Limited Power of Attorney Form
A limited power of attorney form outlines the rights and powers given to an attorney by a client to act on his behalf on a specific matter defined by the client. This document explains the extent to which the rights and authority is given. The document below is a sample power of attorney form that can be used to give authority to an attorney.
Sample Limited Power of Attorney Form
I (Name of client) _____________________, (Address) ___________________ appoint
(Name of lawyer) ____________________________ of
(Address)___________ (4) _______________, hereby give authority and rights to act on
My behalf in respect to the matter as defined below.
(Description of extent of authority)
The appointed attorney has rights and powers to act on matters described above as from
_________________ and shall exercise them until___________________ unless there an
extension or prior notice of termination by either party.
Dated _________________Sign _________________________
The authority in this mater hereby appoints me as the attorney he grants full authority and
power to act on his behalf concerning the described matter as
from________________________in person and in full knowledge and consciousness.
Sign__________________ Date _____________________
Expiry of Commission _________________________
Category: Power of Attorney forms

