Power of Attorney Affidavit
This is a sworn written statement. A third party may require you as the attorney-in-fact, to sign an affidavit stating that you are validly exercising your duties under the power of attorney. The purpose of the affidavit is to relieve the third party of liability for accepting an invalid power of attorney.
Sample Power of Attorney Affidavit
State of _______________
County of ________________
Before me, a notary public in the state of ______________, personally
appeared before _____________ (agent), after being duly sworn.
- The undersigned ____________________ (agent), born on
______________ (agent’s birth date), residing at _____________________
(address) is the attorney-in-fact appointed by _________________
(grantor) in a power of attorney dated ____________________
- The undersigned declares that, at the time of transacting business on behalf of the principal, I have not received actual knowledge of the revocation of the said power of attorney.
The undersigned officer does hereby certify that on ____________ day of
__________, ___________ before me appeared _____________ (agent) who
identified himself as the person named in the affidavit above and
executed the foregoing instrument.
___________________________________
(Notary public)
(SEAL)
My commission expires on: _______________________________
Category: Power of Attorney forms
