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Power of Attorney

Complete the form fields below to generate a Power of Attorney that you can print and bring to your attorney, so you can have it notorized and receive additional guidance on estate planning. (The current date is filled in automatically by the script creating the printable form.)

Click here for a sample. All information appearing in bold type are the form fields that are either automatically completed by the program or completed based on information you supplied in this form.

Your Name:
(You are considered the principal--the person granting the power of attorney)
Your Street Address:
(Street address of your current residence)
Your City:
(City in which you currently reside)
State or Province:
(Select a state or Canadian province)
Zip/Postal Code:
Country:
Attorney-in-Fact:
(Name of person to whom you are granting power of attorney)
Attorney-in-Fact's Street Address:
(Street address at which your attorney-in-fact currently resides)
Attorney-in-Fact's City:
(City in which your attorney-in-fact currently resides)
Attorney-in-Fact's State/Province:
(Select a state or Canadian province)
Attorney-in-Fact's Zip/Postal Code:
Country:
In the following text fields, indicate whom you would want as an alternative attorney-in-fact, should your original choice not be able to or unwilling to carry out the instructions of your Power of Attorney.
Alternate Attorney-in-Fact:
(Name of alternate attorney-in-fact)
Alternate Attorney-in-Fact's Street Address:
(Street address at which your alternate attorney-in-fact currently resides)
Alternate Attorney-in-Fact's City:
(City in which your alternate attorney-in-fact currently resides)
Alternate Attorney-in-Fact's State/Province:
(Select a state or Canadian province)
Alternate Attorney-in-Fact's Zip/Postal Code:
Country:
Indicate in the text block below the specific things your power-of-attorney can perform. For example, if you only want your power of attorney to handle your banking matters, indicate this in the text box below.
Specific Acts Attorney-in-Fact Can Perform:
(List specific acts you are authorizing your attorney-in-fact to do. Press the <ENTER> or <RETURN> key if you want to start a new line of text.)
Date signed: //
(Select the month, day and year Power of Attorney is being signed by you)

This is not a substitute for legal advice and it is suggested that an attorney be consulted.