POWER OF ATTORNEY

Date: {{poa_date}}
State: {{governing_state}}

Principal (the person granting authority):
Name: {{principal_name}}
Address: {{principal_address}}
Date of birth: {{principal_dob}}
Phone: {{principal_phone}}

Agent (attorney-in-fact):
Name: {{agent_name}}
Address: {{agent_address}}
Phone: {{agent_phone}}
Relationship to principal: {{agent_relationship}}

Successor agent (acts if the agent cannot):
Name: {{successor_agent_name}}
Address: {{successor_agent_address}}

1. Appointment

1.1. The Principal appoints the Agent named above as the Principal's attorney-in-fact to act for the Principal as described in this document.
1.2. This is a {{poa_type}} power of attorney.
1.3. The Agent shall act in the Principal's best interest, keep the Principal's property separate from the Agent's own, and keep records of every transaction made for the Principal.
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2. Powers granted

2.1. The Agent is authorized to do the following on the Principal's behalf:
{{powers_granted}}

2.2. Specific matter or property this power concerns: {{specific_matter}}
2.3. Institutions or persons the Agent may deal with: {{institutions}}
2.4. The Agent may sign documents, submit and receive filings, and take the ordinary steps needed to carry out the powers listed above, but nothing beyond them.

3. Limits on the Agent

3.1. Limits and exclusions:
{{limitations}}

3.2. The Agent {{may_delegate}} delegate this authority to another person.
3.3. The Agent {{may_gift}} make gifts of the Principal's property.
3.4. The Agent {{compensation_clause}} entitled to compensation for serving.
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4. Duration, durability and revocation

4.1. This power of attorney takes effect on {{effective_date}} and, unless revoked sooner, ends on {{expiration_date}}.
4.2. Durability: {{durability_clause}}
4.3. The Principal may revoke this power of attorney at any time by a signed written notice delivered to the Agent. Revocation binds a third party only once that third party learns of it, so send written notice to every institution that has relied on the document.
4.4. This power of attorney ends on the Principal's death.

5. Third parties, execution and general terms

5.1. A third party who relies in good faith on this document is not liable to the Principal for doing so.
5.2. A photocopy or electronic copy of this signed document has the same effect as the original, unless an institution requires the original.
5.3. This power of attorney is governed by the law of {{governing_state}}.
5.4. Requirements differ by state: most states require notarization, some also require witnesses, and some require their own statutory form before a bank, a title company or a government office will accept the document. A power of attorney covering real estate usually has to be recorded with the county. New York, for example, requires its statutory cautions to the principal and to the agent, and Florida requires two witnesses and a notary. In California a durable power of attorney must be notarized or signed by two witnesses (Probate Code Section 4121), and a printed form must include the warning notices set out in Probate Code Section 4128, which this template does not reproduce. Check the rules in {{governing_state}} before relying on this document. This template is not legal advice.

PRINCIPAL:
Name: {{principal_name}}
Signature: {{principal_signature}}
Date: {{poa_date}}

AGENT (accepting the appointment):
Name: {{agent_name}}
Signature: {{agent_signature}}
Date: {{poa_date}}

FIRST WITNESS:
Name: {{witness_name}}
Signature: {{witness_signature}}

SECOND WITNESS (required in some states, for example Florida):
Name: {{second_witness_name}}
Signature: {{second_witness_signature}}

Notary acknowledgment: {{notary_block}}

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