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Limited Power of Attorney Template

Used 4,876 times

Limited Power of Attorney Template

Image 1

Created by:

[Principal.FirstName][Principal.LastName][Principal.Company]

Prepared for:

[Agent.FirstName][Agent.LastName][Agent.Company]

I. PARTIES

BE IT ACKNOWLEDGE that I, [Principal.FirstName][Principal.LastName] (herein, the "Principal"), being of sound body and mind, do hereby appoint [Agent.FirstName][Agent.LastName] of [Agent.State], as my attorney-in-fact (herein, the "Agent") for all purposes under this limited power of attorney.

II. POWERS

The Agent shall have full power and authority to undertake only the following acts on my behalf:

  1. (insert task)

  2. (insert task)

  3. (insert task)

The authority herein shall include such incidental acts as are reasonably required to carry out and perform the specific authorities granted herein.

The Agent must keep me, the Principal, informed about any decisions made on my behalf and any communication related to those decisions. If I disagree about a decision made under this Limited Power of Attorney, I may seek legal advice from an attorney of my choice before making any further decisions under this Limited Power of Attorney.

III. EFFECTIVE DATE

This Limited Power of Attorney is exercisable for a period of (insert duration, e.g., two years) and shall become effective on (date) and shall terminate on (date).

IV. TERMINATION

This power of attorney will be terminated if:

  1. I am no longer mentally capable of making important personal decisions, legally disabled, or in the event of my death;

  2. I revoke this Limited Power of Attorney by delivering a written revocation to the agent acting under the power;

  3. The duration of this Limited Power of Attorney ends;

  4. Any other circumstance arises that would render it invalid under applicable law.

I grant my agent full authority to act in any reasonable and necessary manner to exercise the above powers. I ratify all lawfully performed acts by my agent in exercising those powers.

MM / DD / YYYY
Signature

[Principal.FirstName][Principal.LastName][Principal.Company]

Signature
MM / DD / YYYY

Notary Public:[Notary.FirstName][Notary. LastName][Notary.Company]

My commission expires: (date)

By accepting this appointment and acting under it, the attorney-in-fact assumes the legal responsibilities of an agent.

MM / DD / YYYY

[Agent.FirstName][Agent.LastName][Agent.Company]

Signature

Limited Power of Attorney Template

Used 4,876 times

Use this template — free