Special Power of Attorney Form
Please fill out this form to authorize another person to act on your behalf.
KNOW ALL MEN BY THESE PRESENTS
I, [Full Name], of legal age, residing at [Address] , hereby appoint [Agent Name], of legal age, residing at [Agent's Address] , as my true and lawful attorney-in-fact to act in my name, place, and stead in connection with the following matters:
DURATION OF AUTHORITY
Effective immediately and valid until revoked. I hereby ratify and confirm all lawful acts performed by my attorney-in-fact within the scope of authority granted in this document.
SIGNED this [Day]day of [Month], [Year].
Principal Signature:
Name:
Attorney-in-Fact Signature:
Name:
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