Special Power Of Attorney printable pdf download

Special Power Of Attorney

Special Power of Attorney

Date

____/____/______

I, do hereby

[Legal Name]

A resident of

[City][State]

Located at

[Address]

[City], [State] [Zip Code]

Do Hereby Appoint

[Legal Name]

A resident of

[City][State]

Located at

[Address]

[City], [State] [Zip Code]

As my attorney-in-fact to make the following specific decisions for me:

______________________________________________________________________________

This Special Power of Attorney is to start to be effective on ____/____/______, and shall

remain effective until ____/____/______.

I do hereby grant my attorney-in-fact complete and full authority to act in any reasonable and

necessary manner for the purpose of exercising the above mentioned powers. I also, ratify all

the lawfully performed acts by my attorney-in-fact in exercising those powers.

I fully understand and agree that any third party who is given a copy of this Special Power of

Attorney may act relying on it. I also, agree that revocation of this Special Power of Attorney is

effective as to a third party only when they receive receipt of an actual notice by the third

party. If due to reliance on the Special Power of Attorney, a third party suffers any loss, I agree

to pay for any third party loss.

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Special Power Of Attorney