Limited Power of Attorney Form

Limited Power of Attorney

limited power of attorney, is agreement in which your allows a person to take decision on your behalf, but only on specified matters.

 

I, ……………… [full legal name], residing at …………… [full permanent address], hereby appoint …………. [ full legal name] of ………… , ………….. , ………… As my Attorney – in – Fact to act in my place for the purposes of : ………………….

This limited power of attorney takes effect on the following date : …………… , and shall continue until …………… , or before then if terminated in writing.

I hereby grant my Attorney-in-Fact full authority to manage and conduct the foregoing powers , and I ratify all lawful acts that my Attorney-in-Fact performs in exercising those powers.

Any third party who receives a copy of this documents may act under it, for the limited purposes listed. I agree to indemnify a third party for any claims that arise against the third party because of reliance on this power of attorney.

If this power of attorney is revoked, such revocation is not effective upon a third party until the third party has received notification of the revocation.

Signed :
This ………………….. day of ………………………………… , 20xx.
State of : …………………………………. County of : …………………………….
Signature of principal : …………………….
Print name : …………….
Social Security Number : ………………………
Signature of Attorney-in-Fact : …………………………….
Name of Attorney-in-Fact : ……………………….
Witnesses: ………………….. Notary Public : ……………………………….

 

For a broader power of attorney, be sure to consult a lawyer for advice. In most states, a notary public must witness the signatures of both parties ; in some states, you will also need one or two third – party witnesses to the signing of the agreement. A notary public, a bank officer, or a real estate broker should be able to tell you whether witnesses are required in your state. As this book went to press, the following states required witnesses for any power of attorney : Arizona, Arkansas, Connecticut, Florida, Georgia, Illinois, Ohio, Oklahoma, Pennsylvania, South Carolina, and Wisconsin. Additionally, the following states require witnesses if the power of attorney is to be officially recorded with a government agency : Michigan and Vermont, plus the District of Columbia. Check with your home state because laws can change.

 

Revocation of Power of Attorney.

I, ……………………………… [Full legal name], residing at …. [Full permanent address], hereby revoke the power of attorney dates……………….. [Date] appointing ………………………….. [full legal name] of ………………………., …………….., ……………………………….. as my Attorney-in –Fact.
I revoke and withdraw all power and authority granted under that power of attorney.
Signed:
This …………………………………….. day of …………………………., 20xx.
State of: ………………………………………………….. Country of:……………………………………..
Signature of principal: …………………………………………
Print name: ………………………………………….
Social Security Number: …………………………………………………
Notary Public :………………………………………………….

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