Legal & declarations
Special power of attorney template (US)
A general template under US law. Laws differ from state to state, so check it against your state's law or with a lawyer licensed there. We are not a law firm and do not give legal advice.
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Preview — US standard
General Durable Power of Attorney
Many states require their own statutory form, specific wording, witnesses or notarization. Check the law of Principal State before using this form, and use a separate document for health care decisions.
I, Principal Name, of Principal Address ("Principal"), appoint Agent Name, of Agent Address, as my agent. If my agent cannot or will not serve, I appoint Successor Agent Name as successor agent.
1. Authority
My agent may act for me in these matters: Authority Granted, such as banking, real property, taxes, insurance, business, government benefits.
The following powers are granted only if I initial them: creating or changing a trust Initials Trust; making gifts Initials Gifts; changing beneficiary designations Initials Beneficiary.
2. Effective Date and Durability
This power of attorney takes effect When Effective: immediately, or on my incapacity. It is durable: it is not affected by my later incapacity, unless state law requires otherwise.
3. Agent's Duties
My agent will act in good faith and in my best interest, within the authority granted, will keep my property separate, and will keep records of all transactions.
4. Revocation
I may revoke this document at any time while I have capacity, by written notice to my agent. It ends at my death.
5. Reliance
A third party may rely on a copy of this document until they actually know it has been revoked.
6. Governing Law
This document is governed by the laws of the State of Principal State.
Principal: Principal Signature
Date: Signing Date
Witnesses, where required:
• Witness 1 Name: Witness 1 Signature
• Witness 2 Name: Witness 2 Signature
Notary Acknowledgment
State of Notary State, County of Notary County. On Notary Date, before me, Notary Name, personally appeared Principal Name, proved to me to be the person who signed this document, and acknowledged signing it.
Notary Public: Notary Signature
Commission expires: Commission Expiration