Assistant
 
Ask A Question
 
Business Forms
 
Business Directory


Sign up for free to add a business, receive our monthly newsletter and remove all advertising.



Free Virginia Power of Attorney Form






Business Network Members
  1. Marlene's Tax Service
  2. Trent Beverage Company
  3. Be Protected Now Benefits
  4. Blue Jay Village






Virginia Power of Attorney Template

Word   PDF  

Virginia Power of Attorney


Date: ____/____/______

I, do hereby [Legal Name], AKA [Name]

A resident of [City][State]

Located at [Address]

[City], [State] [Zip Code]

Appoint as my Attorney in fact:

Name [Legal Name]

A resident of [City][State]

Located at [Address]

[City], [State] [Zip Code]

1st Successor:

Name [Legal Name]

A resident of [City][State]

Located at [Address]

[City], [State] [Zip Code]

If you designate more than one agent above, by default they must act together unless you initial the statement below.

[___] My agents may act separately.

If you designate more than one successor agent above, by default they must act together unless you initial the statement below.

[___] My successor agents may act separately.

My attorney-in-fact may act on my behalf for the following purpose(s):

[____] Real Estate Transactions

[____] Stock and Bond Transactions

[____] Commodity and Option Transactions

[____] Tangible Personal Property Transactions

[____] Banking and Other Financial Institution Transactions

[____] Business Operating Transactions

[____] Insurance and Annuity Transactions

[____] Estate, Trust and Other Beneficiary Transactions

[____] Claims and Litigation

[____] Personal and Family Maintenance

[____] Benefits from Social Security, Medicare, Medicaid or Other Government Programs

[____] Retirement Plan Transactions

[____] Tax Matters, including any transactions with the Internal Revenue Service

[____] Decisions Regarding Lifesaving and Life Prolonging Medical Treatment.

[____] Decisions Relating to Medical Treatment, Surgical Treatment, Nursing Care, Medication, Hospitalization, Institutionalization in a nursing home or other facility and home health care.

[____] Transfer of Property or Income as a Gift to the Principal’s Spouse for the purpose of qualifying the principal for governmental medical assistance.

[____] All OF THE ABOVE POWERS, INCLUDING FINANCIAL AND HEALTH CARE DECISIONS.


I do hereby grant my attorney in fact complete authority to act in any reasonable manner that is necessary to execute the above mentioned powers that are granted.

This power of attorney shall become effective immediately unless specified otherwise in the special instructions.

This power of attorney shall continue until I revoke it or it is terminated by my death.

I agree that any third party who is given a copy of this power of attorney may act relying on it. I also agree that revocation of this power of attorney is effective as to a third party only upon receipt of actual notice by the third party. I agree to indemnify the third party for any loss that may be suffered while carrying out this power of attorney.

Signature And Acknowledgment


This contract shall be governed by the laws of the State of Virginia in __________ County and any applicable Federal Law.


__________________________________________________________ Date____________
Signature of Principle



By accepting this appointment and acting under it, I the attorney-in-fact (“Agent”) do hereby assume the legal responsibilities of an agent.


_____________________________________________________________________Date____________
Signature of Attorney-in-Fact


_____________________________________________________________________Date____________
Signature of Successor



WITNESS #1) _________________________________


WITNESS #2) _________________________________










Power Of Attorney



Power Of Attorney Template



Revoke Power of Attorney



Limited Power of Attorney



Financial Power of Attorney



Medical Power of Attorney



Durable Power Of Attorney



Special Power of Attorney



Lasting Power Of Attorney



Guardianship Power of Attorney



Power Of Attorney Assortment







State Power Of Attorney



Alabama Power of Attorney



Alaska Power of Attorney



Arizona Power of Attorney



Arkansas Power of Attorney



California Power of Attorney



Colorado Power of Attorney



Connecticut Power of Attorney



Delaware Power of Attorney



District of Columbia Power of Attorney



Florida Power of Attorney



Georgia Power of Attorney



Hawaii Power of Attorney



Idaho Power of Attorney



Illinois Power of Attorney



Indiana Power of Attorney



Iowa Power of Attorney



Kansas Power of Attorney



Kentucky Power of Attorney



Louisiana Power of Attorney



Maine Power of Attorney



Maryland Power of Attorney



Massachusetts Power of Attorney



Michigan Power of Attorney



Minnesota Power of Attorney



Mississippi Power of Attorney



Missouri Power of Attorney



Montana Power of Attorney



Nebraska Power of Attorney



Nevada Power of Attorney



New Hampshire Power of Attorney



New Jersey Power of Attorney



New Mexico Power of Attorney



New York Power of Attorney



North Carolina Power of Attorney



North Dakota Power of Attorney



Ohio Power of Attorney



Oklahoma Power of Attorney



Oregon Power of Attorney



Pennsylvania Power of Attorney



Rhode Island Power of Attorney



South Carolina Power of Attorney



South Dakota Power of Attorney



Tennessee Power of Attorney



Texas Power of Attorney



Utah Power of Attorney



Vermont Power of Attorney



Virginia Power of Attorney



Washington State Power of Attorney



West Virginia Power of Attorney



Wisconsin Power of Attorney



Wyoming Power of Attorney



Certification of Trust






Home - Sign In - Contact - Privacy Policy - Business Assistant - Ask A Question - Business Directory - Marketing Trends - Business Forms - Starting A Business - Business Ideas - Service Contracts - Agreements & Notices - Vehicle & Transportation - Attendance & Scheduling - Organize & Communicate - Hiring An Employee - Employee Performance - Training & Coaching - Continuous Improvement - Sales, Bids & Estimates - Payroll & Accounting - Purchasing & Receiving

© Copyright 2014