Blank Power of Attorney Form

July 4, 2011

A blank power of attorney form indicates the commitment undertaken by an individual by giving an attorney the authority to act on his behalf on a certain specified issue. This document clearly explains the terms of transfer of authority. Below is a sample of a blank power of attorney form used to mark transfer of authority.

Sample Blank Power of Attorney Form


I (Name of client) _____________________, (Address) ___________________ appoint

(Name of lawyer) ____________________________ of

(Address)___________ (4) _______________ as my attorney. I do hereby transfer my

Long term authority and rights to the undersigned attorney to act on my behalf in respect

to the matter as defined below.

(Description of extent of authority)

The appointed party shall have the rights and powers to act on matters defined by the

client as from _________________ and shall act in that capacity them

Until___________________ with exception of an extension or prior notice of termination

by either party.

Dated _________________Sign _________________________

The authority in this matter hereby appoints me as the attorney and grants me full

authority and power to act on his behalf concerning the described matter beginning on

________________________.The commitment is made in person and in full knowledge.

Sign __________________Date_____________________

Commission expires on _________________________

 

Download Blank Power of Attorney Form in Word Format

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