Pennsylvania Durable Power of Attorney
This Durable Power of Attorney is created in accordance with Pennsylvania state law.
Principal's Information:
Name: ___________________________
Address: _________________________
City, State, Zip: _______________
Date of Birth: _____________________
Agent's Information:
Name: ___________________________
Address: _________________________
City, State, Zip: _______________
Phone Number: ____________________
Effective Date:
This Power of Attorney shall become effective on: ________________________
Durable Provision:
This Power of Attorney shall not be affected by the subsequent disability or incapacity of the Principal.
Powers Granted to the Agent:
- To manage financial accounts.
- To pay bills and expenses.
- To make investments on behalf of the Principal.
- To handle tax matters.
- To buy, sell, or manage real estate.
Limitation of Powers:
The Agent shall not be granted the power to:
- Change the Principal’s will.
- Make medical decisions unless explicitly stated.
Signature of Principal:
_____________________________ Date: _____________
Witnesses:
Witness #1 Name: ________________________
Witness #1 Signature: ______________________ Date: _____________
Witness #2 Name: ________________________
Witness #2 Signature: ______________________ Date: _____________
Notarization:
State of Pennsylvania, County of _______________.
On this ____ day of ____________, 20____, before me, a notary public, personally appeared ____________________, known to me (or satisfactorily proven) to be the person whose name is subscribed to the within instrument, and acknowledged that they executed the same for the purposes therein contained.
In witness whereof, I hereunto set my hand and official seal.
_____________________________
Notary Public
My commission expires: ________________
