Power of Attorney Sample

A power of attorney allows your agent to handle your important affairs for you.

This document is also known as Letter of Attorney.

A POA is a written document in which a person (grantor, principal, or donor) authorizes another person (the agent, attorney-in-fact, or donee) to represent or act on his or her behalf in business issues, private affairs, or other legal matter.

This document is also known as Letter of Attorney.

TYPES OF POA: General, Specific or Limited, Durable or Enduring, Springing, Financial, Medical, Real Estate.

Not all states require the P.O.A. to be notarized. A notary's seal and signature is used to attest to the fact that the person named in the document is the same person who has signed it. In the US a notary stamp is accepted anywhere, no matter which state the notarization has taken place. Notaries can be found at any courthouse, lawyers offices, car lots, and public offices with notary services.

The power or letter of attorney form below (POA) is just an example. It is not intended to cover all or any legal requirements of one's jurisdiction or legal issues. It is crucial that you consult an attorney to obtain the proper legal advice, assistance and directions on filing legal forms for your specific case correctly, and in order for the document to be legally suitable and effective.


    Made this _________day of ____________________ (month) of ____________ (year)


    I,_______________________________________ (insert name and address of principal)

    hereby appoint:

    _________________________________________ (insert name and address of person appointed)

    as my true and lawful agent (attorney-in-fact) to have full power and authority to act on my behalf in any lawful way with respect to the following:

    (Personal and Family Issues, Real State Transactions, Stocks and Bonds Transactions, Banking and Other Financial Institutions, Business Transactions, Tax Matters, Insurance and Annuity, Claims and Litigations, State, Trust and Other Beneficiary, Retirement Plan, Social security, Medicaid, Medicare, Governament programs or Military Services Benefits)

    And all matter pertaining to:

    I aknowledge and agree that my attorney in fact binds me to all terms, obligations and conditions associated with this form, including repayment obligations.

    I understand that my attorney-in-fact may act for me until this power of attorney is revoked or terminated.

    I confirm tha both my attorney-in-fact and I are at least 18 years of age.

    The agent (attorney-in-fact) IS/IS NOT entitled to compensation for acting persuant to this power of attorney in the amount of $____________ Month/Year.

    IN WITNESS WHEREOF, I have hereunto set my hand and seal this _______ day of _______________________, 20____.

    Signed, sealed and delivered in the presence of:

    ______________________________ ___________________________
    Witness - 1

    ______________________________ ___________________________
    Witness - 2

    State of _____________ )
    ) ss.
    County of ____________ )

    The foregoing instrument was acknowledged by me 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.

    ________________________________ Notary Public State of ___________________ My Commission Expires: ___/___/___

    Notary Seal:

    Although POA's can be oral, a written form is required by some jurisdictions courts, The Internal Revenue Services, Hospitals and Banks, in order to keep a copy of the original document for their records.

    Alabama, Arkansas, Alaska, Arizona, California, Colorado, Delaware, Connecticut, Florida, Georgia, Hawaii, Indiana, Illinois, Iowa, Idaho, Kansas, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.

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    DISCLAIMER: provides internet content that is designed only to entertain and inform and is not to be considered professional law/legal advice. Consult a licensed attorney or law firm in your State of residence who will advise and answer all your questions and concerns about any legal issues you may have.

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