Power of Attorney Form for Minnesota

STATUTORY SHORT FORM POWER OF ATTORNEY

MINNESOTA STATUTES, SECTION 523.23

DOCUMENT CONTROL

• Effective Date: [Date]
• Document Version: 2026.1
• Jurisdiction/Scope: State of Minnesota (Minnesota Statutes Chapter 523)

---

IMPORTANT NOTICE AND WARNING

READ CAREFULLY: The powers granted by this document are broad and sweeping. They are defined in Minnesota Statutes, Chapter 523. If you have any questions about these powers, obtain competent legal advice. This power of attorney does not impose a duty on your attorney-in-fact to exercise granted powers, but when powers are exercised, your attorney-in-fact must use due care to act for your benefit and in accordance with this document.

This power of attorney revokes any previous power of attorney granted by the Principal regarding the matters explicitly covered in this document, unless otherwise stated in Special Instructions. This power of attorney is not terminated by the subsequent disability or incapacity of the principal, unless otherwise stated in the Special Instructions.

---

PARTIES AND DEFINITIONS

1. Principal (Person granting the power)

• Full Legal Name: [Principal Full Legal Name]
• Residential Address: [Principal Street Address, City, State, Zip Code]
• Telephone Number: [Principal Phone Number]

2. Attorney-in-Fact (Agent empowered to act)

• Full Legal Name: [Attorney-in-Fact Full Legal Name]
• Residential Address: [Attorney-in-Fact Street Address, City, State, Zip Code]
• Telephone Number: [Attorney-in-Fact Phone Number]

3. Successor Attorney-in-Fact (Alternate Agent, if primary is unable/unwilling to act)

• Full Legal Name: [Successor Attorney-in-Fact Full Legal Name]
• Residential Address: [Successor Street Address, City, State, Zip Code]
• Telephone Number: [Successor Phone Number]

---

OPERATIVE CLAUSES & TERMS

SECTION 1: GRANT OF POWERS

Pursuant to Minnesota Statutes Section 523.23, the Principal hereby appoints the Attorney-in-Fact as an attorney-in-fact to act for the Principal in any capacity which the Principal could zelf act, with respect to the following categories indicated below.

(Note: The Principal must initial in the "YES" box for each power granted, or in the "NO" box for each power withheld).

SECTION 2: LIMITATIONS AND SPECIAL INSTRUCTIONS

The following additional limitations, conditions, or special instructions apply to the Attorney-in-Fact's powers. Any instructions running counter to Minnesota statutory defaults must be explicitly stated here: [Insert Special Instructions, or write "NONE"]

SECTION 3: NOMINATION OF CONSERVATOR OR GUARDIAN

If it becomes necessary for a court to appoint a conservator or guardian of the Principal’s estate or person, the Principal hereby nominates the following individual:

• Nominee Name: [Nominee Full Legal Name]
• Relationship: [Relationship to Principal]

SECTION 4: RELIANCE AND THIRD-PARTY PROTECTION

Third parties ([e.g., Banks, Financial Institutions, Title Companies]) may safely rely upon the validity of this power of attorney and upon the authority of the Attorney-in-Fact to act, unless and until such third parties receive actual written notice of revocation, termination, or suspension of this document.

---

EXECUTION & SIGNATURES BLOCK

PRINCIPAL SIGNATURE AND ACKNOWLEDGMENT

State of Minnesota, County of [County Name], ss.

The foregoing instrument was acknowledged before me this [Day] day of [Month], [Year], by [Principal Full Legal Name], the Principal.

---

Principal Signature Date: [Date]

---

Notary Public Signature My Commission Expires: [Expiration Date] (Stamp/Seal)

---

ATTORNEY-IN-FACT ACKNOWLEDGMENT (FIDUCIARY ACCEPTANCE)

(Note: Pursuant to Minn. Stat. § 523.23, the Attorney-in-Fact must sign below to manifest acceptance of the appointment prior to exercising powers).

I, [Attorney-in-Fact Full Legal Name], have read the attached power of attorney and am the person identified as the Attorney-in-Fact. I hereby acknowledge that I accept my appointment as Attorney-in-Fact and agree to act in accordance with the terms of this document and the fiduciary standards required under Minnesota law.

---

Attorney-in-Fact Signature Date: [Date]

State of Minnesota, County of [County Name], ss.

The foregoing instrument was acknowledged before me this [Day] day of [Month], [Year], by [Attorney-in-Fact Full Legal Name], the Attorney-in-Fact.

---

Notary Public Signature My Commission Expires: [Expiration Date] (Stamp/Seal)

---

STEP-BY-STEP EXECUTION & OPERATIONAL GUIDE

1. Review and Verification: Ensure all fields matching bracketed parameters ([...]) are accurately filled, and initial the specific statutory categories under Section 1 that apply to your operational scope.
2. Notarization Requirement: Under Minnesota law, this power of attorney must be signed by the Principal in the presence of a Notary Public. Self-execution without a licensed notary invalidates the document for recording and third-party enforcement.
3. Fiduciary Acceptance: The designated Attorney-in-Fact must execute the Acknowledgment block and have their signature notarized. Exercise of powers prior to formal acceptance may be challenged by financial institutions.
4. Recording (Real Estate Transactions): If this power of attorney will be used to execute real estate transactions (sales, purchases, mortgages), it must be recorded in the Office of the County Recorder or Registrar of Titles in the Minnesota county where the real estate is situated prior to or concurrently with the real estate transaction document.
5. Distribution of Certified Copies: Provide certified copies of this fully executed document to institutions requiring ongoing compliance (e.g., banks, brokerage firms, healthcare administrators, pension managers). Retain the original in a secure, fireproof location.
6. Revocation Process: To revoke this instrument, the Principal must execute a written Notice of Revocation, record it in the same counties where this power was recorded (if applicable), and serve actual written notice upon the Attorney-in-Fact and relevant third-party institutions.