recording under Md. Code, Real Property § 3-101(a). A POA affecting property may also be recorded under § 3-102(a); coordinate that decision with the title company and land-records office.

Sources and References

• Maryland General Assembly, Estates and Trusts §§ 17-101 through 17-203 and Real Property §§ 3-101–3-102.