Blank Power of Attorney Form

June 29, 2010 | By | Reply More

blank power of attorney form is also known as durable power of attorney. It’s a document that lets an individual appoint someone to represent them. The principal signs the power of attorney while the agent administers the power of attorney. Below is a sample blank power of attorney form.

Sample Power of attorney form


I_____________________ do hereby appoint: _______________________ my attorney(s)

(Name and address)                                        (Name and address of agent)

In-fact TO ACT IN MY NAME, PLACE AND STEAD, in any way which I myself could do, if I were personally present, with respect to the following matters defined to the extent that I am permitted by law to act through an agent:

This durable power of attorney shall not be affected by my subsequent disability or incompetence

This durable general power of attorney may be revoked by me at any time.

In witness whereof, I have hereunto signed my name this___________ day of_________ 20___________

Category: Power of Attorney forms

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