Power of Attorney Sample
POWER OF ATTORNEY
THIS POWER OF ATTORNEY is made on this [Day] day of [Month], [Year].
BY:
[Principal's Full Name]
Address: [Principal's Address]
Date of Birth: [Principal's Date of Birth]
Social Security Number: [Principal's SSN]
TO:
[Agent's Full Name]
Address: [Agent's Address]
Date of Birth: [Agent's Date of Birth]
Social Security Number: [Agent's SSN]
1. APPOINTMENT OF AGENT
I, [Principal's Full Name], hereby appoint [Agent's Full Name] as my true and lawful attorney-in-fact to act in my name, place, and stead in any way which I myself could do, if I were personally present, with respect to the following matters, as each of them is defined in Section 2 below:
2. POWERS GRANTED
I grant my agent full authority to act on my behalf in the following matters:
Real Estate Transactions: To buy, sell, lease, and manage properties on my behalf.
Financial Management: To handle all matters regarding my bank accounts, investments, and other financial instruments.
Legal Affairs: To represent me in all legal matters, sign documents, and take necessary legal actions.
Medical and Healthcare Decisions: To make healthcare decisions in line with my preferences and medical directives.
Tax Matters: To prepare, sign, and file my federal, state, and local tax returns.
Personal Property: To manage, sell, or dispose of my personal property.
3. EFFECTIVE DATE AND TERM
This Power of Attorney shall become effective immediately upon execution and shall remain in effect until it is revoked in writing by me.
4. REVOCATION
I reserve the right to revoke this Power of Attorney at any time by providing written notice to my agent.
5. THIRD PARTY RELIANCE
Any third party who receives a copy of this document may act under it. Revocation of the power of attorney is not effective as to a third party until the third party has actual knowledge of the revocation. I agree to indemnify the third party for any claims that arise against the third party because of reliance on this power of attorney.
6. GOVERNING LAW
This Power of Attorney is governed by the laws of the State of [State Name].
7. ACKNOWLEDGEMENT
IN WITNESS WHEREOF, I have executed this Power of Attorney on the date first above written.
[Principal's Full Name]
Signature: __________________________
Date: [Date]
WITNESS:
[Witness 1 Full Name]
Signature: __________________________
Date: [Date][Witness 2 Full Name]
Signature: __________________________
Date: [Date]
NOTARY PUBLIC:
State of [State Name]
County of [County Name]
On this [Day] day of [Month], [Year], before me, [Notary's Name], personally appeared [Principal's Full Name], who proved to me on the basis of satisfactory evidence to be the person whose name is subscribed to this instrument, and acknowledged that they executed the same.
Signature: __________________________
(Seal)
My Commission Expires: [Expiration Date]
NOTICE TO THE AGENT:
By acting or agreeing to act as the agent under this power of attorney, you assume the fiduciary and other legal responsibilities of an agent. These responsibilities include:
The legal duty to act solely in the interest of the principal and to avoid conflicts of interest.
The legal duty to keep the principal's property separate and distinct from any other property owned or controlled by you.
The legal duty to keep a full and accurate record of all actions, receipts, and disbursements on behalf of the principal.
If you have any questions about the duties and responsibilities, you should seek legal advice.
END OF DOCUMENT