Pennsylvania Power of Attorney
This Power of Attorney is made in accordance with the laws of the Commonwealth of Pennsylvania.
Principal: [Your Full Name]
Address: [Your Address]
City, State, Zip Code: [Your City, State, Zip Code]
Agent: [Agent's Full Name]
Address: [Agent's Address]
City, State, Zip Code: [Agent's City, State, Zip Code]
Effective Date: This Power of Attorney shall become effective on [Effective Date].
Durability: This Power of Attorney shall remain in effect until revoked by the Principal.
Powers Granted: The Principal grants the Agent the authority to act on behalf of the Principal in the following matters:
- Manage financial accounts
- Make healthcare decisions
- Handle real estate transactions
- File taxes
- Other matters as specified: [Specify Other Matters]
Signature of Principal: ___________________________
Date: ___________________________
Witnesses:
- ___________________________
- ___________________________
Notarization:
State of Pennsylvania
County of [Your County]
On this _____ day of __________, 20___, before me, a Notary Public, personally appeared [Your Full Name], known to me (or satisfactorily proven) to be the person whose name is subscribed to the within instrument, and acknowledged that they executed the same for the purposes therein contained.
In witness whereof, I hereunto set my hand and official seal.
______________________________
Notary Public
My commission expires: ____________