Power of Attorney
This document is a Power of Attorney, created in accordance with the laws of [State Name]. It appoints an agent to act on your behalf in specific matters.
Principal Information:
- Name: _________________________________
- Address: _________________________________
- City: _________________________________
- State: _________________________________
- Zip Code: _________________________________
- Date of Birth: _________________________________
Agent Information:
- Name: _________________________________
- Address: _________________________________
- City: _________________________________
- State: _________________________________
- Zip Code: _________________________________
- Phone Number: _________________________________
Authority Granted: The Principal hereby grants the Agent the authority to act on their behalf in the following matters:
- Real Estate Transactions
- Financial Transactions
- Medical Decisions
- Legal Matters
- Other: _________________________________________
Effective Date: This Power of Attorney is effective upon signing unless stated otherwise:
- Effective Immediately: [ ] Yes [ ] No
- Effective upon incapacity: [ ] Yes [ ] No
The Principal may revoke this Power of Attorney at any time by providing written notice to the Agent.
Signatures:
Principal Signature: _________________________________ Date: _______________
Agent Signature: _________________________________ Date: _______________
This document must be notarized to be legally binding:
Notary Public Signature: _________________________________ Date: _______________