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Special Power of Attorney
Special Power of Attorney
State of
County of ____________
Date:
PURPOSE: This Special Power of Attorney is granted for the following specific purpose:
________________ — ________________
________________ — ________________
PRINCIPAL:
I, ________________, of ________________, ________________, __ _____, being of sound mind and acting of my own free will, do hereby grant this Special Power of Attorney for the specific and limited purpose described herein.
I, ________________, of ________________, ________________, __ _____, being of sound mind and acting of my own free will, do hereby grant this Special Power of Attorney for the specific and limited purpose described herein.
APPOINTMENT OF AGENT:
I appoint the following individual as my Agent (Attorney-in-Fact) for this specific matter:
Name: ________________
Relationship: ________________
Address: ________________, ________________, __ _____
Phone: ___________
Email: ___________
I appoint the following individual as my Agent (Attorney-in-Fact) for this specific matter:
Name: ________________
Relationship: ________________
Address: ________________, ________________, __ _____
Phone: ___________
Email: ___________
SPECIFIC AUTHORITY GRANTED:
My Agent is authorized to act on my behalf SOLELY for the following purpose:
________________
This authority is LIMITED to the specific matter described above and does NOT extend to any other financial, legal, or personal matters.
My Agent is authorized to act on my behalf SOLELY for the following purpose:
________________
This authority is LIMITED to the specific matter described above and does NOT extend to any other financial, legal, or personal matters.
EFFECTIVE DATE AND DURATION:
This Special Power of Attorney takes effect immediately and expires on ________________.
This Special Power of Attorney takes effect immediately and expires on ________________.
LIMITATIONS:
This is a SPECIAL Power of Attorney. The authority granted herein is strictly limited to the specific purpose described above. My Agent has NO authority to:
- Act on any matter outside the scope of this document
- Grant sub-powers of attorney
- Make gifts on my behalf
- Change beneficiary designations
- Act after the expiration date
Agent Compensation: ________________
No formal accounting required.
This is a SPECIAL Power of Attorney. The authority granted herein is strictly limited to the specific purpose described above. My Agent has NO authority to:
- Act on any matter outside the scope of this document
- Grant sub-powers of attorney
- Make gifts on my behalf
- Change beneficiary designations
- Act after the expiration date
Agent Compensation: ________________
No formal accounting required.
NON-DURABILITY:
This Special Power of Attorney is NON-DURABLE. It terminates automatically upon the Principal's incapacity, unless a court order provides otherwise. This document is NOT intended to, and does NOT, survive the Principal's incapacity.
This Special Power of Attorney is NON-DURABLE. It terminates automatically upon the Principal's incapacity, unless a court order provides otherwise. This document is NOT intended to, and does NOT, survive the Principal's incapacity.
REVOCATION:
The Principal may revoke this Special Power of Attorney at any time by delivering written notice to the Agent. This Special Power of Attorney is automatically revoked upon:
(a) The expiration date stated above;
(b) Completion of the specified purpose (if task completion revocation is enabled);
(c) Written revocation by the Principal; or
(d) Death or incapacity of the Principal.
The Principal may revoke this Special Power of Attorney at any time by delivering written notice to the Agent. This Special Power of Attorney is automatically revoked upon:
(a) The expiration date stated above;
(b) Completion of the specified purpose (if task completion revocation is enabled);
(c) Written revocation by the Principal; or
(d) Death or incapacity of the Principal.
THIRD-PARTY RELIANCE:
Any third party that relies in good faith on the authority granted under this Special Power of Attorney shall not be liable for any actions taken in accordance with the Agent's instructions, provided the third party had no actual knowledge that the authority had been revoked or the POA had expired. Third parties are required to accept a properly executed Power of Attorney within a reasonable time (UPOAA §120).
Any third party that relies in good faith on the authority granted under this Special Power of Attorney shall not be liable for any actions taken in accordance with the Agent's instructions, provided the third party had no actual knowledge that the authority had been revoked or the POA had expired. Third parties are required to accept a properly executed Power of Attorney within a reasonable time (UPOAA §120).
GOVERNING LAW:
This Special Power of Attorney shall be governed by and construed in accordance with the laws of the State of ________________.
This Special Power of Attorney shall be governed by and construed in accordance with the laws of the State of ________________.
PRINCIPAL SIGNATURE:
_________________________________ Date: ____________
________________, Principal
_________________________________ Date: ____________
________________, Principal
WITNESSES:
Witness 1:
_________________________________ Date: ____________
Witness Name (Print): ________________________
Witness Address: _____________________________
Witness 1:
_________________________________ Date: ____________
Witness Name (Print): ________________________
Witness Address: _____________________________
Frequently Asked Questions
Special Power of Attorney