Preview - Ohio Durable Power of Attorney Form

Ohio Durable Power of Attorney Template

This Durable Power of Attorney is created under the laws of the State of Ohio. It allows the Principal to designate an Agent to make decisions on their behalf if they become unable to do so.

Principal Information:

  • Name: _______________________________
  • Address: _______________________________
  • City, State, Zip: _______________________________
  • Date of Birth: _______________________________

Agent Information:

  • Name: _______________________________
  • Address: _______________________________
  • City, State, Zip: _______________________________
  • Phone Number: _______________________________

Grant of General Authority:

I, the undersigned Principal, hereby appoint the above-named Agent as my attorney-in-fact to act in my name and on my behalf. This authority is granted for the purpose of handling all my financial and legal affairs, including but not limited to:

  • Managing and operating my business.
  • Handling banking transactions.
  • Dealing with real estate.
  • Making investment decisions.
  • Filing and paying taxes.

Effective Date:

This Durable Power of Attorney shall become effective immediately upon execution, or at the time I become incapacitated as determined by a licensed physician.

Duration:

This authority shall continue until revoked by me in writing or until my death, whichever comes first.

Signatures:

In witness whereof, I have executed this Durable Power of Attorney on this ___ day of ____________, 20__.

Principal's Signature: _______________________________

Agent's Signature (optional): _______________________________

Witnesses: (two witnesses required in Ohio)

  • Witness 1: _______________________________ Date: ________________
  • Witness 2: _______________________________ Date: ________________

Notarization:

State of Ohio

County of ___________________

Subscribed and sworn to before me this ___ day of ____________, 20__.

Notary Public Signature: _______________________________

My Commission Expires: _______________________________

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