Free POA Authorization Form Template

POA Authorization Form

Please fill out the form with your information below.

Principal Information

Name

    Address

      Date of Birth

        Phone number

          Attorney-in-Fact Information

          Name

            Address

              Phone number

                Scope of Authority

                The Principal grants the Attorney-in-Fact the authority to act on their behalf in the following matters:

                • Financial and Banking Transactions

                • Real Estate Transactions

                • Medical Decisions

                • Legal Matters

                Duration of Power of Attorney

                This Power of Attorney shall remain in effect until: or until revoked by the Principal in writing.

                Acknowledgment and Consent

                By signing below, the Principal acknowledges that they understand the nature and extent of the powers granted to the Attorney-in-Fact. The Principal affirms that this document has been executed voluntarily, without undue pressure or influence.

                Date:

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