This document is designed to create a Power of Attorney (POA) in accordance with the Indiana Power of Attorney Act in the state of Indiana. It grants one person the power to act on behalf of another in specified or all legal and financial matters.
Principal Information:
- Full Name: ___________________________
- Address: _____________________________
- City: ________________________________
- State: Indiana
- Zip Code: ____________________________
- Phone Number: ________________________
Agent Information:
- Full Name: ___________________________
- Address: _____________________________
- City: ________________________________
- State: _______________________________
- Zip Code: ____________________________
- Phone Number: ________________________
Powers Granted: The Principal grants the following powers to the Agent:
- To buy or sell real estate
- To manage property
- To conduct banking transactions
- To invest in stocks, bonds, and mutual funds
- To file and pay taxes
- To enter into contracts on behalf of the Principal
- To make health care decisions, if specifically authorized
Special Instructions: _______________________________________________
Use this section to include any special instructions or limitations you wish to place on the Agent's power. If none, write "None".
Duration: This Power of Attorney will become effective on ___/___/____ and, unless previously revoked, will continue until ___/___/____.
Signatures:
This document must be signed by the Principal, the Agent, and a Notary Public to be legally binding.
Principal's Signature: ________________________ Date: ___/___/____
Agent's Signature: ___________________________ Date: ___/___/____
State of Indiana
County of ___________________
Subscribed and sworn before me on ___/___/____ by ________________________ (Principal) and ________________________ (Agent).
Notary Public: ___________________________
My Commission Expires: ___________________
