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Free Power of Attorney Form

Printable Power of Attorney form that can help you when you are trying to create your own Power of Attorney document.






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Printable Power of Attorney Form

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Power of Attorney Form


Effective Date ____/____/______

I, do hereby [Legal Name], AKA [Name]
A resident of [City][State]
Located at [Address]
[City], [State] [Zip Code]

Do Hereby Appoint [Legal Name]
A resident of [City][State]
Located at [Address]
[City], [State] [Zip Code]

As my attorney-in-fact to act on my behalf for the following purpose(s):
________________________________________________________________________


This power of attorney is to start to be effective on ____/____/______, and shall remain effective until ____/____/______. I do hereby grant my attorney-in-fact complete and full authority to act in any reasonable and necessary manner for the purpose of exercising the above mentioned powers. I also, ratify all the lawfully performed acts by my attorney-in-fact in exercising those powers. I fully understand and 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 when they receive receipt of an actual notice by the third party. If due to reliance on the Power of Attorney, a third party suffers any loss, I agree to pay for any third party loss.

Applicable Law


This contract shall be governed by the laws of the State of __________ 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


WITNESS #1) _________________________________


WITNESS #2) _________________________________










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