Indiana Power of Attorney Template
This document serves as a Power of Attorney (POA) for the state of Indiana, in accordance with Indiana Code § 30-5-1-1 et seq. It grants authority to an agent to act on behalf of the principal in specified matters.
Principal Information:
- Name: ____________________________________________
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- City, State, Zip: ____________________________________
- Date of Birth: ______________________________________
Agent Information:
- Name: ____________________________________________
- Address: ____________________________________________
- City, State, Zip: ____________________________________
- Phone Number: ______________________________________
Effective Date:
This Power of Attorney shall become effective on: ________________.
Authority Granted:
The principal grants the agent the authority to act on their behalf in the following matters:
- Financial decisions
- Real estate transactions
- Legal claims and litigation
- Banking transactions
- Tax matters
Limitations:
Any limitations on the authority granted to the agent must be specified here:
__________________________________________________________
Revocation:
This Power of Attorney may be revoked by the principal at any time, as long as the principal is competent to do so.
Signature:
In witness whereof, the principal has executed this Power of Attorney on this _____ day of ______________, 20__.
______________________________
Principal Signature
Witnesses:
Two witnesses are required to sign below:
- ______________________________ (Witness 1)
- ______________________________ (Witness 2)
Notarization:
This document must be notarized to be valid.
______________________________
Notary Public Signature
My commission expires: ________________