Special Power Of Attorney Form - California
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1
2SPECIAL POWER OF ATTORNEY
1. CHECK ONE (1) TYPE OF POWER OF ATTORNEY:
Special Power of Attorney (has a beginning and end date) - or-
Durable Special Power of Attorney (ends upon Principal’s death or revocation)
2. IDENTIFY the Principal and Attorney-in-Fact:
__________________________________________________________________________________________________________
Principal:
Name
Address of Residence
City, State, Zip Code
Date of Birth
__________________________________________________________________________________________________________
Agent /Attorney-In-Fact: Name
Address of Residence
City, State, Zip Code
Date of Birth
3. COMPLETE THIS SECTION
Principal, an individual, hereby appoints the above-named Agent/Attorney-in-Fact to act in name and place of Principal to
perform the following specific matters:
•
Scope and extent of powers granted: to exercise the following specific powers:
_________________________________________________________________________________
To do and perform all acts required, necessary or appropriate to be done in and about the premises as fully to all
intents and purposes as Principal might of could do if personally present, hereby ratifying all that Attorney-in-Fact shall
lawfully do or cause to be done by virtue of this Special Power of Attorney.
4. CHECK ONE type of Special Power of Attorney. Then fill in the Sections that apply to you.
Regular Special Power of Attorney
•
EFFECTIVE DATE: the time from which this document is operational: ___________________________.
This Special Power of Attorney begins on the above effective date and continues until the expiration date of
______________________ 20 ____, unless the Principal revokes in writing this Power of Attorney.
•
MANNER OF REVOCATION: The Principal may revoke this document in writing at any time before the expiration
date, if the specific tasks have been accomplished by the Attorney-in-Fact, for no reason, for cause, or if the
Attorney-in-Fact exceeds or violates the scope and authority granted by this document.
Durable Special Power of Attorney
•
EFFECTIVE DATE: the time from which this document is operational: __________________________.
•
MANNER OF REVOCATION: The Principal may revoke this document in writing at any time before the expiration
date, if the specific tasks have been accomplished by the Attorney-in-Fact, for no reason, for cause, or if the
Attorney-in-Fact exceeds or violates the scope and authority granted by this document. If the Principal becomes
disabled or incapacitated, the Attorney-in-Fact may continue acting as such despite the disability, incapacity or
the expiration date.
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