POWER OF ATTORNEY FORM
What is power of attorney? Power of attorney is a legal document that grants another adult the right to act on your behalf for a limited or broader purpose and length of time. These documents are governed by state law.
Types of Power of Attorney Forms and Letters:
USES OF A POWER OF ATTORNEY FORM DOCUMENT:
BE IT KNOWN, that I/WE (grantor(s) name(s)______________________________________ the undersigned Grantor(s), resident(s) of (Street Address) ___________________________________, City of ______________________, County of __________________, State of _________________ has made and appointed, and by these presents does make and appoint (Appointee's name) _______________________________________________ a resident(s) of (Street Address) ___________________________________, City of ______________________, County of __________________, State of _________________true and lawful attorney-in-fact (agent) for him/her and in his/her name, place and stead, giving and granting to said attorney-in-fact, general, full and unlimited power and authority to do and perform each and every act and thing which may be necessary, or convenient, in connection with any of the foregoing, as fully, to all intents and purposes, as could be done if Grantor(s) might or could do if personally present, with full power of substitution and revocation, hereby ratifying and confirming all that said attorney-in-fact shall lawfully do or cause to be done by virtue hereof.
Dated this ____ day of _________, 20___, I hereby agree to accept the appointment as Attorney-in-fact, pursuant to the foregoing Power of Attorney.
IN WITNESS WHEREOF, I/WE have hereunto set my hand and seal this _______ day of _______________________, 20____.
Grantor's Signature Grantor's Signature
Print or type name Print or type name
Signed, sealed and delivered in the presence of:
Witness 1 _______________________ Witness 2 _____________________
State of _____________ )
County of ____________ )
The foregoing instrument was acknowledged by me, a Notary Public, this ______ day of _____________, 20 ____ by:_______________________________ who is/are personally known by me or who has/have produced:_____ ______________________ as identification and who did not take an oath.
Witness my hand and official seal.
State of __________________
My Commission Expires:
UNITED STATES BY REGION:
New England Region: Connecticut, Maine, Massachusetts, New Hampshire, Rhode Island, Vermont
Great Lakes States: Illinois, Indiana, Michigan, Minnesota, Ohio, Wisconsin
Middle Atlantic States: Delaware, New Jersey, New York, Pennsylvania
Atlantic Coast and Appalachian States: Kentucky, Maryland, North Carolina, Tennesse, Virginia, West Virginia
Southeast and Gulf States: Alabama, Florida, Georgia, Mississippi, South Carolina
Mountain States: Colorado, Idaho, Montana, Utah, Wyoming
Plains States: Iowa, Kansas, Missouri, Nebraska, North Dakota, South Dakota
South Central States: Arkansas, Lousiana, Oklahoma, Texas
Southwest Desert States: Arizona, Nevada, New Mexico
Pacific States: Alaska, California, Hawaii, Oregon, Washington