California Power of Attorney
This Power of Attorney is governed by the laws of the State of California.
This document allows you, the Principal, to designate another person, referred to as the Agent, to act on your behalf in specified matters. It is important to fill out this form completely and accurately to ensure it reflects your wishes effectively.
1. Principal Information:
- Full Name: _______________________________
- Address: _________________________________
- City, State, Zip Code: _________________
- Phone Number: ___________________________
2. Agent Information:
- Full Name: _______________________________
- Address: _________________________________
- City, State, Zip Code: _________________
- Phone Number: ___________________________
3. Definitions of Authority:
Below, please indicate which powers you would like the Agent to have by checking the appropriate boxes:
4. Effective Date:
This Power of Attorney shall become effective on:
_______________________________ (date)
5. Revocation:
This Power of Attorney may be revoked at any time by the Principal. A written revocation must be provided to the Agent and any financial institution or other parties that have relied on this Power of Attorney.
6. Signatures:
By signing below, the Principal acknowledges that he or she is of sound mind and is executing this Power of Attorney voluntarily.
Principal's Signature: ___________________________
Date: ________________________________________
Agent's Signature: _____________________________
Date: ________________________________________