Limited Power of Attorney - North Carolina

LIMITED POWER OF ATTORNEY (NORTH CAROLINA)

Before you use this: Complete the transaction, every permitted act, the property, amount limit, and end date before signing. The principal must sign and acknowledge this power. If the agent will transfer North Carolina real property, register this power or a certified copy before that transfer as directed in Section 9.

1. Principal and agent

I, [PRINCIPAL FULL LEGAL NAME], of [ADDRESS], appoint [AGENT FULL LEGAL NAME], of [ADDRESS], as my agent only for the transaction described below.

2. Exact authority granted

Transaction and counterparty: [DESCRIBE THE SINGLE TRANSACTION AND OTHER PARTY]

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

Property, account, or asset: [IDENTIFY EXACTLY; FOR LAND ATTACH ITS LEGAL DESCRIPTION]

Maximum amount the agent may pay, receive, or commit: $[AMOUNT / NONE]

Additional conditions: [STATE CONDITIONS / NONE]

The agent may obtain information and communicate with the identified counterparty only as needed to perform the listed acts. No general subject-matter authority is incorporated by reference. A blank act or property description grants no authority. The agent may not transfer or encumber land unless that act and parcel are expressly stated above.

3. Powers withheld

The agent may not make gifts; create or change survivorship rights or beneficiary designations; delegate this authority; waive a joint-and-survivor annuity or retirement survivor benefit; exercise delegable fiduciary powers; renounce or disclaim property; access the content of my electronic communications; exercise my powers as settlor of a revocable trust; or consent on my behalf to modification or termination of an irrevocable trust. None of the powers listed in N.C. Gen. Stat. § 32C-2-201(a) is granted. This power also does not authorize health-care decisions, a will, or use of my property for the agent's personal benefit.

4. Effective date, durability, and end

This power is effective when I sign and acknowledge it. It is durable; my later incapacity does not terminate it. It terminates when the stated transaction is completed or, if earlier, at [TIME] on [EXPIRATION DATE]. It may terminate sooner under N.C. Gen. Stat. § 32C-1-110, including on my death or revocation. The agent must stop acting upon learning that authority has ended.

This instrument does not revoke an earlier power of attorney unless I identify it here for revocation: [EARLIER POWER TO REVOKE / NONE].

5. Agent's duties

If the agent acts, the agent must follow my known reasonable expectations or otherwise act in my best interest, act in good faith, and stay within the authority granted. The agent must keep records of receipts, disbursements, and transactions under this power and comply with the other duties of N.C. Gen. Stat. § 32C-1-114.

6. Principal's signature

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

Principal's signature: ____________________________________

Printed name: [PRINCIPAL FULL LEGAL NAME]

7. Acknowledgment

State of [STATE], County of [COUNTY]. This document was acknowledged before me on [__/__/____] by [PRINCIPAL FULL LEGAL NAME].

Notary public or other authorized officer: ______________________________

Printed name: [NAME] Official seal: [SEAL]

Commission expires: [__/__/____]

8. Agent's receipt (optional)

I acknowledge receipt and will act only within this power's limits.

Agent's signature: ____________________________________ Date: [__/__/____]

9. Real-property registration and revocation

Before the agent transfers North Carolina real property, register this power or a certified copy with the register of deeds in the county of the principal's domicile or where the land lies under N.C. Gen. Stat. § 47-28(a). If the land lies in more than one county or a county different from the principal's domicile, the transfer instrument must refer to the power's recording by book, page, and county. A registered power has a specific revocation route: while I am not incapacitated, I must register an acknowledged revocation in the same office, with proof of service on the agent, under § 32C-1-110(g)(1).

Sources and References

• North Carolina General Assembly, Uniform Power of Attorney Act, Chapter 32C.
• North Carolina General Assembly, N.C. Gen. Stat. § 47-28.