{"data":{"id":"us-ok/okla.-stat.-tit.-58-58-3041","jurisdiction":"us-ok","citation":"Okla. Stat. tit. 58, § 58-3041","heading":"Statutory power of attorney form","body":"A document substantially in the following form may be used to\n\ncreate a statutory power of attorney form that has the meaning and\n\neffect prescribed by this act.\n\nOKLAHOMA\n\nSTATUTORY POWER OF ATTORNEY FORM\n\nIMPORTANT INFORMATION\n\nThis power of attorney authorizes another person (your agent) to\n\nmake decisions concerning your property for you (the principal).\n\nYour agent will be able to make decisions and act with respect to\n\nyour property (including your money) whether or not you are able to\n\nact for yourself. The meaning of authority over subjects listed on\n\nthis form is explained in the Uniform Power of Attorney Act, Section\n\n3001 et seq. of Title 58 of the Oklahoma Statutes.\n\nThis power of attorney does not authorize the agent to make health\n\ncare decisions for you.\n\nYou should select someone you trust to serve as your agent. Unless\n\nyou specify otherwise, generally the agent's authority will continue\n\nuntil you die or revoke the power of attorney or the agent resigns\n\nor is unable to act for you.\n\nYour agent is entitled to reasonable compensation unless you state\n\notherwise in the Special Instructions.\n\nThis form provides for designation of one agent. If you wish to\n\nname more than one agent you may name a coagent in the Special\n\nInstructions. Coagents are not required to act together unless you\n\ninclude that requirement in the Special Instructions.\n\nIf your agent is unable or unwilling to act for you, your power of\n\nattorney will end unless you have named a successor agent. You may\n\nalso name a second successor agent.\n\nThis power of attorney becomes effective immediately unless you\n\nstate otherwise in the Special Instructions.\n\nIf you have questions about the power of attorney or the authority\n\nyou are granting to your agent, you should seek legal advice before\n\nsigning this form.\n\nDESIGNATION OF AGENT\n\nI, _______________________________________________,\n\n(Name of Principal)\n\nname the following person as my agent:\n\nName of Agent:______________________________________________________\n\nAgent's Address:____________________________________________________\n\nAgent's Telephone Number:___________________________________________\n\nDESIGNATION OF SUCCESSOR AGENT(S) (OPTIONAL)\n\nIf my agent is unable or unwilling to act for me, I name as my\n\nsuccessor agent:\n\nName of Successor Agent:____________________________________________\n\nSuccessor Agent's Address:__________________________________________\n\nSuccessor Agent's Telephone Number:_________________________________\n\nIf my successor agent is unable or unwilling to act for me, I name\n\nas my second successor agent:\n\nName of Second Successor Agent:_____________________________________\n\nSecond Successor Agent's Address:___________________________________\n\nSecond Successor Agent's Telephone Number:__________________________\n\nGRANT OF GENERAL AUTHORITY\n\nI grant my agent and any successor agent general authority to act\n\nfor me with respect to the following subjects as defined in the\n\nUniform Power of Attorney Act, Section 3001 et seq. of Title 58 of\n\nthe Oklahoma Statutes:\n\n(INITIAL each subject you want to include in the agent's general\n\nauthority. If you wish to grant general authority over all of the\n\nsubjects you may initial \"All Preceding Subjects\" instead of\n\ninitialing each subject.)\n\n(___) Real Property\n\n(___) Tangible Personal Property\n\n(___) Stocks and Bonds\n\n(___) Commodities and Options\n\n(___) Banks and Other Financial Institutions\n\n(___) Operation of Entity or Business\n\n(___) Insurance and Annuities\n\n(___) Estates, Trusts and Other Beneficial Interests\n\n(___) Claims and Litigation\n\n(___) Personal and Family Maintenance\n\n(___) Benefits from Governmental Programs or Civil or Military\n\nService\n\n(___) Retirement Plans\n\n(___) Taxes\n\n(___) All Preceding Subjects\n\nGRANT OF SPECIFIC AUTHORITY (OPTIONAL)\n\nMy agent MAY NOT do any of the following specific acts for me UNLESS\n___) Insurance and Annuities\n\n(___) Estates, Trusts and Other Beneficial Interests\n\n(___) Claims and Litigation\n\n(___) Personal and Family Maintenance\n\n(___) Benefits from Governmental Programs or Civil or Military\n\nService\n\n(___) Retirement Plans\n\n(___) Taxes\n\n(___) All Preceding Subjects\n\nGRANT OF SPECIFIC AUTHORITY (OPTIONAL)\n\nMy agent MAY NOT do any of the following specific acts for me UNLESS\n\nI have INITIALED the specific authority listed below:\n\n(CAUTION: Granting any of the following will give your agent the\n\nauthority to take actions that could significantly reduce your\n\nproperty or change how your property is distributed at your death.\n\nINITIAL ONLY the specific authority you WANT to give your agent.)\n\n(___) Create, amend, revoke or terminate an inter vivos trust\n\n(___) Make a gift, subject to the limitations of the Uniform Power\n\nof Attorney Act, Section 3040 of Title 58 of the Oklahoma\n\nStatutes and any special instructions in this power of\n\nattorney\n\n(___) Create or change rights of survivorship\n\n(___) Create or change a beneficiary designation\n\n(___) Authorize another person to exercise the authority granted\n\nunder this power of attorney\n\n(___) Waive the principal's right to be a beneficiary of a joint and\n\nsurvivor annuity, including a survivor benefit under a\n\nretirement plan\n\n(___) Exercise fiduciary powers that the principal has authority to\n\ndelegate\n\n(___) Access the content of electronic communications\n\n(___) Disclaim or refuse an interest in property, including a power\n\nof appointment\n\nLIMITATION ON AGENT'S AUTHORITY\n\nAn agent that is not my ancestor, spouse or descendant MAY NOT use\n\nmy property to benefit the agent or a person to whom the agent owes\n\nan obligation of support unless I have included that authority in\n\nthe Special Instructions.\n\nSPECIAL INSTRUCTIONS (OPTIONAL)\n\nYou may give special instructions on the following lines:\n\n____________________________________________________________________\n\n____________________________________________________________________\n\n____________________________________________________________________\n\n____________________________________________________________________\n\n____________________________________________________________________\n\n____________________________________________________________________\n\n____________________________________________________________________\n\n____________________________________________________________________\n\nEFFECTIVE DATE\n\nThis power of attorney is effective immediately unless I have stated\n\notherwise in the Special Instructions.\n\nNOMINATION OF GUARDIAN (OPTIONAL)\n\nIf it becomes necessary for a court to appoint a guardian of my\n\nestate or guardian of my person, I nominate the following person(s)\n\nfor appointment:\n\nName of Nominee for guardian of my estate:\n\n_______________________________________\n\nNominee's Address: ____________________________________________\n\nNominee's Telephone Number:_________________________________________\n\nName of Nominee for guardian of my person:__________________________\n\nNominee's Address: ____________________________________________\n\nNominee's Telephone Number:_________________________________________\n\nRELIANCE ON THIS POWER OF ATTORNEY\n\nAny person, including my agent, may rely upon the validity of this\n\npower of attorney or a copy of it unless that person knows it has\n\nterminated or is invalid.\n\nSIGNATURE AND ACKNOWLEDGMENT\n\n____________________________________________ _______________\n\nYour Signature Date\n\n____________________________________________\n\nYour Name Printed\n\n____________________________________________\n\nYour Address\n\n____________________________________________\n\nYour Telephone Number\n\nState of ____________________________\n\nCounty of ___________________________\n\nThis document was acknowledged before me on _______________\n\n(Date)\n\nby ______________________________________.\n\n(Name of Principal)\n________________________________________\n\nYour Name Printed\n\n____________________________________________\n\nYour Address\n\n____________________________________________\n\nYour Telephone Number\n\nState of ____________________________\n\nCounty of ___________________________\n\nThis document was acknowledged before me on _______________\n\n(Date)\n\nby ______________________________________.\n\n(Name of Principal)\n\n____________________________________________ (Seal, if any)\n\nSignature of Notary ____________________________________________\n\nMy commission expires: _______________\n\nThis document prepared by: ______________________________________\n\nIMPORTANT INFORMATION FOR AGENT\n\nAgent's Duties\n\nWhen you accept the authority granted under this power of attorney,\n\na special legal relationship is created between you and the\n\nprincipal. This relationship imposes upon you legal duties that\n\ncontinue until you resign or the power of attorney is terminated or\n\nrevoked. You must:\n\n1. Do what you know the principal reasonably expects you to do\n\nwith the principal's property or, if you do not know the\n\nprincipal's expectations, act in the principal's best\n\ninterest;\n\n2. Act in good faith;\n\n3. Do nothing beyond the authority granted in this power of\n\nattorney; and\n\n4. Disclose your identity as an agent whenever you act for the\n\nprincipal by writing or printing the name of the principal\n\nand signing your own name as \"agent\" in the following\n\nmanner:\n\n(Principal's Name) by (Your Signature) as Agent\n\nUnless the Special Instructions in this power of attorney state\n\notherwise, you must also:\n\n1. Act loyally for the principal's benefit;\n\n2. Avoid conflicts that would impair your ability to act in the\n\nprincipal's best interest;\n\n3. Act with care, competence and diligence;\n\n4. Keep a record of all receipts, disbursements and\n\ntransactions made on behalf of the principal;\n\n5. Cooperate with any person that has authority to make health\n\ncare decisions for the principal to do what you know the\n\nprincipal reasonably expects or, if you do not know the\n\nprincipal's expectations, to act in the principal's best\n\ninterest; and\n\n6. Attempt to preserve the principal's estate plan if you know\n\nthe plan and preserving the plan is consistent with the\n\nprincipal's best interest.\n\nTermination of Agent's Authority\n\nYou must stop acting on behalf of the principal if you learn of any\n\nevent that terminates this power of attorney or your authority under\n\nthis power of attorney. Events that terminate a power of attorney\n\nor your authority to act under a power of attorney include:\n\n1. Death of the principal;\n\n2. The principal's revocation of the power of attorney or your\n\nauthority;\n\n3. The occurrence of a termination event stated in the power of\n\nattorney;\n\n4. The purpose of the power of attorney is fully accomplished;\n\nor\n\n5. If you are married to the principal, a legal action is filed\n\nwith a court to end your marriage, or for your legal\n\nseparation, unless the Special Instructions in this power of\n\nattorney state that such an action will not terminate your\n\nauthority.\n\nLiability of Agent\n\nThe meaning of the authority granted to you is defined in the\n\nUniform Power of Attorney Act, Section 3001 et seq. of Title 58 of\n\nthe Oklahoma Statutes. If you violate the Uniform Power of Attorney\n\nAct, Section 3001 et seq. of Title 58 of the Oklahoma Statutes, or\n\nact outside the authority granted, you may be liable for any damages\n\ncaused by your violation.\n\nIf there is anything about this document or your duties that you do\n\nnot understand, you should seek legal advice.","path":["OK Code","Title 58"],"source_url":"https://www.oklegislature.gov/OK_Statutes/CompleteTitles/os58.pdf","current_through":"2026-08-14","vintage":"open-us-law v2026.08, retrieved 2026-09-14","retrieved_at":"2026-09-14T18:32:36Z","sha256":"314bba799185c1db4de6ea3f6f328f883a8324e01c6f82c870546ebf9aca29ee","source_id":"us-ok","stale":false,"prev":"us-ok/okla.-stat.-tit.-58-58-3040","next":"us-ok/okla.-stat.-tit.-58-58-3042"},"notice":"GroundRules: Original legal text. Not legal advice."}
