Illinois Power of Attorney
This document serves as a Power of Attorney in accordance with the laws of the State of Illinois.
Principal Information:
- Full Name: ____________________________
- Address: ____________________________
- City, State, Zip Code: ____________________________
- Date of Birth: ____________________________
Agent Information:
- Full Name: ____________________________
- Address: ____________________________
- City, State, Zip Code: ____________________________
- Phone Number: ____________________________
Effective Date: This Power of Attorney shall become effective on the following date:
____________________________
Durability: This Power of Attorney shall remain in effect until revoked by the Principal or until the Principal's death.
Powers Granted: The Principal grants the Agent the authority to act on their behalf in the following matters:
- Manage financial accounts
- Make healthcare decisions
- Handle real estate transactions
- File tax returns
- Access safe deposit boxes
Signature of Principal:
____________________________
Date:
____________________________
Witnesses: The following witnesses attest that the Principal is of sound mind and not under duress:
- Witness 1 Name: ____________________________
- Witness 1 Signature: ____________________________
- Witness 2 Name: ____________________________
- Witness 2 Signature: ____________________________
Notary Public: This document must be notarized to be valid.
____________________________
Notary Public Signature
____________________________
Date