Sample Power of Attorney
- I,
________________________________(Principal's name)
__________________________________(Principal's address),
being of sound mind and legal capacity, do hereby appoint
___________________________________(Agent's name)
___________________________________(Agent's address),
as my true and lawful attorney in fact, to act for me in my name, place,
and stead, and on my behalf to do and perform the following:
(List agent's powers here, such as the power to buy or sell stock or
real estate, write checks, etc.)
- The following property,
interests, or rights shall be subject to this Power of Attorney:
(Identify assets subject to agent's authority.)
- This Power of Attorney shall
be effective on the date of ____________, 20___.
- This Power of Attorney shall
remain in effect in the event that I should become or be declared disabled,
incapacitated, or incompetent.
- This Power of Attorney shall
terminate on the date of ____________, 20____, unless I have revoked it
sooner. I may revoke this Power of Attorney at any time and in any manner.
- My agent shall be paid
compensation for services pursuant to this Power of Attorney as follows:
(Identify compensation agent will receive, if any.)
- This Power of Attorney shall
be governed by the laws of the State of __________________.
In Witness Whereof, I have signed this Power of Attorney of my own free will.
_______________________________________
Principal's Signature
_____________________
Date
Agreed to and Accepted by:
_______________________________________
Agent's Signature
_____________________
Date
Subscribed and sworn to before me on this _____ day of _____________, 20____.
________________________________________
Notary