LASTING POWER OF ATTORNEY ONLINE General
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FAQ
Prior to completing this form, you should gather your Donee's personal and
contact particulars. As a matter of policy, if the Donor is 81 and above, we are unable to assist in making an LPA. If you don't have all the particulars at this time, you can save the
form by using Save and Continue Later feature, and come back later to complete
the form.
Save and Continue Later use this feature , please click at the link "Save and Continue Later end of this form (next to Submit button), and
submit your email, and a link will be sent to your email address. The link is
valid for a period of 30 days.
Mirror LPA .Mirror LPA ". This is
designed for married couples (usually husband and wife) or those in close
relationship with intention to make identical LPA, except that their roles are
now reversed. A mirror LPA is a separate and distinct LPA, and a separate cost
will be charged.
TYPE OF POWERS TO BE GRANTED* Select Personal Welfare Property and Affairs Both Personal Welfare & Property and Affairs
A Donee with Personal Welfare Power helps to make decisions on behalf of the Donor relating to matters, such as where the Donor should stay and the donor's daily activities. A Donee with Property and Affairs Power helps to make decisions on behalf of the donor relating to financial matters, such as managing the Donor's bank account and property. PARTICULARS OF DONOR The Donor (YOU ) is the person applying for the Power of Attorney. Please note that YOU (the Donor) need to sign the Power of Attorney, and you must be 21 years old and above and have
mental capacity
Donor (YOU) Name*
Name
ID No.*
Type of ID No.* Select NRIC (Pink) NRIC (Blue) Foreign Passport
Citizenship* Select Singapore Malaysia Afghanistan Albania Algeria American Samoa Andorra Angola Antigua and Barbuda Argentina Armenia Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Colombia Comoros Congo, Democratic Republic of the Congo, Republic of the Costa Rica Côte d'Ivoire Croatia Cuba Curaçao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Faroe Islands Fiji Finland France French Polynesia Gabon Gambia Georgia Germany Ghana Greece Greenland Grenada Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati North Korea South Korea Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Mauritania Mauritius Mexico Micronesia Moldova Monaco Mongolia Montenegro Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Zealand Nicaragua Niger Nigeria Northern Mariana Islands Norway Oman Pakistan Palau Palestine, State of Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Puerto Rico Qatar Romania Russia Rwanda Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten Slovakia Slovenia Solomon Islands Somalia South Africa Spain Sri Lanka Sudan Sudan, South Suriname Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Virgin Islands, British Virgin Islands, U.S. Yemen Zambia Zimbabwe
Gender* Select Male Female
Date of Birth*
Date Format: DD slash MM slash YYYY
Age* We unable to act for those above 80 years old. For elderly of other ages, medical report may be required.
Select 21-30 31-40 41-50 51-60 61-70 71-75 76-80
Address*
Do you have good Mental Capacity* Select Yes No
Do you have good Mental Capacity? A person lacks mental capacity if he or she
is “unable to make a decision for himself in relation to the matter because of
an impairment of, or a disturbance in the functioning of, the mind or brain.”.
For elderly Donor, we may require Doctor's certification of Donor's mental
capacity before proceeding.
Will you produce a Medical Report?* As our Lawyers are not medically trained, for elderly persons (75 and above), you may wish to get a Psychiatrist or Doctor to make an LPA so that they can assess your mental capacity.
Select Yes No (please don't submit)
Are you an undischarged bankrupt? Select No Yes
Language* Select English Mandarin + $100 Hokkien + $100
Language conversant in
PARTICULARS OF DONEE(S) The Donee is the person that you are appointing to act for
YOU (the Donor) in the Lasting Power of Attorney, and he or she is usually someone you trust.
He/she must be at least 21 year's old. If you are appointing a Donee to act for you on Property & Affairs , he/she must also
not be an undischarged bankrupt .
The Donee must consent to the appointment. You have the option to appoint a Replacement Donee in the event the Donee's appointment is terminated (eg. if he/she die). It is up to your Donee to sign the LPA in our lawyer's presence (in our office)
or before an independent adult witnesss (who is not a Donor, a Donee or a Replacement Donee in the same LPA)
How many Donees you wish to appoint?* Select 1 2
Donee 1 Donee 1 Name*
Full Name as in ID
ID No.*
Type of ID No.* Select NRIC (Pink) NRIC (Blue) Foreign Passport
Citizenship* Select Singapore Malaysia Afghanistan Albania Algeria American Samoa Andorra Angola Antigua and Barbuda Argentina Armenia Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Colombia Comoros Congo, Democratic Republic of the Congo, Republic of the Costa Rica Côte d'Ivoire Croatia Cuba Curaçao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Faroe Islands Fiji Finland France French Polynesia Gabon Gambia Georgia Germany Ghana Greece Greenland Grenada Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati North Korea South Korea Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Mauritania Mauritius Mexico Micronesia Moldova Monaco Mongolia Montenegro Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Zealand Nicaragua Niger Nigeria Northern Mariana Islands Norway Oman Pakistan Palau Palestine, State of Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Puerto Rico Qatar Romania Russia Rwanda Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten Slovakia Slovenia Solomon Islands Somalia South Africa Spain Sri Lanka Sudan Sudan, South Suriname Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Virgin Islands, British Virgin Islands, U.S. Yemen Zambia Zimbabwe
Gender* Select Male Female
Date of Birth*
Date Format: DD slash MM slash YYYY
Age* Select 21-30 31-40 41-50 51-60 61-70 71-80 81-90 91-100
Address*
Home Tel
Office Tel
Mobile Tel*
Donee Email
Optional
Language* Select English Mandarin + $50 Hokkien + $50
Language conversant in
Relationship to Donor* Select Spouse Son Daughter Father Mother Brother Sister Grandchild Step Child Niece Nephew Aunt Uncle Cousin Father-in-law Mother-in-law Son-in-law Daughter-in-law Brother-in-law Sister-in-law Ex-Spouse Girlfriend Boyfriend Partner Friend
Authority* Select Personal Welfare Only Property and Affairs Only Both Personal Welfare & Property and Affairs
Is Donee an undischarged bankrupt? Select No Yes
Donee cannot be granted Property and Affairs Powers if he or she is an undischargd bankrupt.
Is Donee 1 signing LPA before our Lawyer?* Select Yes No
Donor must sign before our Lawyer, but Donee has an option to sign in our office before our Lawyer, or before an independent adult witness outside our office. Witness cannot be Donor (YOU), and any other donee in the same LPA.
Donee 2 Donee 2 Name*
Full Name as per ID
ID No.*
Type of ID No.* Select NRIC (Pink) NRIC (Blue) Foreign Passport
Citizenship* Select Afghanistan Albania Algeria American Samoa Andorra Angola Antigua and Barbuda Argentina Armenia Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Colombia Comoros Congo, Democratic Republic of the Congo, Republic of the Costa Rica Côte d'Ivoire Croatia Cuba Curaçao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Faroe Islands Fiji Finland France French Polynesia Gabon Gambia Georgia Germany Ghana Greece Greenland Grenada Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati North Korea South Korea Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Mauritania Mauritius Mexico Micronesia Moldova Monaco Mongolia Montenegro Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Zealand Nicaragua Niger Nigeria Northern Mariana Islands Norway Oman Pakistan Palau Palestine, State of Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Puerto Rico Qatar Romania Russia Rwanda Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten Slovakia Slovenia Solomon Islands Somalia South Africa Spain Sri Lanka Sudan Sudan, South Suriname Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Virgin Islands, British Virgin Islands, U.S. Yemen Zambia Zimbabwe
Gender* Select Male Female
Date of Birth*
Date Format: DD slash MM slash YYYY
Age* Select 21-30 31-40 41-50 51-60 61-70 71-80 81-90 91-100
Address*
Donee Email
Optional
Language* Select English Mandarin + $50 Hokkien + $50
Language conversant in
Relationship to Donor* Select Spouse Son Daughter Father Mother Brother Sister Grandchild Step Child Niece Nephew Aunt Uncle Cousin Father-in-law Mother-in-law Son-in-law Daughter-in-law Brother-in-law Sister-in-law Ex-Spouse Girlfriend Boyfriend Partner Friend
Authority* Select Personal Welfare Only Property and Affairs Only Both Personal Welfare & Property and Affairs
Is Donee an undischarged bankrupt? Select No Yes
Donee cannot be granted Property and Affairs Powers if he or she is an undischargd bankrupt.
Is Donee 2 signing LPA before our Lawyer?* Select Yes No
Donor must sign before our Lawyer, but Donee has an option to sign in our office before our Lawyer, or before an independent adult witness outside our office. Witness cannot be Donor (YOU), and any other donee in the same LPA.
More than 1 Donee Donees shall act* Select Jointly Jointly and Severally
REPLACEMENT DONEE A Replacement Donee will replace the Donee if the Donee's appointment is terminated (eg. Donee dies, Property Donee becomes a bankrutpt).
Any Replacement Donee?* Select No Yes
Replacement Donee Particulars Replacement Donee Name*
Full Name as per ID
ID No.*
Type of ID No.* Select NRIC (Pink) NRIC (Blue) Foreign Passport
Citizenship* Select Afghanistan Albania Algeria American Samoa Andorra Angola Antigua and Barbuda Argentina Armenia Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Colombia Comoros Congo, Democratic Republic of the Congo, Republic of the Costa Rica Côte d'Ivoire Croatia Cuba Curaçao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Faroe Islands Fiji Finland France French Polynesia Gabon Gambia Georgia Germany Ghana Greece Greenland Grenada Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati North Korea South Korea Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Mauritania Mauritius Mexico Micronesia Moldova Monaco Mongolia Montenegro Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Zealand Nicaragua Niger Nigeria Northern Mariana Islands Norway Oman Pakistan Palau Palestine, State of Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Puerto Rico Qatar Romania Russia Rwanda Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten Slovakia Slovenia Solomon Islands Somalia South Africa Spain Sri Lanka Sudan Sudan, South Suriname Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Virgin Islands, British Virgin Islands, U.S. Yemen Zambia Zimbabwe
Gender* Select Male Female
Date of Birth*
Date Format: DD slash MM slash YYYY
Age* Select 21-30 31-40 41-50 51-60 61-70 71-80 81-90 91-100
Address*
Home Tel
Office Tel
Mobile Tel*
Email
Optional
Language* Select English Mandarin + $50 Hokkien + $50
Language conversant in
Relationship to Donor* Select Spouse Son Daughter Father Mother Brother Sister Grandchild Step Child Niece Nephew Aunt Uncle Cousin Father-in-law Mother-in-law Son-in-law Daughter-in-law Brother-in-law Sister-in-law Ex-Spouse Girlfriend Boyfriend Partner Friend
Replacement Donee is to replace* Select Any Donee Any Welfare Donee Any Property Donee Donee 1 Donee 2
Is Replacement Donee an undischarged bankrupt?* Select No Yes
Is R Donee signing LPA before our Lawyer?* Select Yes No
Donor must sign before our Lawyer, but Donee has an option to sign in our office before our Lawyer, or before an independent adult witness outside our office. Witness cannot be Donor (YOU), and any other donee in the same LPA.
PERSONAL WELFARE My Donee(s) shall have authority to make decision in all matters relating to my Personal Welfare, eg. to deal with matters include but not limited to where you should live or who you should live with, and your day-to-day care decisions etc.
Treatments & Clinical Trials* My Donee's authority shall extend to giving or refusing consent to the carrying out or continuation of treatment, including the conduct of a clinical trial, by a person providing health care for me?
Select Yes No
PROPERTY AND AFFAIRS My Donee(s) shall have the authority to make decisions in all matters relating to my property and affairs, when I no longer have the mental capacity to do so.
Allow to Sell, etc, Residential Property?* Do you allow Donee(s) to sell, transfer, convey, mortgage or charge my residential property without Court approval? Residential property means the house you are living in.
Select Yes No
Residential Property Address* Please specify the address of the residential property.
Allow Donee(s) to make Cash Gifts?* Please consider if you all your Donne to have the authority to dispose of my property by making gifts of cash on my behalf but subject to section 14(3) and (4) of the Mental Capacity Act
Select Yes No
Value of Cash Gifts?* If you allow cash gifts, you can consider whether you wish to impose any restriction. Unrestricted means there is no limit, but Donee is still subject to the provisions of the Mental Capacity Act. You can set a limit of the total value of cash gifts by specifying the specified amount to be given within 1 calendar year
Select Unrestricted Total Value Restricted Per Year
Total Value Limit Cash Gifts Per Year
POST REGISTRATION COLLECTION Tell us how you wish to collect the registered Power of Attorney
Mode* Select Self Collected Collected by Attorney Collected by Authorised Person Registered Post to Donor in Singapore Registered Post to Attorney
FILE UPLOAD Upload IDs.
File
Maximum file size: 3 MB
SPECIFIC POWERS Besides being granted Personal welfare and/or Property and Affairs powers, the Donee(s) is also granted the power to do any thing necessary or expedient to
give effect to the decisions made by your Donee(s), including the following where they are not inconsistent with the authority conferred in Personal Welfare
and/or Property and Affairs:
1. Sign by deed or otherwise all notices, applications, agreements, deeds, documents and forms;
2. Demand, recover and receive all sums of money payable to me and to give receipts;
3. Attend and vote at meetings and represent you in proceedings in any court or tribunal or any negotiation or mediation, engage any advocate and
solicitor for any purpose in connection with this lasting power of attorney, and accept service of process or any notice or document, and
4. Obtain information (including confidential information) about me and/or my accounts from third parties. And this shall be your permission to third
parties including (but not limited to) the Central Provident Fund Board, banks and financial institutions, insurance companies, healthcare
institutions and workers, to release information about you and your accounts to your donee or any third parties as authorised by your donee in accordance
with the authority conferred on your Donee.
MIRROR LPA A Mirror LPA is designed for married couples (usually husband and wife) or those in close relationship with intention to make identical LPA, except that their roles are now reversed. A mirror LPA is a separate and distinct LPA, and a separate cost will be
charged.
For example, if Husband (as Donor) completes this form, and Wife also wishes to make an LPA except that their roles are now reversed, with the Wife being the Donor and her Husband being the Donee. By selecting "Yes ", the Wife need not complete / submit this form, which will save precious time for the Wife. Loh Eben Ong will prepare an LPA for the Husband, and another LPA for his Wife using the information already submitted by the Husband.
Any Mirror LPA?* Select No Yes
Person making Mirror LPA?* Select Donee 1 Donee 2 Replacement Donee
CONTACT Tel*
Email* Mailing Address*
MESSAGE Your Message
Optional
TERMS AND CONDITIONS Please review our Terms before you proceed.
Do you agree to our Terms* 
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