Florida Power of Attorney
This document grants authority to another person to act on your behalf in specific matters as outlined below. It complies with Florida Statutes Chapter 709.
Principal: The person granting authority.
Name: ______________________________
Address: ___________________________
City, State, Zip: ___________________________
Agent: The person receiving authority.
Name: ______________________________
Address: ___________________________
City, State, Zip: ___________________________
Effective Date: This Power of Attorney is effective immediately upon signing unless a different date is specified:
Date: ______________________________
Powers Granted: The Agent is granted the following powers (check all that apply):
- Real estate transactions
- Banking transactions
- Insurance and annuities
- Claims and litigation
- Personal and family maintenance
- Tax matters
Limitations: Any limitations on the Agent’s authority should be specified here:
_________________________________________________________
_________________________________________________________
Revocation: This Power of Attorney can be revoked at any time by providing a written notice to the Agent.
Signature of Principal:
_____________________________
Date: ______________________________
Witnesses:
Two witnesses are required for this document. Witnesses must not be named as the Agent.
- Witness Name: ______________________
- Witness Signature: ___________________
- Date: ________________________________
- Witness Name: ______________________
- Witness Signature: ___________________
- Date: ________________________________
Notary Public: A notary public must witness the Principal's signature for this document to be valid.
_____________________________
Notary Public Signature
Date: ______________________________
My Commission Expires: ______________________________