Specific Power of Attorney Form
A specific power of attorney form imposes limits upon the named representative, and may restrict the scope of that person’s powers. It doesn’t have to be registered with the state unless it grants power to deal with real estate transaction deals. Below is a sample specific power of attorney form.
Sample Specific Power of Attorney Form
BE IT ACKNOWLEDGED that I, ___________________________________
________________________________, the undersigned, hereby grant a limited and specific power of attorney to _______________________________________of ____________________as my attorney-in-fact.
Said attorney-in-fact shall have full power and authority to undertake and perform the following acts on my behalf:
1. _______________________________________________________________
2. _______________________________________________________________
3 ________________________________________________________________
The authority herein shall include such incidental acts as are reasonably required to carry out and perform the specific authorities granted.
My attorney-in-fact agrees to accept this appointment subject to its terms, and agrees to act and perform in said fiduciary capacity consistent with my best interest signed this ______day of _________, 20_____.
Name_______________ Signature___________________________________
Category: Power of Attorney forms

