Pennsylvania Power of Attorney Template
This Power of Attorney is executed in accordance with the laws of the Commonwealth of Pennsylvania.
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.
Authority Granted: The Principal grants the Agent the authority to act on their behalf in the following matters:
- Financial transactions
- Real estate transactions
- Legal matters
- Healthcare decisions
Signature of Principal:
___________________________
Date: ___________________________
Witness Information:
- Witness Name: ___________________________
- Witness Address: ___________________________
Signature of Witness:
___________________________
Date: ___________________________
This document must be signed in the presence of a notary public to be valid.