Power of Attorney Template
This Power of Attorney is made in accordance with the laws of the State of __________ (insert state name) and shall be effective as of the date signed below.
Principal Information
- Full Name: ______________________________
- Address: ______________________________
- City, State, Zip: __________________________
- Date of Birth: ___________________________
Agent Information
- Full Name: ______________________________
- Address: ______________________________
- City, State, Zip: __________________________
- Phone Number: __________________________
Authority Granted
I hereby grant my Agent the authority to act on my behalf in the following matters:
- Manage my financial accounts, including banking and investments.
- Make healthcare decisions, including medical treatment options.
- Handle any legal claims or disputes on my behalf.
- Sign contracts and agreements related to my affairs.
Limitations
This Power of Attorney does not grant my Agent the authority to:
- Make changes to my will.
- Transfer ownership of my property in any way unless specified.
- Engage in transactions that are not in my best interest.
Revocation
This Power of Attorney may be revoked at any time by providing written notice to my Agent and any relevant third parties.
Signatures
By signing below, I acknowledge that I understand the above document and grant my Agent the powers outlined herein.
Principal's Signature: ______________________________
Date: ______________________________
Agent's Signature: ______________________________
Date: ______________________________
This document should be signed in the presence of a notary public or witnesses, as required by the laws of the State of __________ (insert state name).