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Note: The free power of attorney form and the related information, which LegalArrow® offers below, is for general information purposes only, and is not, and should not be relied upon as legal advice. See our entire Disclaimer. This free form is a sample of a limited (special) purpose power of attorney. You can learn what the sections of a limited power of attorney are, in general. This free form may or may not be valid in your state, as for example, some states require not only that the document be notarized, but also the signature(s) of one or two witnesses (varies by state) in order to make the document valid. On this website you can order a professional preparation of a customized limited or durable power of attorney, which comes with instructions on how to make the document valid in your particular state, and how to make proper use of such document.

RECORDING REQUESTED BY

___________________________

MAIL TO ADDRESS

____________________________

Limited Power of Attorney

I, _______________________ (AKA ________________________ ) of ______________ (city), _________________ (state), appoint _____________________ of ______________(city), _________________ (state), as my attorney-in-fact to act on my behalf for the purpose(s) of:

            ____________________________________________________________

            ____________________________________________________________

            ____________________________________________________________

            ____________________________________________________________

This power of attorney starts to be effective on ______________, and shall continue until _______________.

I grant my attorney-in-fact full authority to act in any reasonable and necessary manner for the purpose of exercising the above powers. I ratify all lawfully performed acts by my attorney-in-fact in exercising those powers.

I agree that any third party who is given a copy of this power of attorney may act relying on it. I agree that revocation of this power of attorney is effective as to a third party only upon receipt of actual notice by the third party. If because of reliance on this power of attorney, a third party suffers any loss, I agree to indemnify the third party for the loss.

Signed this _______ day of _______________________ , _________ .

State of ________________________

____________________________________________                                                Signature of _______________________ , Principal

Signature of Attorney-in-Fact

By accepting this appointment and acting under it, the attorney-in-fact (agent) assumes the legal responsibilities of an agent.

______________________________________________                                                  Signature of _______________________ , Attorney-in-Fact

[Learn More About The Sections of Limited Power of Attorney]

Note: This is general legal information intended only to inform the reader. If you need legal advice, you should consult an attorney. See entire Disclaimer.

Your Name:  identifies you, the person creating the limited power of attorney (the "principal"), and starts with the first name. The current official name, as it appears on the driver license for example, should be listed here. If other names were used in financial records which would be the subject of this limited power of attorney, they should also be listed here. This would make your attorney-in-fact's job much easier. Examples: Paul Cooper; aka, Paul Blake; aka, Paul Cooper-Blake.

Note: for property you co-own, for example with your spouse, your limited power of attorney will give control to your attorney-in-fact only over your interest in that property. For full control, all owners must give a separate power of attorney to the same attorney-in-fact.

Your Residence Address not only further identifies you, the principal, but is required as the law differs in each state. Your limited power of attorney will be subject to the law of the state indicated here. In general, the principal's state is the state where his/her main legal residence is; that is the state where he/she lives or he/she has most contacts with by voting there, owning property there, having bank accounts there, etc. List here at least your city and your state.

Social Security Number. This is optional.  Including the social security number in the limited power of attorney would certainly make the attorney-in-fact's job much easier especially  when dealing with financial institutions. Given the current escalation in identity thefts, it is normal to hesitate. If you have any reservations, you may later provide your social security number to your attorney-in-fact when/if necessary.

The Attorney-in-Fact, sometimes called agent,  is the person you, the principal, authorize to represent you in your financial matters. This is the most important decision you have to make for the purpose of creating the limited power of attorney. The person you choose does not have to be an attorney or any other type of expert. You can choose any competent adult you trust and is willing to serve. When choosing such a person, the following are some factors which should be considered: trustworthiness,  relationship with  you, his/her willingness to serve, his/her skills, and his/her residence. For example, your spouse or an adult child may be a good choice. The limited power of attorney can be revoked, and/or the attorney-in-fact changed, at any time.

List here the correct name and address (at least the city and state) of the person you want to designate as your attorney-in-fact. If you are not sure, ask the person you want to be your attorney-in-fact.  Example: John Smith,  234 Norman St., Apt. 100, Irvine, CA, 92555.

Authorization Description. Here, the principal, the person creating the limited power of attorney, indicates what specific powers he/she is giving to the attorney-in-fact. The authority, can be broader or narrower, depending on the principal's situation and his/her intent or wishes.

It is very important to be specific here regarding (1), what your attorney-in-fact may do, and (2), with what property.

Example 1:

I appoint my attorney-in-fact to act on my behalf for the purpose of (this is required language) selling my 2000 Mercedes Benz E320, California license plate 3WWW678, for no less than 15,000. He may sign in my name all documents associated with this transaction. My attorney-in-fact may deposit the proceeds of the sale in my saving account no. 234-3456, Chase Bank.

Example 2:

I appoint my attorney-in-fact to act on my behalf for the purpose of (this is required language) closing the escrow on the property I am purchasing, located at 111 East Street, Irvine, CA. My attorney-in-fact may sign the required documents on my behalf. My attorney-in-fact may also withdraw funds necessary to close this escrow from my checking account no. 123-456, City Bank.

 It should be noted that some financial institutions have their own power of attorney form. If your attorney-in-fact will have to deal with your bank on your behalf, and the bank has such form, you should fill out that form too; it would facilitate your attorney-in-fact's interaction with that bank.

Authorization Start Date. Enter here the date you want your limited power of attorney to take effect.

Authorization End Date.  Enter here the date you want your limited power of attorney to end.

Note. It is generally wise to revoke the old limited power of attorney and create a new one periodically. Many institutions are hesitant to work with limited power of attorneys which are older than one year. When you do revoke your old limited power of attorney, you should  notify whoever has a copy that you revoked it, and that you have created a new one.

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