INSTRUCTIONS: MONTANA DECLARATION OF LIVING WILL APPOINTMENT

To appoint someone with living will power concerning life-sustaining treatment in Montana or to create a living will to direct a doctor or nurse to withhold this treatment if it will only prolong life with no hope of recovery, use the documents discussed in this article. These documents can be obtained from the website maintained by the Montana Department of Public Health & Human Services.

Montana Declaration Of Living Will Appointment Step 1: The first page contains the form used to appoint someone to make decisions concerning life-sustaining treatment on your behalf in the event that you are unable to. Enter the name of the person being appointed on the first blank line.

Montana Declaration Of Living Will Appointment Step 2: Enter the name of an alternate appointee on the second blank line.

Montana Declaration Of Living Will Appointment Step 3: Enter the date of the day on the third blank line.

Montana Declaration Of Living Will Appointment Step 4: Enter the month on the fourth blank line.

Montana Declaration Of Living Will Appointment Step 5: Enter the last two digits of the year on the fifth blank line.

Montana Declaration Of Living Will Appointment Step 6: Enter your signature on the sixth blank line.

Montana Declaration Of Living Will Appointment Step 7: Print your name on the seventh blank line.

Montana Declaration Of Living Will Appointment Step 8: Enter your address on the next two blank lines.

Montana Declaration Of Living Will Appointment Step 9: Two witnesses should enter their names and addresses at the bottom of the page.

Montana Declaration Of Living Will Appointment Step 10: The second page contains a living will expressing your desire to have life-sustaining treatment withheld in the event that there is no hope of recovery and you are unable to express your wishes. On the first blank line, enter the date of the day.

Montana Declaration Of Living Will Appointment Step 11: Enter the month on the second blank line.

Montana Declaration Of Living Will Appointment Step 12: Enter the last two digits of the year on the third blank line.

Montana Declaration Of Living Will Appointment Step 13: Enter your signature and printed name on the next two blank lines.

Montana Declaration Of Living Will Appointment Step 14: Have two witnesses enter their names and addresses where indicated.

INSTRUCTIONS: MONTANA STATUTORY FORM POWER OF ATTORNEY

If you wish to grant someone legal authority to handle certain aspects of your life, you should complete a Montana Statutory Form Power of Attorney form. This document is currently being revised by the Montana State Legislature and a new form should be expected in October 2012. The document provided here will be considered legally binding if you copy and paste it, inserting text as needed.

Statutory Form Power of Attorney Step 1: Insert your name and address, as well as that of your representative, where indicated in the first paragraph.

Power of Attorney Step 2: 13 different aspects of authority are listed, including litigation, tax concerns and business transactions. If you wish for your representative to have authority over all of these, place your initial next to line N. If you wish to specify which powers they have, place your initials to the areas you are granting them authority over. You do not need to strike through the powers you are not granting.

Power of Attorney Step 3: If any powers you wish to grant are not enumerated, you may specify these blow.

Power of Attorney Step 4: If you wish for this form to take effect at a later date or in the event of a certain situation, stipulate this above.

Power of Attorney Step 5: This document will automatically revoke all previous powers of attorney, provided you have met the conditions of those documents. Note if you do not wish for this to be the case.

Power of Attorney Step 6: Note whether you wish for this document to continue to be in effect or to be revoked if you become disabled or otherwise medically incapable of making your own decisions.

Power of Attorney Step 7: Note whether or not you wish for this agent to be appointed in charge of your estate or in charge of you if necessary.

Power of Attorney Step 8: You may wish to list successors in order of preference in case your chosen representative is not available when needed.

Power of Attorney Step 9: Both you and your representative should sign and date this document in front of a notary official. 

INSTRUCTIONS: ARIZONA MEMORANDUM OF UNDERSTANDING (Form 11156)

A Memorandum of Understanding is a statement filed by a payroll service company with the Arizona Department of Revenue stating they are authorized to receive confidential documentation related to tax issues, and to file returns and make payments. This Memorandum of Understanding can be obtained from the website of the Arizona Department of Revenue.

Arizona Memorandum Of Understanding 11156 Step 1: On the first blank line, enter the name of your payroll service company.

Arizona Memorandum Of Understanding 11156 Step 2: The next section has information about the state, which should be pre-completed.

Arizona Memorandum Of Understanding 11156 Step 3: The next section requires information about the payroll service company. On the first blank line, enter your company name.

Arizona Memorandum Of Understanding 11156 Step 4: On the second blank line, enter your employer identification number (EIN).

Arizona Memorandum Of Understanding 11156 Step 5: On the third blank line, enter your street address.

Arizona Memorandum Of Understanding 11156 Step 6: On the fourth blank line, enter your city, state and zip code.

Arizona Memorandum Of Understanding 11156 Step 7: On the fifth blank line, give the name of a contact person.

Arizona Memorandum Of Understanding 11156 Step 8: On the sixth blank line, give the contact person's phone number.

Arizona Memorandum Of Understanding 11156 Step 9: On the seventh blank line, give the contact person's fax number.

Arizona Memorandum Of Understanding 11156 Step 10: Paragraph A discusses the payroll service company's duties.

Arizona Memorandum Of Understanding 11156 Step 11: Paragraph B discusses confidentiality.

Arizona Memorandum Of Understanding 11156 Step 12: Paragraph C discusses security.

Arizona Memorandum Of Understanding 11156 Step 13: Paragraph D discusses termination of this form.

Arizona Memorandum Of Understanding 11156 Step 14: Paragraph E discusses amending this form.

Arizona Memorandum Of Understanding 11156 Step 15: A representative of the payroll service company should print their name on the first blank line at the bottom of the form.

Arizona Memorandum Of Understanding 11156 Step 16: On the second blank line, the representative should sign their name.

Arizona Memorandum Of Understanding 11156 Step 17: On the third blank line, the representative should enter their title.

Arizona Memorandum Of Understanding 11156 Step 18: On the fourth blank line, enter the representative should enter the date. 

INSTRUCTIONS: CONNECTICUT NON-RESIDENT CORPORATION REINSURANCE INTERMEDIARY POWER OF ATTORNEY

To designate the state Insurance Commissioner with power of attorney to receive actions or proceedings against a non-resident corporation performing reinsurance intermediary in Connecticut, use the form discussed in this article. This document can be obtained from the website maintained by the government of the state of Connecticut.

Connecticut Non-Resident Corporation Reinsurance Intermediary Power Of Attorney Step 1: Enter the name of the non-resident corporation on the first blank line.

Connecticut Non-Resident Corporation Reinsurance Intermediary Power Of Attorney Step 2: Enter the state of the non-resident corporation on the second blank line.

Connecticut Non-Resident Corporation Reinsurance Intermediary Power Of Attorney Step 3: Enter the street address, city and state of the non-resident corporation's principal place of business on the third blank line.

Connecticut Non-Resident Corporation Reinsurance Intermediary Power Of Attorney Step 4: Enter the name of the non-resident corporation on the fourth blank line.

Connecticut Non-Resident Corporation Reinsurance Intermediary Power Of Attorney Step 5: Enter the date on which your board passed a resolution authorizing this decision on the fifth blank line.

Connecticut Non-Resident Corporation Reinsurance Intermediary Power Of Attorney Step 6: Enter the month during which the resolution was passed on the sixth blank line.

Connecticut Non-Resident Corporation Reinsurance Intermediary Power Of Attorney Step 7: Enter the last two digits of the year in which the resolution was passed on the seventh blank line.

Connecticut Non-Resident Corporation Reinsurance Intermediary Power Of Attorney Step 8: Enter the date on which you are signing this form on the eighth blank line.

Connecticut Non-Resident Corporation Reinsurance Intermediary Power Of Attorney Step 9: Enter the month in which you are signing this form on the ninth blank line.

Connecticut Non-Resident Corporation Reinsurance Intermediary Power Of Attorney Step 10: Enter the last two digits of the year in which you are signing this form on the tenth blank line.

Connecticut Non-Resident Corporation Reinsurance Intermediary Power Of Attorney Step 11: The president of the company should enter their signature on the eleventh blank line.

Connecticut Non-Resident Corporation Reinsurance Intermediary Power Of Attorney Step 12: The president of the company should print their name on the twelfth blank line.

Connecticut Non-Resident Corporation Reinsurance Intermediary Power Of Attorney Step 13: The secretary of the company should sign and print their name on the last two blank lines.

INSTRUCTIONS: MONTANA STATUTORY SHORT FORM POWER OF ATTORNEY

The form discussed in this article can be used to assign power of attorney in Montana. This document can be obtained from the website maintained by the Montana Courts system. 

Montana Statutory Short Form Power Of Attorney Step 1: Enter your name and address on the first blank line.

Montana Statutory Short Form Power Of Attorney Step 2: Enter the name and address of the power to whom you wish to appoint power of attorney on the second blank line.

Montana Statutory Short Form Power Of Attorney Step 3: On lines A through N, place your initials next to all specific powers of attorney you wish to grant. If you do not place your initials next to a statement, this power will not be granted to the person you are appointing. You may choose to cross out such statements, but this is not required.

Montana Statutory Short Form Power Of Attorney Step 4: On the next blank lines, enter any special instructions extending or limiting the powers granted to your agent.

Montana Statutory Short Form Power Of Attorney Step 5: Below, a sentence states that this power of attorney will have the effect of revoking all previous powers of attorney signed by you. If this is not the case, strike out the line.

Montana Statutory Short Form Power Of Attorney Step 6: On the last two blank lines of the second page, you may name up to two successors in the event that the person you are appointing with power of attorney dies, becomes incompetent, resigns, or refuses to accept the office of agent.

Montana Statutory Short Form Power Of Attorney Step 7: On the first blank line of the third page, enter the date of the day.

Montana Statutory Short Form Power Of Attorney Step 8: On the second blank line, enter the month.

Montana Statutory Short Form Power Of Attorney Step 9: On the third blank line, enter the last two digits of the year.

Montana Statutory Short Form Power Of Attorney Step 10: On the fourth blank line, enter your signature.

Montana Statutory Short Form Power Of Attorney Step 11: The form should then be certified by a notary public.

Montana Statutory Short Form Power Of Attorney Step 12: At the bottom of the third page, your agent should enter their signature to accept this power of attorney.