Pennsylvania Power of Attorney Template
This Power of Attorney is executed in accordance with the laws of the Commonwealth of Pennsylvania. It allows you to designate an agent to act on your behalf in various matters. Please fill in the necessary information where indicated.
Principal Information
Principal Name: _________________________
Principal Address: _________________________
City, State, Zip Code: _________________________
Date of Birth: _________________________
Agent Information
Agent Name: _________________________
Agent Address: _________________________
City, State, Zip Code: _________________________
Phone Number: _________________________
Durability Clause
This Power of Attorney shall remain in effect even if I become incapacitated, unless revoked in writing by me.
Powers Granted
By signing this document, I grant my Agent the authority to act on my behalf in the following matters (check all that apply):
- Manage real estate transactions
- Handle bank transactions
- Make financial decisions
- Manage personal property
- Handle insurance and annuity transactions
- File tax returns
- Make healthcare decisions (if applicable)
Effective Date
This Power of Attorney shall become effective on the date signed below:
Effective Date: _________________________
Signature
By signing below, I confirm that I am the Principal, I understand this Power of Attorney, and I am voluntarily signing it.
Principal Signature: _________________________
Date: _________________________
Witnesses
This document must be witnessed by two individuals. The witnesses must be at least 18 years old, not related to the Principal, and not named as Agents.
- Witness 1 Name: _________________________
- Witness 1 Signature: _________________________
- Witness 1 Date: _________________________
- Witness 2 Name: _________________________
- Witness 2 Signature: _________________________
- Witness 2 Date: _________________________
Notary Acknowledgment
This document must be notarized for it to be valid.
Notary Public Name: _________________________
Notary Public Signature: _________________________
Date: _________________________
My commission expires: _________________________