Sample Power of Attorney Form
A sample power of attorney form is used to state the agent that has been selected to represent an individual in legal matters. Powers of attorney are handed over due to various reasons such as the inability of an individual to represent themselves for whichever reasons that have been stated. A sample power of attorney form is shown below.
Sample Power of Attorney Form
I, (name) _______________________________ of address ______________ agree to be represented by agent: (name) ______________________________ of address __________________ who agrees to represent the mentioned person in the conditions below.
This form is effective from (date): _______________________________________
This document determines that the agent accepts the powers of attorney that have been bestowed by the client and will do so only to make decisions based on legal matters should the client be unable to make decisions on their own. By signing this document, both parties agree to its terms and are aware that the document is binding.
Signed (client): _____________________
Signed (agent): _____________________
Date Signed: _____________________
Category: Power of Attorney forms
