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 designate an agent to manage your financial and legal affairs in the event that you become incapacitated.
Principal Information:
- Name: _______________________________
- Address: _____________________________
- City: ________________________________
- State: Pennsylvania
- Zip Code: ___________________________
Agent Information:
- Name: _______________________________
- Address: _____________________________
- City: ________________________________
- State: _______________________________
- Zip Code: ___________________________
Effective Date:
This Durable Power of Attorney shall become effective immediately upon execution, unless otherwise specified:
Effective Date: __________________________
Powers Granted:
The agent shall have the authority to act on my behalf in the following matters:
- Real estate transactions
- Banking transactions
- Investment transactions
- Tax matters
- Legal claims and litigation
- Healthcare decisions (if applicable)
Revocation of Prior Powers of Attorney:
By signing this document, I revoke any prior Durable Power of Attorney executed by me.
Signature:
Principal's Signature: ___________________________
Date: __________________________
Witness Information:
- Witness Name: ___________________________
- Witness Address: ________________________
- Witness Signature: _______________________
Notary Public:
State of Pennsylvania
County of ____________________________
On this ____ day of __________, 20___, before me, a Notary Public, personally appeared __________________________, known to me (or satisfactorily proven) to be the person whose name is subscribed to this instrument, and acknowledged that he/she executed the same for the purposes therein contained.
Notary Public Signature: ___________________________
My Commission Expires: ___________________________