Pennsylvania Durable Power of Attorney
This Durable Power of Attorney is created in accordance with the laws of the Commonwealth of Pennsylvania. It allows you to appoint someone to make decisions on your behalf when you are unable to do so.
Principal Information:
- Name: ______________________________________
- Address: ____________________________________
- City, State, Zip: ____________________________
Agent Information:
- Name: ______________________________________
- Address: ____________________________________
- City, State, Zip: ____________________________
Effective Date: This Durable Power of Attorney shall become effective on the following date: __________________________.
Powers Granted: The Agent shall have the authority to act on behalf of the Principal in the following matters:
- Financial transactions
- Real estate transactions
- Tax matters
- Legal claims
- Other: ______________________________________
Durability: This Power of Attorney shall not be affected by the subsequent disability or incapacity of the Principal.
Signature:
By signing below, the Principal confirms that they understand the powers granted to the Agent and that this document reflects their wishes.
Principal Signature: ____________________________
Date: ________________________________________
Witness Information:
- Witness Name: ________________________________
- Witness Signature: ___________________________
- Date: ______________________________________
Notary Acknowledgment:
State of Pennsylvania, County of _______________________.
On this _____ day of _______________, 20___, before me, a notary public, personally appeared ______________________, known to me to be the person whose name is subscribed to this instrument, and acknowledged that they executed the same for the purposes therein contained.
Notary Public Signature: ________________________
My Commission Expires: ________________________