Florida Power of Attorney
This Florida Power of Attorney is created in accordance with Florida Statutes Section 709.2101 et seq.
Principal: This document is executed by:
Name: ________________________________
Address: ________________________________
City, State, Zip: ________________________________
Date of Birth: ________________________________
Agent: The undersigned appoints the following individual as their agent:
Name: ________________________________
Address: ________________________________
City, State, Zip: ________________________________
Phone Number: ________________________________
Powers Granted: The agent shall have the authority to act on behalf of the principal in the following matters:
- Manage real estate transactions.
- Handle bank accounts and financial transactions.
- Make medical decisions.
- File tax returns.
- Any other legal matters as specified: ________________________________
Effective Date: This Power of Attorney shall become effective on:
Date: ________________________________
This authority will remain in effect until revoked by the principal in writing.
Signature of Principal: ________________________________
Date: ________________________________
Witnesses:
- Name: ________________________________
- Address: ________________________________
- Signature: ________________________________
- Date: ________________________________
- Name: ________________________________
- Address: ________________________________
- Signature: ________________________________
- Date: ________________________________
Notarization: State of Florida, County of ____________________
On this _____ day of ___________, 20__, before me, a Notary Public, personally appeared ________________________________ (Principal), who is known to me or who has produced identification.
Notary Public Signature: ________________________________
My Commission Expires: ________________________________