Georgia Power of Attorney
This Power of Attorney is created in accordance with the laws of the State of Georgia.
Principal Information:
- Name: _______________________________
-
- City, State, Zip: _____________________
- Date of Birth: ________________________
Agent Information:
- Name: _______________________________
- Address: _____________________________
- City, State, Zip: _____________________
- Phone Number: ________________________
Effective Date:
- This Power of Attorney is effective on: ______________________.
Scope of Authority:
- The agent shall have authority to act on behalf of the principal in the following matters:
- Financial decisions
- Real estate transactions
- Health care decisions
- Legal matters
Duration:
This Power of Attorney shall remain in effect until: _____________________________________.
Revocation:
The principal has the right to revoke this Power of Attorney at any time by providing written notice to the agent.
Signature:
By signing below, the principal confirms the above information and grants the agent the necessary authority.
Principal's Signature: ___________________________
Date: ________________________________________
Witness Signature: _____________________________
Date: ________________________________________
Notary Acknowledgment:
State of Georgia
County of _______________________________
On this ______ day of ________________, 20___, before me, a Notary Public, personally appeared ___________ (name of Principal) known to me to be the same person whose name is subscribed to the within instrument, and acknowledged that he/she executed the same for the purposes therein contained.
Notary Public: ____________________________
My Commission Expires: ___________________