Kansas Durable Financial Power of Attorney Form

The Kansas durable financial power of attorney form is a document that a Principal uses to authorize a delegated Agent to oversee the management of the Principal’s real property. personal property, health care and financials. Because this is a broad and sweeping document, essentially leaving the entire contents of the Principal’s life in the hands of an Agent, the Principal should read all of the document to gain a better sense of what they are signing. If the information is unclear, it would be recommended that the Principal consult with an attorney to clarify the contents of the document.

This document become effective immediately and will not be terminated, even upon the illness or death of the Principal, however, this document may be revoked at any time if notice is drawn and delivered to the Agent(s)

Step 1 – Principal’s Information – Download the document. At the top of the page, under the title of the page, enter:

  • Name of the Principal
  • Principal’s Complete Physical Address
  • City, State, Zip Code

Step 2 – Primary Attorney In Fact/Agent – Enter the following

  • Name of the Primary Agent
  • Complete Address
  • City, State, Zip Code

Step 3 – Alternate Agent/Attorney In Fact – Provide the following:

  • Alternate Agent’s Name
  • Physical Address
  • City, State, Zip Code

Step 4 – Titled Sections – The Principal and Agent(s) must review all of the titled sections, prior to signing, as follows:

  • General Grant of Authority
  • Collect Funds
  • Deposit and Withdraw Funds
  • Safe Deposit Box
  • Property
  • Homestead
  • Transact Business
  • Prosecute, Defend, and Settle Claims
  • Power of Attorney Document
  • Gifts
  • Tax
  • Public Assistance
  • Insurance
  • Nomination of Guardian and/or Conservator
  • Medical Care
  • HIPAA Release
  • All Other Acts
  • Accounting Waived
  • Disability or Incapacity Defined
  • Revocation
  • Attorney-Client Privilege
  • Execution and Construction

Step 5 – Signature(s) – This document must only be signed before a Notary Public:

  • Enter the Principal’s Signature
  • Date of the signature in mm/dd/yyyy format

After the Notary has had the opportunity to witness the Principal’s signature, the notary shall enter all of their state required information, in acknowledgement