Idaho Statutory Form Power Of Attorney Template Page 5
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5(OPTION TWO - IF YOU ARE UNABLE TO SIGN ON YOUR OWN AND DIRECT THE NOTARY TO
Signature of person by notary: __________________________________________________
Witness Signature: __________________________________________________
Signature affixed by notary in the presence of (Name of person and witness)
__________________________________________________.
State of Idaho
)
) ss.
County of
)
On this ____________________ day of ____________________, in the
year__________________________, before me (here insert name and quality of the officer),
__________________________________________________, personally appeared
______________________________, known or identified to me ( or proved to me on the oath of
___________________________________) to be the person whose name is subscribed to the within
instrument, and acknowledged to me that he executed the same by directing the undersigned notary to
affix his signature thereto.
_____________________________________(official signature and seal)
My commission expires on: ______________________________
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