Power of Attorney
This Power of Attorney is created according to the laws of [State Name].
The undersigned grantor:
Full Name of Grantor: ______________________________________
Address: ______________________________________
City, State, Zip Code: ______________________________________
Date: ______________________________________
Hereby appoints:
Full Name of Agent: ______________________________________
Address: ______________________________________
City, State, Zip Code: ______________________________________
Date: ______________________________________
This Power of Attorney grants the Agent the authority to act on behalf of the Grantor in the following matters:
- Manage financial accounts
- Handle real estate transactions
- Make legal decisions
- Engage with healthcare providers
The Grantor retains the right to revoke this Power of Attorney at any time, provided that such revocation is made in writing and delivered to the Agent.
By signing below, the Grantor acknowledges understanding of the powers granted to the Agent and affirms that this document is executed voluntarily.
Signature of Grantor: _______________________ Date: ____________
Witness Name: _______________________
Witness Signature: _______________________ Date: ____________
This document should be signed in the presence of a notary public.
Notary Public: _______________________________________
Commission Number: _______________________________________
My Commission Expires: _______________________________________