Pennsylvania Durable Power of Attorney
This Durable Power of Attorney is created in accordance with Pennsylvania law. It grants specified powers to the designated agent to act on behalf of the principal.
1. Principal Information:
Full Name: ___________________________________
Address: ____________________________________
Phone Number: _______________________________
2. Agent Information:
Full Name: ___________________________________
Address: ____________________________________
Phone Number: _______________________________
3. Effective Date:
This Durable Power of Attorney shall become effective on: ________________.
4. Powers Granted:
- Manage financial accounts.
- Make healthcare decisions.
- Handle real estate transactions.
- Manage business operations.
- File tax returns and manage tax matters.
5. Limitations:
The following limitations apply to the agent's authority:
- ___________________________________________________________________
- ___________________________________________________________________
6. Revocation:
This Durable Power of Attorney may be revoked by the principal at any time through a written notice.
7. Signatures:
Principal Signature: ___________________________ Date: _______________
Agent Signature: _____________________________ Date: _______________
This document is prepared with the intent to ensure that your wishes are respected and to provide clarity in decision-making should you become unable to communicate them.