Affidavit Of Agent Form

Download a blank fillable Affidavit Of Agent Form in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete Affidavit Of Agent Form with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.

ADVERTISEMENT

AFFIDAVIT   O F   A GENT   F ORM  
 
STATE   O F   _ ______________  
COUNTY   O F   _ _____________  
 
Before   m e,   t he   u ndersigned   a uthority,   p ersonally   a ppeared   _ ________________   ( agent)  
(“Affiant”),   w ho   s wore   o r   a ffirmed   t hat:  
 
1.   Affiant   i s   t he   a gent   n amed   i n   t he   P ower   o f   A ttorney   e xecuted   b y   _ ________________  
(“Principal”)   o n   _ ______________   ( date).  
 
2.   This   P ower   o f   A ttorney   i s   c urrently   e xercisable   b y   A ffiant.   T he   p rincipal   i s  
domiciled   i n   _ _______________   ( insert   s tate,   t erritory,   o r   f oreign   c ountry).  
 
3.   To   t he   b est   o f   t he   A ffiant’s   k nowledge   a fter   d iligent   s earch   a nd   i nquiry:  
 
The   P rincipal   i s   n ot   d eceased;  
 
Affiant’s   a uthority   h as   n ot   b een   s uspended   b y   i nitiation   o f   p roceedings   t o   d etermine  
incapacity   o r   t o   a ppoint   a   g uardian   o r   g uardian   a dvocate;   a nd    
 
There   h as   b een   n o   r evocation,   p artial   o r   c omplete   t ermination   o f   t he   P ower   o f  
Attorney   o r   o f   A ffiant’s   a uthority.  
 
4.   A ffiant   i s   a cting   w ithin   t he   s cope   o f   a uthority   g ranted   i n   t he   P ower   o f   A ttorney.  
 
5.   A ffiant   a grees   n ot   t o   e xercise   a ny   p owers   g ranted   b y   t he   P ower   o f   A ttorney   i f  
Affiant   a ttains   k nowledge   t hat   i t   h as   b een   r evoked,   p artially   o r   c ompletely  
terminated   o r   s uspended,   o r   i s   n o   l onger   v alid   b ecause   o f   t he   d eath   o r   a djudication  
of   i ncapacity   o f   t he   P rincipal.  
 
_________________________  
(Affiant)  
 
Sworn   t o   ( or   a ffirmed)   a nd   s ubscribed   b efore   m e   t his   t he   _ ___   d ay   o f   _ __________  
(month),   _ _______   ( year),   b y   _ ________________   ( Affiant)  
 
 
____________________________________  
(Signature   o f   N otary   P ublic-­‐   S tate   o f   F lorida)  
 
(Print,   T ype,   o r   S tamp   C ommissioned   N ame   o f   N otary   P ublic)  
 
Personally   K nown   O R   P roduced   I dentification   _ _____________________________  
(Type   o f   I dentification   P roduced)  
 

ADVERTISEMENT

00 votes

Related Articles

Related forms

Related Categories

Parent category: Legal
Go