Nebraska Power of Attorney Form Create a Nebraska Power of Attorney Form

Nebraska Power of Attorney Form

Published Dec 16, 2025
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A Nebraska Power of Attorney Form is a legal instrument authorizing an agent to manage financial or medical affairs for a principal under state statutes.

Poa Type

Select the type of authority you wish to grant. 'General' grants broad powers; 'Limited/Special' restricts authority to specific acts; 'Durable' remains in effect if the Principal becomes incapacitated; 'Springing' only becomes effective upon a specified event.

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NEBRASKA POWER OF ATTORNEY FORM

NOTICE TO THE PRINCIPAL:

THIS IS AN IMPORTANT LEGAL DOCUMENT. IT CREATES A DURABLE POWER OF ATTORNEY. BEFORE EXECUTING THIS DOCUMENT, YOU SHOULD KNOW THESE IMPORTANT FACTS:

1. THIS DOCUMENT GIVES THE PERSON YOU DESIGNATE AS YOUR AGENT (THE ATTORNEY-IN-FACT) THE POWER TO MAKE DECISIONS CONCERNING YOUR PROPERTY FOR YOU. YOUR AGENT WILL BE ABLE TO MAKE DECISIONS AND ACT WITH RESPECT TO YOUR PROPERTY (INCLUDING YOUR MONEY) WHETHER OR NOT YOU ARE ABLE TO ACT FOR YOURSELF.

2. THIS POWER OF ATTORNEY DOES NOT AUTHORIZE THE AGENT TO MAKE HEALTH CARE DECISIONS FOR YOU.

3. YOU SHOULD SELECT SOMEONE YOU TRUST TO SERVE AS YOUR AGENT.

4. THIS POWER OF ATTORNEY BECOMES EFFECTIVE IMMEDIATELY UNLESS YOU STATE OTHERWISE IN THE SPECIAL INSTRUCTIONS.

I. DESIGNATION OF AGENT

I, the undersigned Principal, hereby appoint the following person as my Agent (attorney-in-fact) to act for me in any lawful way with respect to the subjects indicated below:

Name of Principal:
Address of Principal:

Name of Agent:
Address of Agent:
Telephone of Agent:

II. DESIGNATION OF SUCCESSOR AGENT

If my Agent resigns, dies, becomes incapacitated, is not qualified to serve, or declines to serve, I name the following person as my Successor Agent:

III. GRANT OF GENERAL AUTHORITY

I grant my Agent and any Successor Agent general authority to act for me with respect to the following subjects as defined in the Nebraska Uniform Power of Attorney Act (Neb. Rev. Stat. §§ 30-4001 to 30-4045):

(Check the boxes of the subjects you wish to grant authority for. To grant all, check the last box.)

IV. GRANT OF SPECIFIC AUTHORITY (OPTIONAL)

My Agent MAY NOT do any of the following specific acts for me UNLESS I have checked the specific box below. These powers are distinct from the general powers listed above and require express authorization under Nebraska law.

V. LIMITATIONS ON AGENT'S AUTHORITY

An Agent that is not my ancestor, spouse, or descendant MAY NOT use my property to benefit the Agent or a person to whom the Agent owes an obligation of support unless I have included that authority in the Special Instructions.

VI. SPECIAL INSTRUCTIONS

The following are special instructions, limitations, or extensions of the powers granted to my Agent:

VII. EFFECTIVE DATE

This Power of Attorney shall become effective: (Check one)

VIII. DURABILITY

This Power of Attorney is intended to be a DURABLE Power of Attorney. It shall not be affected by my subsequent disability, incapacity, or lapse of time.

IX. NOMINATION OF CONSERVATOR OR GUARDIAN

If it becomes necessary for a court to appoint a conservator or guardian of my estate or guardian of my person, I nominate the following person(s) for appointment:

Nominee for Conservator/Guardian:

X. RELIANCE BY THIRD PARTIES

Any person, including my Agent, may rely upon the validity of this Power of Attorney or a copy of it unless that person knows it has terminated or is invalid. Pursuant to Neb. Rev. Stat. § 30-4019, any third party who relies on this Power of Attorney in good faith and without actual knowledge that it is void, invalid, or terminated is protected as if the Power of Attorney were in full force and effect.

XI. SIGNATURE AND ACKNOWLEDGMENT

I am fully informed as to all the contents of this form and understand the full import of this grant of powers to my Agent.

PRINCIPAL

Signature: _________________________

Print Name: _______________

Date:

Address: _______________


What is a Nebraska Power of Attorney Form?

A Nebraska Power of Attorney Form functions as a legal instrument allowing an individual, referred to as the principal, to designate another party, known as the agent or attorney-in-fact, to manage specific affairs on their behalf. This document grants the agent legal authority to execute financial transactions, make healthcare decisions, or handle real estate matters depending on the scope defined within the text. Residents of Nebraska utilize this tool to ensure the continuous management of their assets and personal care during periods of absence, illness, or incapacity. The validity and execution of these documents in Nebraska adhere strictly to state statutes, specifically the Nebraska Uniform Power of Attorney Act for financial matters and separate statutes governing healthcare directives.

Types of Nebraska Power of Attorney Form

  • General Power of Attorney - Grants the agent broad authority to handle financial and business affairs for the principal but typically becomes void if the principal becomes incapacitated or mentally incompetent.
  • Durable Power of Attorney - Includes specific language stating the authority conferred shall be exercisable notwithstanding the principal's subsequent disability, incapacity, or uncertainty as to whether the principal is dead or alive.
  • Limited Power of Attorney - Restricts the agent's authority to specific actions or a defined time period, such as handling a single real estate closing or managing business affairs during a temporary absence.
  • Medical Power of Attorney - Designates an agent to make healthcare decisions on behalf of the principal when the principal is unable to communicate their own wishes regarding medical treatment.
  • Power of Attorney for Minor Child - Allows a parent or guardian to delegate powers regarding the care, custody, or property of a minor child for a period not exceeding six months.
  • Tax Power of Attorney (Form 33) - Authorizes a representative to receive confidential tax information and represent the taxpayer before the Nebraska Department of Revenue.

Nebraska Statutory Requirements and Laws

Nebraska law provides specific frameworks governing the creation, execution, and interpretation of power of attorney documents. These statutes ensure the protection of the principal and define the duties of the agent.

  • Nebraska Uniform Power of Attorney Act - Governs the creation and validity of power of attorney documents for finances and property (Neb. Rev. Stat. § 30-4001 et seq.).
  • Durability Requirements - Mandates that a power of attorney is durable only if it contains specific language indicating the power is not affected by the principal's subsequent disability (Neb. Rev. Stat. § 30-4004).
  • Power of Attorney for Health Care - Establishes the rules for appointing an attorney-in-fact for health care decisions (Neb. Rev. Stat. § 30-3401 et seq.).
  • Delegation of Powers by Parent or Guardian - Permits the temporary delegation of parental or guardianship powers regarding a minor or incapacitated person (Neb. Rev. Stat. § 30-2604).
  • Agent Certification - Allows third parties to request a certification or opinion of counsel regarding the validity of the power of attorney (Neb. Rev. Stat. § 30-4020).

Execution and Signing Requirements

For a Nebraska Power of Attorney Form to be legally binding, specific execution formalities must be observed based on the type of document created.

  • Financial Power of Attorney Notarization - A signature on a power of attorney is presumed to be genuine if the principal acknowledges the signature before a notary public or other individual authorized by law to take acknowledgments (Neb. Rev. Stat. § 30-4005).
  • Medical Power of Attorney Witnesses - A power of attorney for health care requires the signature of the principal and either the acknowledgment of a notary public or the signatures of two eligible witnesses (Neb. Rev. Stat. § 30-3404).
  • Witness Restrictions - For healthcare documents, at least one witness must not be the principal's spouse, parent, child, grandchild, sibling, presumptive heir, or attending physician (Neb. Rev. Stat. § 30-3404).
  • Parental Delegation - The delegation of powers regarding a minor child requires a properly executed written instrument, typically notarized to ensure acceptance by schools and medical facilities (Neb. Rev. Stat. § 30-2604).

Agent Duties and Limitations

Agents appointed under a Nebraska Power of Attorney Form assume a fiduciary role, requiring them to act in the best interest of the principal. The law imposes specific standards of conduct.

  • Fiduciary Standard - The agent must act in good faith, within the scope of authority granted, and according to the principal's reasonable expectations and best interest (Neb. Rev. Stat. § 30-4014).
  • Conflict of Interest - Agents must act loyally for the principal's benefit and attempt to avoid conflicts of interest that impair their ability to act impartially.
  • Record Keeping - The agent is legally required to keep a record of all receipts, disbursements, and transactions made on behalf of the principal.
  • Gift Giving Limitations - Unless the power of attorney expressly grants the authority, an agent generally cannot create, amend, revoke, or terminate an inter vivos trust or make substantial gifts (Neb. Rev. Stat. § 30-4041).

How to Complete a Nebraska Power of Attorney Form

  1. Step 1: Determine the Scope of Authority - The principal must decide whether the agent requires broad general powers or specific limited authority for a particular transaction or time frame.
  2. Step 2: Select a Trustworthy Agent - The principal chooses a competent adult, often a spouse, family member, or close friend, to act as the attorney-in-fact.
  3. Step 3: Draft the Document - The form is prepared using language compliant with Nebraska statutes, specifically indicating durability if the powers are intended to survive incapacity.
  4. Step 4: Execute the Document - The principal signs the document in the presence of a notary public for financial forms, or before the required witnesses/notary for healthcare forms.
  5. Step 5: Distribute Copies - The principal provides copies of the executed form to the agent, financial institutions, healthcare providers, and other relevant third parties.

Revocation of Power of Attorney

A principal retains the right to revoke a Nebraska Power of Attorney Form at any time, provided they possess the mental capacity to do so. Revocation effectively terminates the agent's authority to act.

  • Written Revocation - The most effective method involves executing a formal revocation document and delivering it to the agent and any third parties holding the original POA.
  • Execution of New Power of Attorney - Creating a new power of attorney that expressly revokes all prior inconsistent documents updates the principal's preferences.
  • Effect of Divorce - In Nebraska, the filing of an action for dissolution or annulment of marriage automatically terminates the authority of a spouse appointed as an agent, unless the POA states otherwise (Neb. Rev. Stat. § 30-4010).
  • Death of Principal - The authority of the agent ceases immediately upon the death of the principal, except for specific post-death powers granted by statute such as anatomical gifts.

FAQs

Recording is generally not required for the document to be valid between the principal and agent. Recording with the Register of Deeds becomes necessary only if the agent uses the power of attorney to handle real estate transactions affecting the title of property.
No, the authority granted under a standard power of attorney terminates immediately upon the death of the principal. The executor or personal representative named in the principal's will assumes control of the estate affairs after death.
An immediate power of attorney becomes effective as soon as the principal signs the document. A springing power of attorney only becomes effective upon the occurrence of a specific event, typically the medical incapacity of the principal as determined by a physician.
Yes, a principal may appoint co-agents to act independently or jointly. The document should clearly specify whether the agents must agree on all decisions or if they are permitted to act separately to avoid confusion and potential gridlock.
The document does not have a standard expiration date unless one is specifically written into the terms of the form. The authority continues until the principal revokes it, the principal dies, or a court order terminates the power.

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