Springing Power of Attorney form
The springing power of attorney form gives your attorney power to transact business on your behalf in the future. It only comes to effect when you become incapacitated. A clear definition on how others determine that the “springing event” has occurred should be stated on the document.
Sample Springing Power of Attorney Form
This power is given on ________________ (date), by ______________ (principals name)
- Explanatory notes for the assistance of the principal. Read these notes before signing the document.
- This document is a springing power of attorney form that will come into effect sometime in the future. You may choose any date or event that can be clearly ascertained.
- Appointments and directions.
I appoint ____________________ (name), of ____________________ (address), to be my attorney in accordance with the power of attorney act and to act on my behalf in accordance to the above stated responsibilities.
Witnessed by:
(Witness must sign here, in presence of donor)______________________________
(Donor must sign here, in presence of witness) ______________________________
(Address of witness) _____________________________
- Attorneys acceptance of appointment
I accept the appointment on ______________ 20 ____________ (date the attorney signs this acceptance)
Witnessed by:
(Witness must sign here, in presence of attorney) ____________________________
(Attorney must sign here, in presence of witness) ____________________________
(Print name of witness) ____________________________
(Address of witness) _______________________
Category: Power of Attorney forms
