Limited Power of Attorney - Minnesota

LIMITED POWER OF ATTORNEY — MINNESOTA

Before you use this: Identify the single transaction, authorized acts, property, amount limit, and end date before signing. This is a custom power, not Minnesota's statutory short form. For a real-property transaction, attach the legal description and coordinate the power, any affidavit of nontermination, and any recording with the county recorder or registrar of titles.

1. Principal and attorney-in-fact

I, [PRINCIPAL FULL LEGAL NAME], a competent adult of [ADDRESS], appoint [ATTORNEY-IN-FACT FULL LEGAL NAME], of [ADDRESS], as my attorney-in-fact only for the transaction stated below.

2. Limited grant

Specific transaction and counterparty: [DESCRIBE]

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

Property, account, or asset involved: [IDENTIFY; ATTACH LEGAL DESCRIPTION FOR REAL PROPERTY]

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

Additional conditions: [DESCRIBE / NONE]

My attorney-in-fact may communicate with the stated counterparty and obtain records only as reasonably needed to perform the listed acts. An incomplete act or property description grants no authority. No general authority over my other affairs is granted.

3. Powers withheld

My attorney-in-fact may not make a gift; transfer property to the attorney-in-fact; create, amend, or revoke a trust; change a beneficiary designation or survivorship right; delegate this authority; make health-care decisions; or make, amend, or revoke a will. This instrument gives no authority outside the precise transaction and acts in Section 2.

4. Durability and end

This power of attorney shall not be affected by incapacity or incompetence of the principal.

This power takes effect when I sign it. It ends when the stated transaction is complete and, in any event, on [EXPIRATION DATE]. It ends sooner at my death or upon a valid written revocation. If the attorney-in-fact is my spouse, it also terminates upon commencement of a proceeding for dissolution, separation, or annulment of our marriage under Minn. Stat. § 523.08.

A revocation must be in a signed writing. I will give the attorney-in-fact and any relying party the written revocation. For a real-property transaction, a written revocation with the legal description may also be recorded or filed in the county office identified by Minn. Stat. § 523.11. This power does not revoke an earlier power unless I identify it here: [EARLIER POWER TO REVOKE / NONE].

5. Attorney-in-fact's undertaking

If my attorney-in-fact acts, that person must keep complete records of transactions for me, act as an ordinarily prudent person managing that person's own affairs would act, and keep my interests utmost in mind. The attorney-in-fact will follow the limits and instructions in this document.

6. Principal's signature

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

Principal's signature: ____________________________________

Printed name: [PRINCIPAL FULL LEGAL NAME]

7. Individual notarial acknowledgment

State of Minnesota, County of [COUNTY].

This instrument was acknowledged before me on [__/__/____] by [PRINCIPAL FULL LEGAL NAME].

Signature of notarial officer: ____________________________________

Title of office: [TITLE] My commission expires: [DATE, IF APPLICABLE]

Official stamp: [STAMP]

8. Attorney-in-fact's receipt (optional)

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

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

Sources and References

• Minnesota Revisor of Statutes, Chapter 523, Powers of Attorney.
• Minnesota Revisor of Statutes, §§ 358.65–.66, Notarial Certificates.