Pennsylvania Power of Attorney
This Power of Attorney is executed in accordance with the laws of the Commonwealth of Pennsylvania. It grants the designated agent authority to make decisions on behalf of the principal as specified herein.
Principal Information:
- Full Name: ___________________________
- Address: _____________________________
- City, State, Zip Code: _______________
- Date of Birth: ________________________
Agent Information:
- Full Name: ___________________________
- Address: _____________________________
- City, State, Zip Code: _______________
- Phone Number: ________________________
Durability of Power of Attorney:
This Power of Attorney shall become effective immediately or upon the occurrence of a specified event:
- Effective immediately
- Effective upon the principal's incapacity
Scope of Authority:
- Manage banking transactions
- Handle real estate transactions
- Make healthcare decisions
- Communicate with government agencies
Signature of Principal:
___________________________ (Principal's Signature)
Date: ______________________
Witness Information:
Witnessed by:
- Name: _____________________
- Address: ___________________
- Signature: _________________
Date: ______________________
This document is intended to comply with Pennsylvania law. It is recommended that the principal consult with a qualified attorney before executing this Power of Attorney.