Free Indiana Power of Attorney Template

Indiana Power of Attorney

Table of Contents

I. Appointment of Attorney-in-Fact

II. Powers Granted to Attorney-in-Fact

  • A. Management of Financial Affairs

  • B. Real Estate Transactions

  • C. Healthcare Decisions

  • D. Legal Matters

  • E. General Authority

III. Signature of Principal

IV. Witness Acknowledgement

V. Notary Acknowledgement


I. Appointment of Attorney-in-Fact

I, [Your Name], residing at [Your Company Address], hereby appoint [Agent's Name], residing at [Agent's Address], as my attorney-in-fact to act on my behalf in all matters related to my financial affairs, with full power and authority to do and perform all necessary and lawful acts, including, but not limited to, the following:

II. Powers Granted to Attorney-in-Fact

  • A. Management of Financial Affairs: To manage, invest, and disburse funds from my bank accounts, pay bills, and conduct financial transactions on my behalf.

  • B. Real Estate Transactions: To buy, sell, lease, or mortgage real estate on my behalf.

  • C. Healthcare Decisions: To make healthcare decisions for me, including the consent to or refusal of medical treatment.

  • D. Legal Matters: To initiate or defend legal proceedings on my behalf, sign legal documents, and represent me in legal matters.

  • E. General Authority: To do any other act or thing that I could do if personally present.

Agreed and signed by [Your Name], the Principal.

[Date Signed]


III. Witness Acknowledgement

The foregoing Power of Attorney was signed and acknowledged by [Your Name] in our presence, and we, at [City, State], on [Date], also sign our names as witnesses at the request of the principal and in the principal's presence.

Witness 1: [Witness 1 Name]

[Date Signed]

Witness 2: [Witness 2 Name]

[Date Signed]


IV. Notary Acknowledgement

State of Indiana

On this [Date], before me, a notary public in and for said State, personally appeared [Your Name], known to me (or proved to me on the basis of satisfactory evidence) to be the person whose name is subscribed to the foregoing instrument, and acknowledged that he/she executed the same for the purposes therein contained.

Witness my hand and official seal.

[NOTARY PUBLIC'S NAME]

My Commission Expires: [Date Of Expiration]


Please ensure that this document is reviewed by a legal professional to ensure its compliance with Indiana state laws and regulations.

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