Florida Power of Attorney
This Power of Attorney document is drafted in accordance with the Florida Power of Attorney Act, Florida Statutes sections 709.2101 to 709.2402. It is designed to grant certain powers from the principal to the attorney-in-fact or agent, as specified within this document.
Principal Information
- Full Name: _______________________________________
- Address: _________________________________________
- City, State, Zip: ________________________________
- Phone Number: ____________________________________
Attorney-in-Fact/Agent Information
- Full Name: _______________________________________
- Address: _________________________________________
- City, State, Zip: ________________________________
- Phone Number: ____________________________________
Powers Granted
The principal grants the following powers to the attorney-in-fact or agent to act on the principal’s behalf in any way that the principal could do, concerning the following areas (initiate next to each power granted):
- _____ Real Property Transactions
- _____ Banking and Other Financial Institution Transactions
- _____ Personal Property Transactions
- _____ Business Operating Transactions
- _____ Insurance and Annuity Transactions
- _____ Estate, Trust, and Other Beneficiary Transactions
- _____ Claims and Litigation
- _____ Personal and Family Maintenance
- _____ Benefits from Social Security, Medicare, Medicaid, or Other Governmental Programs, or Military Service
- _____ Retirement Plan Transactions
- _____ Tax Matters
Effective Date and Duration
Effectiveness of the Power of Attorney:
- This Power of Attorney is effective immediately upon signature of the principal and remains in effect unless revoked by the principal or until the principal’s death.
- Should the principal become incapacitated, this Power of Attorney shall remain effective if it is a Durable Power of Attorney as per Florida law.
Signature of Principal
By signing below, the principal agrees to the terms of this Power of Attorney, affirming their understanding and consent to the delegation of authority as specified.
Date: ____________________________
Signature of Principal: __________________________________
Signature of Attorney-in-Fact/Agent
By signing below, the attorney-in-fact or agent agrees to the role and responsibilities bestowed by this Power of Attorney, including adherence to the principal’s wishes and acting in their best interest.
Date: ____________________________
Signature of Attorney-in-Fact/Agent: __________________________________
Acknowledgment by Witness(es)
This document was signed in the presence of the undersigned witnesses, who hereby affirm that the principal appeared to willingly and voluntarily sign this Power of Attorney and appeared to be of sound mind.
- Witness 1 Full Name: __________________________________
- Witness 1 Signature: _________________________________
- Witness 1 Date: ______________________________________
- Witness 2 Full Name: __________________________________
- Witness 2 Signature: _________________________________
- Witness 2 Date: ______________________________________
Notarization (if required)
This document was acknowledged before me on this date _______________ by [Name of Principal], who is personally known to me or who has produced ___________________ as identification.
Notary Public: __________________________________
Seal: