Durable Power of Attorney
This Durable Power of Attorney is made in accordance with the laws of the state of [State Name] and grants the authority to act on behalf of the Principal.
1. Principal Information
- Full Name: __________________________________________
- Address: __________________________________________
- City, State, Zip Code: _____________________________
- Date of Birth: _____________________________________
2. Agent Information
- Full Name: __________________________________________
- Address: __________________________________________
- City, State, Zip Code: _____________________________
- Phone Number: _____________________________________
3. Grant of Authority
I, the Principal, hereby appoint the Agent to act on my behalf. The Agent is authorized to make decisions and perform acts regarding:
- Financial matters, including banking and real estate transactions.
- Legal matters, including entering into contracts.
- Healthcare decisions, if specified by the Principal.
4. Effective Date
This Durable Power of Attorney will become effective immediately upon signing and will remain in effect until revoked by the Principal in writing.
5. Revocation
The Principal may revoke this Durable Power of Attorney at any time by providing written notice to the Agent.
6. Signatures
In witness whereof, I, the Principal, have executed this Durable Power of Attorney on this ___ day of ________________, 20__.
Principal's Signature: _________________________________
Print Name: ______________________________________
Witness Signature: _________________________________
Print Name: ______________________________________
Witness Signature: _________________________________
Print Name: ______________________________________