Statutory Short Form Power of Attorney
This legal document may be used with respect to property and financial matters. Statutory short form power of attorney may be customized to fit the needs of the principal by adding to the power that is listed on the statutory short forms. Below is a sample of a statutory short form power of attorney.
Sample Statutory Short Form Power of Attorney
The powers granted by this document are broad and sweeping.
I ____________________ (principal’s name), of _____________________, do
hereby appoint ______________________ (name), of ___________________
(residence) as my attorney(S)-In-Fact to ACT:
- In my name, place and stead in any way which I myself could do, if I were personally present, with respect to the following matters:
- Real estate transactions [ ]
- Chattel and goods transactions [ ]
- Banking transactions [ ]
- Insurance transaction [ ]
- This power of attorney shall not be affected by the subsequent disability or incompetence of the principal.
In witness whereof, I have here unto signed my name and affixed my seal on this _______________ day, of ______________ (month) ___________ (year)
Signature _________________
Witness
Name _________________
Signature __________________
State of _______________________
Date ________________________
Personally appeared and signed the foregoing instrument, and acknowledged the same to his/her free act and deed before me ____________________ (name of commissioner)
Signature ________________________
Expires on: ___________________
Category: Power of Attorney forms
