Irrevocable Power of Attorney Form
An irrevocable power of attorney form gives an agent the authority to make decisions, and act on behalf of the person granting the power, i.e. the principal. It remains irrevocable unless the parties agree to terminate it. It can be used when the principal wants to dispose off his/her assets. A grant of irrevocable power of attorney can also be used as a security on a loan. Below is a sample irrevocable power of attorney form
Sample Irrevocable Power of Attorney Form
The share certificate is to be deposited into the following credential direct account
For value received the undersigned hereby sells, assigns, and transfers unto:
Name of Transferee:
(This Area for Head Office use only)
Complete: (a) for Stocks, or (b) for Bonds, Debentures, Notes, or other securities.
(a) Share Description
Number of Shares
(b) Issuer of Certificate
Bond, Debenture, or Note Description
Face Value of Certificate
Standing in the name of the undersigned on the books of the said Corporation represent by certificate(s) No. (s)…and hereby irrevocably constitutes and appoints Trachets Corporation as attorney of the undersigned to transfer the said Corporation with the full power of substitution in this matter.
SIGNED and DATED at ________________ in the Province of _______________ this ____ day of ______________, 20___.
In the presence of:
Witness(es) Only Sign Here
Person(s) Executing the power …………………….Sign Here
Witness Signature…………………………….
Certificate Owner’s Signature………………….
Certificate Owner’s Name…………………..
Witness Signature…………………………
Joint Certificate Owner’s Signature (if applicable)……………………….
Joint Certificate Owner’s Name………………………….
Guarantees of Signatures, etc……………………..
Category: Power of Attorney forms
