Florida Power of Attorney Template
This Power of Attorney ("Document") is created pursuant to the Florida Power of Attorney Act, Florida Statutes §§ 709.2101 through 709.2402, by the undersigned, known as the "Principal," and grants authority to the person named herein as the "Agent" or "Attorney-in-Fact." The purpose of this Document is to authorize the Agent to act in a broad range of legal and financial matters on behalf of the Principal or in specific matters as defined herein.
Principal Information:
Full Name: ______________________________________________________
Physical Address: _________________________________________________
City, State, ZIP: __________________________________________________
Date of Birth: ____________________________________________________
Agent (Attorney-in-Fact) Information:
Full Name: ______________________________________________________
Physical Address: _________________________________________________
City, State, ZIP: __________________________________________________
Contact Number: __________________________________________________
Alternate Agent (In case first Agent is unable to serve):
Full Name: ______________________________________________________
Physical Address: _________________________________________________
City, State, ZIP: __________________________________________________
Contact Number: __________________________________________________
This Power of Attorney shall be effective on the date of _________________, 20___. Unless revoked earlier, this Power of Attorney will continue until the Principal is incapacitated, at which point it may become a Durable Power of Attorney if stated herein.
Authority Granted:
This Document grants the Agent the authority to act on my behalf in the following matters (initial next to each applicable authority):
- ___ Real Property Transactions
- ___ Tangible Personal Property Transactions
- ___ Stock and Bond Transactions
- ___ Commodity and Option Transactions
- ___ Banking and Other Financial Institution 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
Special Instructions: ____________________________________________
Additional instructions or limitations concerning the powers granted in this document may be provided here (if necessary).
This Power of Attorney will be governed by the laws of the state of Florida, excluding its conflict of laws principles.
The Principal may revoke this Power of Attorney at any time by providing written notice to the Agent.
Executed this ____ day of _______________, 20___.
Principal's Signature: _______________________________________________
Agent's Signature: __________________________________________________
State of Florida, County of ________________
This document was acknowledged before me on _______________ (date) by _______________________ (Principal's name).
Notary Public Signature: ____________________________________________
Print Name: ________________________________________________________
My commission expires: _____________________________________________
State Specific Acknowledgment: This form complies with the Florida Power of Attorney Act and is designed to be legally binding within the state of Florida. Individuals are advised to seek legal advice if they have questions about the form's use or powers granted herein.
