Bank Power of Attorney Form
Bank Power of Attorney Form
Please fill out this form completely to authorize someone to act on your behalf for bank-related transactions.
Principal Information (Person Granting Power)
Name
Address
Phone number
Agent Information (Person Receiving Power)
Name
Address
Phone number
Bank Information
Name of Bank
Bank Address
Bank Account Number(s)
Powers Granted
I grant my agent the following powers concerning my bank account(s).
-
Deposit and withdraw funds
-
Manage payments and transfers
-
Access account information
-
Close bank accounts
-
Effective Date
End Date
It will remain in effect until revoked by me in writing.
Signature and Authorization
By signing this form, I authorize the individual named above to perform the selected actions on my behalf concerning the accounts listed.
Name:
Date:
Witness/Notary Section (if required)
Name:
Date:
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