Pennsylvania Durable Power of Attorney Template
This Durable Power of Attorney is executed pursuant to the laws of Pennsylvania. This document allows you to appoint someone to manage your financial and legal affairs if you become incapable of doing so yourself. This document must be signed in accordance with Pennsylvania law to be legally effective.
Please fill in the blanks with your specific information as needed.
1. Principal Information:
Name: ________________________________________
Address: ______________________________________
Date of Birth: _________________________________
2. Agent Information:
Name: ________________________________________
Address: ______________________________________
Phone Number: ________________________________
3. Effective Date:
This Power of Attorney shall become effective on the following date: ________________.
4. Powers Granted:
I grant my Agent the authority to make decisions in my place regarding the following:
- Real estate transactions
- Banking and financial transactions
- Tax matters
- Legal claims and litigation
- Health care decisions (if applicable)
5. Limitations:
This Power of Attorney does not grant my Agent the authority to make the following decisions:
- Change beneficiary designations
- Make gifts or transfers of my assets without my explicit consent
6. Signatures:
Principal's Signature: _______________________________ Date: _______________
Agent's Signature: _________________________________ Date: _______________
7. Notarization:
This document should be witnessed and notarized to add legal efficacy.
State of Pennsylvania
County of __________________
Subscribed and sworn before me this ___ day of ____________, 20___.
Notary Public Signature: ____________________________
My commission expires: ________________
Ensure this document is stored in a safe place and that your Agent has a copy. Review this Power of Attorney regularly to reflect any changes in your wishes.