NOTARE TEAM LEISTUNGEN FORMULARE KARRIERE KONTAKT

Online Form - Lasting Power of Attorney (LPA)

Verwendete Formularsprache: Englisch

Choice of law firm location(Required)

Choice of location(Required)

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Would you like to be assisted by a specific notary from our notary’s office?

We would like to set up your lasting power of attorney promptly and in full compliance with legal requirements. To do so, we require some information from you. You are welcome to provide the necessary information using this online form. Click “Submit form to notary” at the bottom of this page to submit your details. You can also use the “Continue later” button to save your progress and complete the form at your convenience. If you have any questions, we’re happy to help by phone or in a personal consultation.

I. Details of the principal(s) (= issuer)

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LinkName

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LinkPhone

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LinkMail

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LinkWebsite

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LinkPrivacy

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LinkPrivacyShort

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LinkLogo

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LinkFooter

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LinkHex

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LinkFontHex

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Formularübermittlung Sprache

Number of principals

Relationship between the principals

Mutual authorization between the principals

Yes

Principal 1

Salutation, title

First (and middle) name(s)

Bitte geben Sie alle Vornamen entsprechend dem amtlichen Ausweisdokument an.

Surname

Maiden name

Date of birth

YYYY

Place of birth

Marital status

Address

Street Address ZIP / Postal Code City

Phone number

Interpreter required

Ein Dolmetscher ist erforderlich, wenn der Beteiligte der deutschen Sprache nicht hinreichend mächtig ist. Eine Übersetzung durch einen anderen Vertragsbeteiligten ist nicht zulässig. Zusätzlich darf die dolmetschende Person nicht mit einem Vertragsbeteiligten verwandt oder verschwägert sein.

Yes

For which language is an interpreter required?

Communication disability

Dies ist dann der Fall, wenn der Beteiligte nur eingeschränkt hören, lesen oder schreiben kann.

Yes

Type of communication disability

Principal 2

Salutation, title

First (and middle) name(s)

Bitte geben Sie alle Vornamen entsprechend dem amtlichen Ausweisdokument an.

Surname

Maiden name

Date of birth

YYYY

Place of birth

Marital status

Address

Street Address ZIP / Postal Code City

Phone number

Interpreter required

Ein Dolmetscher ist erforderlich, wenn der Beteiligte der deutschen Sprache nicht hinreichend mächtig ist. Eine Übersetzung durch einen anderen Vertragsbeteiligten ist nicht zulässig.

Yes

For which language is an interpreter required?

Communication disability

Dies ist dann der Fall, wenn der Beteiligte nur eingeschränkt hören, lesen oder schreiben kann.

Yes

Type of communication disability

II. Information on additional authorized representatives

II. Details of the authorized representative(s)

Number of authorized representatives

Number of additional authorized representatives

Additional authorized representatives 1

Authorized representative 1

Salutation, title

First (and middle) name(s)

Bitte geben Sie alle Vornamen entsprechend dem amtlichen Ausweisdokument an.

Surname

Maiden name

Date of birth

YYYY

Place of birth

Address

Street Address ZIP / Postal Code City

Die Telefonnummer und die E-Mail-Adresse können auf Wunsch im Zentralen Vorsorgeregister hinterlegt werden, um im Notfall eine schnellere Kontaktaufnahme zu ermöglichen.

Phone number

Die Telefonnummer und die E-Mail-Adresse können auf Wunsch im Zentralen Vorsorgeregister hinterlegt werden, um im Notfall eine schnellere Kontaktaufnahme zu ermöglichen.

Authorized by

Principal 1

Principal 2

Are the authorized representative and Principal 1 related?

Yes

The authorized representative is the ________ Principal 1

Other relationship to person

Are the authorized representative and Principal 2 related?

Yes

The authorized representative is the ________ Principal 2

Other relationship to person

Additional authorized representative 2

Authorized representative 2

Salutation, title

First (and middle) name(s)

Bitte geben Sie alle Vornamen entsprechend dem amtlichen Ausweisdokument an.

Surname

Maiden name

Date of birth

YYYY

Place of birth

Address

Street Address ZIP / Postal Code City

Die Telefonnummer und die Email-Adresse können auf Wunsch im Zentralen Vorsorgeregister hinterlegt werden, um im Notfall eine schnellere Kontaktaufnahme zu ermöglichen.

Phone number

Die Telefonnummer und die Email-Adresse können auf Wunsch im Zentralen Vorsorgeregister hinterlegt werden, um im Notfall eine schnellere Kontaktaufnahme zu ermöglichen.

Authorized by

Principal 1

Principal 2

Are the authorized representative and Principal 1 related?

Yes

The authorized representative is the ________ Principal 1

Other relationship to person

Are the authorized representative and Principal 2 related?

Yes

The authorized representative is the ________ Principal 2

Other relationship to person

Additional authorized representative 3

Authorized representative 3

Salutation, title

First (and middle) name(s)

Bitte geben Sie alle Vornamen entsprechend dem amtlichen Ausweisdokument an.

Surname

Maiden name

Date of birth

YYYY

Place of birth

Address

Street Address ZIP / Postal Code City

Die Telefonnummer und die E-Mail-Adresse können auf Wunsch im Zentralen Vorsorgeregister hinterlegt werden, um im Notfall eine schnellere Kontaktaufnahme zu ermöglichen.

Phone number

Die Telefonnummer und die E-Mail-Adresse können auf Wunsch im Zentralen Vorsorgeregister hinterlegt werden, um im Notfall eine schnellere Kontaktaufnahme zu ermöglichen.

Authorized by

Principal 1

Principal 2

Are the authorized representative and Principal 1 related?

Yes

The authorized representative is the ________ Principal 1

Other relationship to person

Are the authorized representative and Principal 2 related?

Yes

The authorized representative is the ________ Principal 2

Other relationship to person

Additional authorized representative 4

Authorized person 4

Salutation, title

First (and middle) name(s)

Bitte geben Sie alle Vornamen entsprechend dem amtlichen Ausweisdokument an.

Surname

Maiden name

Date of birth

YYYY

Place of birth

Address

Street Address ZIP / Postal Code City

Die Telefonnummer und die E-Mail-Adresse können auf Wunsch im Zentralen Vorsorgeregister hinterlegt werden, um im Notfall eine schnellere Kontaktaufnahme zu ermöglichen.

Phone number

Die Telefonnummer und die E-Mail-Adresse können auf Wunsch im Zentralen Vorsorgeregister hinterlegt werden, um im Notfall eine schnellere Kontaktaufnahme zu ermöglichen.

Authorized by

Principal 1

Principal 2

Are the authorized representative and Principal 1 related?

Yes

The authorized representative is the ________ Principal 1

Other relationship to person

Are the authorized representative and Principal 2 related?

Yes

The authorized representative is the ________ Principal 2

Other relationship to person

III. Details on the power of attorney

Shall the authorized representatives have an order of precedence?

Yes

What order of precedence is desired?

Spouse before children

Other

Desired order of precedence

Shall the authorized representatives be granted full powers?

Yes (default)

No (exceptional case)

If the power of attorney is not granted in full, a court-appointed guardian may have to be appointed for the excluded areas.

Limitation of powers

Limitation to health and welfare only

Limitation to property and financial affairs only

Other limitation

Special rules for donations

without restrictions, e.g., also selling real estate to yourself

customary and appropriate occasional gifts, such as birthday or wedding gifts

Other limitation of powers

Special rules for donations

without restrictions, e.g., also selling real estate to yourself

customary and appropriate occasional gifts, such as birthday or wedding gifts

Does the principal own shares in a company?

Yes

Name of the company / amount of shares

Does the principle own real estate?

Yes

Details on real estate

Geschätzter Vermögenswert des/der Vollmachtgeber(s)

Would you also like to set up a living will (Patientenverfügung)?

Die Vollmacht gibt den Bevollmächtigten die Befugnis, gegenüber Dritten (bspw. Ärzten) für den Vollmachtgeber Erklärungen abzugeben, bspw. über die gewünschte Art der Behandlung. Mit der Patientenverfügung erklärt der Vollmachtgeber dem Bevollmächtigten sowie weiteren Stellen (bspw. Ärzten und Gerichten) welche Art von Behandlung gewünscht bzw. nicht gewünscht ist, wenn er sich selbst nicht mehr äußern kann. Die Patientenverfügung bedarf nicht der notariellen Beglaubigung oder Beurkundung. Sie kann jedoch auf Wunsch beglaubigt werden, um etwaigen späteren Zweifeln an ihrer Echtheit entgegenzuwirken. Medizinische Fragen sollten im Vorfeld mit einem Arzt besprochen werden.

Yes

Notes on the living will

Ist eine Patientenverfügung vorhanden?

Yes

Is there a willingness to donate organs?

Yes

Would you like the lasting power of attorney to be registered in the German Central Register of Lasting Powers of Attorney (Zentrales Vorsorgeregister; ZVR)?

Das Zentrale Vorsorgeregister dient der Information der mit Betreuungsverfahren befassten Stellen und der behandelnden Ärzte. Es wird von der Bundesnotarkammer im staatlichen Auftrag geführt. Die Bevollmächtigten werden über die Registrierung informiert. Es ist daher ratsam, die Registrierung mit den Bevollmächtigten im Vorfeld abzusprechen.

Yes

Registrierung im Vorsorgeregister (bei Registrierung durch Notar und Einzug bei Notar: einmalige Registrierungsgebühr pro Vollmachtgeber: 1 Bevollmächtigter 16,00 EUR, jeder weitere Bevollmächtigte 3,50 EUR)

IV. Notes/other information

III. Notes/other information

Notes

Upload document(s) (optional)

Drop files here or

Accepted file types: pdf, jpg, png, jpeg, Max. file size: 4 MB, Max. files: 5.

Upload document(s) (optional)

Drop files here or

Accepted file types: pdf, jpg, png, jpeg, Max. file size: 4 MB, Max. files: 5.

Full name of the person filling out this form(Required)

Contact Details(Required)

Phone number

Postal mail

Email(Required)

Phone number(Required)

Email communication

I agree to communication via unencrypted email and understand that I may withdraw this consent at any time.

Mailing address

Street Address ZIP / Postal Code City

Preferred location of notarization

Select office(Required)

Preferred location of notarization

Would you like to be assisted by a specific notary from our notary’s office?

Which notary from our notary’s office would you like to be assisted by?(Required)

Would you like to be assisted by a specific notary from our notary’s office?

Select notary office branch

Would you like to be assisted by a specific notary from our notary’s office?

Which notary from our notary’s office would you like to be assisted by?(Required)

Would you like to be assisted by a specific notary from our notary’s office?

Select notary office branch(Required)

Would you like to be assisted by a specific notary from our notary’s office?

Do you already have an assigned agent within our office?

Would you like to be assisted by a specific notary from our notary’s office?

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Notary choice mail

Would you like to be assisted by a specific notary from our notary’s office?

No preference

Other

Next step(Required)

Please prepare the lasting power of attorney for notarization. I understand that drafting costs will apply even if notarization does not take place.

A draft should not yet be prepared. The information provided above serves only for preliminary information and preparation of a consultation.

Next step(Required)

I instruct the notary to prepare the notarization of the power of attorney.

A draft should not yet be prepared. The information provided above serves only for preliminary information and preparation of a consultation.

Next step(Required)

Please prepare the lasting power of attorney for notarization. I understand that drafting costs will apply even if notarization does not take place.

Draft to principal

by email

by mail

Draft to principal 1

by email

by mail

Draft to principal 2

by email

by mail

Consultation appointment

I have already arranged an appointment.

Please contact me to arrange an appointment.

Date and time of the appointment

Appointment

I have already made an appointment.

Please contact me to arrange an appointment.

Date and time of the appointment

Do you already have an assigned agent within our office?

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Alstertor Mail

Desired email communication

I agree to communication by unencrypted email.

I do not agree to communication via unencrypted email.

I assign the following password

Case number (if known)

Data protection(Required)

I have read the data protection information.

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