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Would the account have to be in her name and would she need to authorize the account ? Who would name the beneficiaries? What would happen to the account if I should die ?

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AlvaDeer is right. After 6 years on the phone talking to family members there was a small percentage of adult children who thought their parents care was secondary to their "entitlement". "Well $5k a month, that is my inheritance!" was loudly proclaimed. The head of the family needs to make the decisions and that could be a good or bad thing. M.
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GordonC: Retain an attorney.
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Always consult with an attorney.
Make sure all your documents are legally in order.
Alternates are named in case the first person managing care transitions first.
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Seek a elder care lawyer. Put it in a trust. I she lives beyond 5 yrs she can get medicade,
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AlvaDeer Jan 2, 2024
I disagree. And I doubt you can even do that as a POA. Happily.
Your sister's assets should stand to provide her own care. Not to go to her heirs.
It is an ugly, greedy thing, imho to steal the assets of a relative, putting them into an irrevocable trust, and then throwing them onto the mercy of government-provided care, which under most circumstances are not as good care as their own assets can provide them so long as they last.
I think the above advice, while perhaps legal, is imho not especially moral.
But, like masks and politics, it's something we here on the Forum, being of varied opinions, often disagree about.
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Get legal advice. Confer with Elder Law Attorney for best practice and options for everyone's well being.
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My first suggestion is "find an Elder Care lawyer." As POA, I just went through all of this with my Mother. They will have advice on what and how to handle the proceeds of the house sale and all contents. Be sure to keep receipts for the household contents (whether sold, donated, or given to family and friends). There also may be state, federal and local tax issues with the sale. You will need to be aware of how to handle these within the state you live. The tax issues MAY BE handled at the time of the sale, if you use a realtor.
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As POA, I opened an account for my Dad, named a beneficary, and set up payments for the Memory Care through that account. That's what the POA is for. As an only child, I wanted myself to be beneficary but the bank has policies against that. Our lawyer said that shouldn't be....but that's the way it was. I made my husband beneficary. Funny they let that happen?!?!?! If I die, he's got it, if he dies, I guess I change the beneficary. Good luck, you are in the middle of a major chore!
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SueZ1250 Jan 2, 2024
Perhaps my wording was bad. BENEFICIARY only get the $ when the loved one passes, if any left. All funds are used for his care.
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We have just completed this process for my MIL. We went to the lawyer for advice, and it proved to be very straight forward. One consideration is will she be unable to return to her house at a future date?

All of the proceeds from her house went into her bank account to be used for her care. We had all the checks made out to her name and deposited them into her account. My husband is named on her back account, so he can pay her bills.

The house would have remained empty unless we chose to rent it. We still had to pay taxes, utilities and upkeep on an empty house while those funds would be better spent on her care at a local facility. The lawyer recommended we sell the house and contents ASAP to preserve as much money as possible for her care. The sale should get her nearly three years worth of care.

Another consideration for timing might be the real estate market where her house is located.

Also, you did not state if your sister is able to handle her finances and make decisions for herself. I think if she has that mental capacity, she should be part of the decision making.

My MIL was not in charge of her finances for the past year as she was purchasing home and car warranties because she though they were bills. She also should not have been living on her own, but refused to go to assisted living. She fell several times which sent her to the hospital and she was discharged to a nursing home with memory care.
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I made an appointment with an elder lawyer and he created a trust for me to put the proceeds into from the sale of moms house. I was the trustee so I set up a checking account in the same bank where we had the trust. As trustee I would write a check to myself from the trust, deposit it into the trustee checking account and pay moms bills from there. Keep every invoice and receipt. Keep statement copies. Use carbon copy checks. That way everything is accounted for should the money run out and she needs to apply for Medicaid.
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I would be very careful about asking for this advice from an anonymous global forum. Rules that surround your questions can vary by state here in the U.S.

I agree with what AlvaDeer posted to you.
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If you are currently serving as financial POA and you don't know these things I am worried and would suggest you attend an elder law attorney to learn your obligations and duties and how to do these things and keep records of them.
Selling at this point may not be a good idea, or may be, but you need advice and the POA is allowed to get this advice. and the cost is paid by the principal.

You should, if you are POA already be on her accounts as such. Funds from the sale would be placed in her accounts. That is to say the account is in her name, with you added as POA, the person who writes the checks signs with her name followed by yours as POA.
You should also have files and folders for everything and every receipt and records monthly of every penny into accounts and out of.

Your POA must be written so as to allow you to sell property for her.
Yes, this is HER ASSETS and it goes into HER ACCOUNTS.
The outcome of beneficiaries only pertains when and if she dies and then it is distributed along with the rest of the estate in the way her will dictates by her named executor.

Please see an attorney. You are undertaking a LEGAL fiduciary responsibility and are held, under the law, liable for knowing exactly how to do these things. And, again, your POA pays the Attorney out of your Sister's funds.

Your sister is allowed under the law to hold one house and still seek Medicaid help if she needs it. If you sell this house the money is her asset and will have to be spent down before applying for any governmental help with care.

If you are uncertain how to do all this you can also consider hiring a Licensed Trained Fiduciary. The elder law attorney will be familiar with them as they serve in absence of family POAs through the courts when state guardianship is required.
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