Power of attorney form

The person granting authority under this power of attorney.

The person authorized to act for the principal.

If the agent named above is unable or unwilling to act, the following person may serve instead.

The principal grants the agent authority to act in the subject areas checked below. Any area left unchecked is not granted.

Limits on the agent’s authority, or additional powers granted, if any.

Unless the box below is checked, this power of attorney is durable: it is not terminated by the principal’s subsequent incapacity. It takes effect on the date signed unless a later date or condition is written below, and it remains effective until revoked in writing by the principal, the principal’s death, or termination by a court.

By signing, the principal declares that they are of sound mind and sign this document voluntarily. The agent, by acting under it, accepts the duties of an agent under applicable law, including acting in the principal’s best interest and keeping records. Sign in ink after printing. Many uses of this document require witnesses or a notary; check the rules that apply in your state before signing.

This document is a general-purpose template provided for convenience. It is not legal advice, and no attorney-client relationship is created by using it. Execution requirements such as witnesses and notarization vary by state. For significant assets or complex situations, have a lawyer review the final document.