Specific Power of Attorney Form

Specific power of attorney form also known as limited power of attorney form allows a person, i.e. the principal, to authorize someone else i.e. the attorney-in fact or agent to act on his or her behalf. This document becomes effective immediately. The document author/grantor can decide whether it should be a durable or non-durable power of attorney. It can also be customized to fit the principal’s needs.

Sample Specific Power of Attorney Form

I _____________________________________ (principal’s name) has

appointed, _______________________________ true and lawful attorney for

him/her and in his/her name, place and stead, for the following

specific and limited purposes only:

Giving and granting said attorney, full power and authority to do and perform all and every act and thing whatsoever necessary to be done in and about the specific and limited premises (set out herein) as fully, to all intents and purposes, as might or could be done if personally present, with full power of substitution and revocation, hereby ratifying and confirming all that said attorney shall lawfully do or cause to be done by virtue hereof.

IN WITNESS WHEREOF, I have hereunto set my hand and seal

This _______ day of _______________________, 20____

Signed, sealed and delivered in the presence of:

_____________________________      _____________________________

Witness

_____________________________

Witness

State of _____________

County of ____________

The foregoing instrument was acknowledged by me this ______

day of _____________, 19 ____ by: _______________________________

who is/are personally known by me or who has/have produced: _____

______________________ as identification and who did not take an

oath.

________________________________ (SEAL)

Notary Public

State of

My Commission Expires :……………….( DATE)

Category: Power of Attorney forms