Blank Notary Power of Attorney
BLANK NOTARY POWER OF ATTORNEY
I. Principal Information
I, [Your Name] (Principal's Full Name), residing at [Your Company Address] (Principal's Address), hereby appoint:
II. Attorney-in-Fact
Name: [____________________________]
Address: [____________________________]
Phone: [____________________________]
Email: [____________________________]
III. Powers Granted
The undersigned Principal hereby grants the Attorney-in-Fact the authority to act on my behalf in the following matters:
-
[____________________________]
-
[____________________________]
-
[____________________________]
IV. Duration of Power
This Power of Attorney shall be effective from [_______________] (Start Date) and shall continue until [_______________] (End Date) or until revoked by me in writing.
V. Revocation
This Power of Attorney may be revoked at any time by the Principal in writing.
VI. Signatures
IN WITNESS WHEREOF, I have hereunto set my hand and seal this [___] day of [_________], 20.
Principal:
Printed Name: [Your Name]
Witnesses:
Printed Name: [____________________________]
Printed Name: [____________________________]
VII. Notary Acknowledgment
STATE OF [____________________________]
COUNTY OF [____________________________]
On this [___] day of [_________], 20, before me, [____________________________] (Notary's Name), a Notary Public in and for the said state, personally appeared [____________________________] (Principal's Name), known to me to be the person whose name is subscribed to the within instrument, and acknowledged that he/she executed the same.
IN WITNESS WHEREOF, I have hereunto set my hand and official seal.
Notary Public
My Commission Expires: [_______________]
