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Preview - Pennsylvania Power of Attorney Form

Pennsylvania Power of Attorney Template

This Power of Attorney is created in accordance with the laws of the Commonwealth of Pennsylvania.

Principal Information:

  • Name: ______________________________________
  • City: ______________________________________
  • State: ______________________________________
  • Zip Code: ______________________________________

Agent Information:

  • Name: ______________________________________
  • Address: ______________________________________
  • City: ______________________________________
  • State: ______________________________________
  • Zip Code: ______________________________________

Effective Date: This Power of Attorney shall become effective on the following date:

______________________________________

Scope of Authority: The Agent shall have the authority to act on behalf of the Principal in the following matters:

  1. Real Estate Transactions
  2. Banking Transactions
  3. Tax Matters
  4. Business Operations
  5. Other: ______________________________________________________________

Revocation: This Power of Attorney may be revoked by the Principal at any time before the Agent’s authority is exercised.

Signatures:

Principal Signature: ______________________________________ Date: __________

Agent Signature: _______________________________________ Date: __________

This document should be witnessed by two adults who are not relatives:

  • Witness 1 Name: _______________________ Signature: _______________________ Date: __________
  • Witness 2 Name: _______________________ Signature: _______________________ Date: __________

This document is intended to serve as a standard Power of Attorney and may require additional provisions based on specific needs.

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