# Incapacity Legal Agreement
**This Incapacity Legal Agreement ("Agreement") is made effective as of [Date], by and between the following parties:**
**1. Principal:**
Name: [Principal's Full Name]
Address: [Principal's Address]
City, State, Zip: [City, State, Zip]
Email: [Principal's Email]
Phone: [Principal's Phone Number]
**2. Attorney-in-Fact:**
Name: [Attorney-in-Fact's Full Name]
Address: [Attorney-in-Fact's Address]
City, State, Zip: [City, State, Zip]
Email: [Attorney-in-Fact's Email]
Phone: [Attorney-in-Fact's Phone Number]
## Recitals
WHEREAS, the Principal is of sound mind and is providing this Agreement as a directive for the future in the event of incapacity;
WHEREAS, the Attorney-in-Fact is willing to accept this responsibility and is competent to act on behalf of the Principal;
NOW, THEREFORE, in consideration of the mutual promises and covenants contained herein, the parties agree as follows:
## 1. Appointment of Attorney-in-Fact
The Principal hereby designates and appoints the Attorney-in-Fact to act on behalf of the Principal during periods of incapacity, as defined below.
## 2. Definition of Incapacity
"Incapacity" shall mean the Principal's inability to make decisions regarding their personal and financial affairs, as determined by a qualified physician.
## 3. Powers Granted
The Attorney-in-Fact shall have the following powers during the period of Incapacity:
- To make health care decisions on behalf of the Principal.
- To manage the Principal's financial accounts, including but not limited to the ability to pay bills, manage investments, and handle all financial transactions.
- To make decisions regarding the Principal's living arrangements.
- To access the Principal's medical records and make medical decisions in line with the Principal's best interests.
## 4. Limitations of Authority
The authority granted to the Attorney-in-Fact shall not exceed the powers explicitly stated above and shall not include any decisions that may affect the Principal's estate planning or distribution of assets upon death without prior written consent from the Principal.
## 5. Acceptance of Authority
The Attorney-in-Fact, by executing this Agreement, accepts the responsibilities and obligations of this designation and agrees to act in the best interest of the Principal.
## 6. Revocation
This Agreement can be revoked by the Principal at any time for any reason prior to the occurrence of Incapacity. Written notification must be provided to the Attorney-in-Fact.
## 7. Governing Law
This Agreement shall be governed by and construed in accordance with the laws of the State of [State].
## 8. Miscellaneous
- If any provision of this Agreement is found to be invalid or unenforceable, the remaining provisions will continue to be valid and enforceable.
- This Agreement may be executed in counterparts, each of which shall be deemed an original and all of which shall constitute one and the same document.
## IN WITNESS WHEREOF, the parties hereto have executed this Incapacity Legal Agreement as of the day and year first above written.
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**Principal's Signature**
[Principal's Printed Name]
Date: [Date]
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**Attorney-in-Fact's Signature**
[Attorney-in-Fact's Printed Name]
Date: [Date]
Witnesses:
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**Witness 1 Signature**
[Printed Name of Witness 1]
Date: [Date]
___
**Witness 2 Signature**
[Printed Name of Witness 2]
Date: [Date]
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Please consult with a legal professional before using or signing any legal document to ensure it meets the specific needs and requirements of the parties involved.