- Limited Power of Attorney Form - Maine
- Limited Power of Attorney for Motor Vehicle Transactions - Indiana
- Limited Continuing Power of Attorney - Ontario
- Power of Attorney Form - Alaska Division of Motor Vehicles
- Limited Power of Attorney - Wyoming
- Combined Medical Power of Attorney and Living Will - West Virginia
Fillable Printable Limited Power of Attorney Form - California
Fillable Printable Limited Power of Attorney Form - California
Limited Power of Attorney Form - California
SPACE ABOVE THIS LINE FOR RECORDER’S USE ONLY
LIMITED POWER OF ATTORNEY
KNOW ALL PERSONS BY THESE PRESENT S: That I,_______________ ______________________ ____________ __________,
the undersigned (jointly and severall y if more than one, hereinafter col lectively “principal”), hereby make, constitute a nd appoint
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
principal’s true and lawful attorney to act for principal a nd in principal’s nam e, place and stead and for principal’s use and benefit:
(a) To
Principal hereby grants to said attorney in fact full power and authority to do and perform each and every act and thing which may be
necessary, or convenient, in connection with any of the fore going, as fully, to all intents and purposes, as principal might or could do if
personally pres ent, hereby ratifying and confirming all that our said attorney in fact shall lawfully do or cause to be done by authority
hereof.
This Limited Po wer of Attorney is granted for a period of ______________________ ________ an d shall become effective
on _________________ _______, ____ ______ and sha ll terminate on ___ __________ __________, _ _________.
Wherever the context so requires, the singula r number includes the plural.
WITNESS my hand this ______ day of _____________________, ________.
_______________________________________________ _______________________________________________
_______________________________________________ _______________________________________________
STATE OF CALIFORNIA }
COUNTY OF _______________________ _ }
On _________________ ___ before me, ______ _________ __________ __________ _________ __________ __, personally appeared
(here insert name and title of the officer)
_________________________________________________________________________________________,
who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument
and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their
signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct.
WITNESS my hand and official seal.
SIGNATURE
______________________________________ (SEAL)
Before you use this form, fill in all blanks, and make whatever changes are appropri ate and necessary to your particular transaction. Consult a lawyer if
you doubt the form’s fitness for your purpose and use.
S R U
PAGE SIZE DA MISC LONG RFD COPY
M A L
465 426 PCOR NCOR SMF NCHG
T: CTY UNI
EXAM
RECORDING REQUESTED BY
AND WHEN RECORDED MAIL TO:
NAME
STREET
ADDRESS
CITY, STATE &
ZIP CODE