Colorado Code
Part 7 - Uniform Power of Attorney Act
§ 15-14-742. Certification

The following optional form may be used by an agent to certify facts concerning a power of attorney.
AGENT'S CERTIFICATION AS TO THE VALIDITY OF
POWER OF ATTORNEY AND AGENT'S AUTHORITY
State of __________________________________ County of __________________________________ I, __________________________________ (Name of agent), certify under penalty of perjury that __________________________________ (Name of principal) granted me authority as an agent or successor agent in a power of attorney dated __________________________________. I further certify that to my knowledge:



______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________

(Insert other relevant statements)
SIGNATURE AND ACKNOWLEDGMENT
_______________________ _____________ Agent signature Date _______________________ Agent's name printed _______________________ _______________________ Agent's address _______________________ Agent's telephone number This document was acknowledged before me on ________________________, (Date) by ________________________. (Name of agent) __________________________ (Seal, if any) Signature of notary My commission expires:________________________ This document prepared by: ___________________________________________
Source: L. 2009: Entire part added, (HB 09-1198), ch. 106, p. 417, § 1, effective April 9.
This section provides an optional form that may be used by an agent to certify facts concerning a power of attorney. Although the form contains statements of fact about which persons commonly request certification, other factual statements may be added to the form for the purpose of providing an agent certification pursuant to Section 15-14-719.

Structure Colorado Code

Colorado Code

Title 15 - Probate, Trusts, and Fiduciaries

Article 14 - Persons Under Disability - Protection

Part 7 - Uniform Power of Attorney Act

§ 15-14-701. Short Title

§ 15-14-702. Definitions

§ 15-14-703. Applicability

§ 15-14-704. Power of Attorney Is Durable

§ 15-14-705. Execution of Power of Attorney

§ 15-14-706. Validity of Power of Attorney

§ 15-14-707. Meaning and Effect of Power of Attorney

§ 15-14-708. Nomination of Conservator or Guardian - Relation of Agent to Court-Appointed Fiduciary

§ 15-14-709. When Power of Attorney Effective

§ 15-14-710. Termination of Power of Attorney or Agent's Authority

§ 15-14-711. Coagents and Successor Agents

§ 15-14-712. Reimbursement and Compensation of Agent

§ 15-14-713. Agent's Acceptance

§ 15-14-714. Agent's Duties

§ 15-14-715. Exoneration of Agent

§ 15-14-716. Judicial Relief

§ 15-14-717. Agent's Liability

§ 15-14-718. Agent's Resignation - Notice

§ 15-14-719. Acceptance of and Reliance Upon Acknowledged Power of Attorney

§ 15-14-720. Liability for Refusal to Accept Acknowledged Power of Attorney

§ 15-14-721. Principles of Law and Equity

§ 15-14-722. Laws Applicable to Financial Institutions and Entities

§ 15-14-723. Remedies Under Other Law

§ 15-14-724. Authority That Requires Specific Grant - Grant of General Authority

§ 15-14-725. Incorporation of Authority - Incorporation by Reference

§ 15-14-726. Construction of Authority Generally

§ 15-14-727. Real Property

§ 15-14-728. Tangible Personal Property

§ 15-14-729. Stocks and Bonds

§ 15-14-730. Commodities and Options

§ 15-14-731. Banks and Other Financial Institutions

§ 15-14-732. Operation of Entity or Business

§ 15-14-733. Insurance and Annuities

§ 15-14-734. Estates, Trusts, and Other Beneficial Interests

§ 15-14-735. Claims and Litigation

§ 15-14-736. Personal and Family Maintenance

§ 15-14-737. Benefits From Governmental Programs or Civil or Military Service

§ 15-14-738. Retirement Plans

§ 15-14-739. Taxes

§ 15-14-740. Gifts

§ 15-14-741. Statutory Form - Power of Attorney

§ 15-14-742. Certification

§ 15-14-743. Uniformity of Application and Construction

§ 15-14-744. Relation to "Electronic Signatures in Global and National Commerce Act"

§ 15-14-745. Effect on Existing Powers of Attorney