Florida Power of Attorney Form
This Power of Attorney Form grants certain legal powers from one person to another in the State of Florida, in accordance with the Florida Power of Attorney Act (Chapter 709, Florida Statutes). It is critical that all parties involved understand that the person granting the powers (the "principal") allows the person receiving the powers (the "agent") to make decisions in their stead.
Before proceeding, ensure all involved parties are identified correctly:
- Principal's Full Name: ___________________________________
- Principal's Address: _________________________________________, FL
- Agent's Full Name: _______________________________________
- Agent's Address: __________________________________________, FL
Powers Granted
Through this document, the principal grants the agent authority to act in the following areas (check all that apply):
- Financial and Property Transactions
- Healthcare Decisions
- Guardianship Appointments
- Business Operations
- Personal and Family Maintenance
Please specify any limitations to the granted powers:
____________________________________________________________________________________
____________________________________________________________________________________
Term of Power of Attorney
This Power of Attorney shall become effective on: ___________________________________________ (mm/dd/yyyy) and shall remain in effect until: ___________________________________________ (mm/dd/yyyy), unless specifically extended or earlier revoked.
Signatures
It's crucial that both the principal and agent understand the importance and consequences of executing this document. A witness and a notary public must be present during the signing to ensure the document's legality under Florida law.
Principal's Signature: ___________________________________________ Date: __________________
Agent's Signature: ______________________________________________ Date: __________________
Witness #1's Signature: _________________________________________ Date: __________________
Witness #2's Signature: _________________________________________ Date: __________________
State of Florida, County of _______________
This document was notarized in the presence of all parties and witnesses by:
Notary Public's Name: ____________________________________________
Notary Public's Signature: ____________________________________________ Date: __________________
My commission expires: ________________________.
Notice to the Principal
You have the right to revoke this Power of Attorney at any time in writing and by notifying the agent of your decision. Consult with a legal professional if you have questions.
Notice to the Agent
As an agent, you're expected to act in the principal’s best interest, to maintain accurate records, and to keep the principal’s property separate from yours. Failure to adhere to these responsibilities can lead to legal consequences.
Validity and Governing Law
This document is intended to be valid only in the State of Florida and may be subject to the state's jurisdiction for any disputes that arise as a result of its execution or the powers herein granted.