Limited Power of Attorney Form
Limited Power of Attorney Form
Introduction
This Limited Power of Attorney dated
Principal Information
Name
Address
Agent Information
Name
Address
Powers Granted
I hereby appoint the above-named Agent to act on my behalf in the following matters:
-
Manage bank accounts
-
Sign legal documents
-
Handle real estate transactions
-
Make medical decisions
-
Other (pls. specify):
Duration of Authority
This Limited Power of Attorney shall be effective:
-
From
Month Day, Year toMonth Day, Year -
Or until the following event occurs:
Special Instructions or Limitations
Specify any limitations or special instructions related to the powers granted:
Revocation
This Limited Power of Attorney may be revoked at any time by the Principal by providing written notice to the Agent.
Signature
By signing below, I, the Principal, authorize the Agent to act on my behalf in the matters outlined, limited to the specified terms and time period.
Principal
Name: Date: |
Agent
Name: Date: |
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