Pennsylvania Durable Power of Attorney
This Durable Power of Attorney is executed in accordance with the laws of the Commonwealth of Pennsylvania. It allows you to appoint someone to act on your behalf in legal and financial matters.
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 will take effect on the following date: ___________________________.
Durable Provision: This Durable Power of Attorney shall survive the Principal's incapacity, meaning it will remain in effect even if the Principal is unable to make decisions.
Powers Granted to the Agent:
The Agent shall have authority to act on behalf of the Principal in the following areas:
- Manage real estate transactions.
- Handle banking and financial matters.
- Make medical and health care decisions.
- Manage business interests.
- Handle tax matters.
The Principal has the right to grant additional powers to the Agent. Specify any additional powers here: ___________________________.
Revocation: This Durable Power of Attorney may be revoked by the Principal at any time through written notice.
Signatures:
By signing below, the Principal affirms that they understand the contents of this Durable Power of Attorney and are executing it voluntarily.
Principal's Signature: ___________________________ Date: _______________
Agent's Signature: ___________________________ Date: _______________
Witness Signatures:
- Witness 1 Name: ___________________________ Signature: ___________________________
- Witness 2 Name: ___________________________ Signature: ___________________________
State of Pennsylvania
County of ________________
Subscribed and sworn to before me, this _______ day of __________, 20____.
Notary Public: ___________________________