Power Of Attorney Form - Pennsylvania printable pdf download

Power Of Attorney Form - Pennsylvania

Pennsylvania Power of Attorney

I, __________________________________ residing in __________________, Pennsylvania, do

hereby appoint __________________________________ of __________________, _________

as my agent (also known as “Attorney-in-Fact”) to act for me in any lawful way with respect to

the following matters:

If you designate more than one agent above, by default they must act together unless you

initial the statement below.

[___] My agents may act separately.

If every agent that is listed above is unable or unwilling to serve, I hereby appoint as my

successor agent(s):

_____________________________________________________________________________

If you designate more than one successor agent above, by default they must act together

unless you initial the statement below.

[___] My successor agents may act separately.

I hereby revoke any and all powers of attorney that previously have been signed by me.

My attorney-in-fact may act on my behalf for the following purpose(s):

______________________________________________________________________________

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Power Of Attorney Form - Pennsylvania