Full Power of
Attorney
I, ________________________________being
of sound mind and judgment
do hereby authorize,__________________________________
on this the
______day, in the month
of________________ and the year of________, to stand on my behalf, as my Full
Power of Attorney, and hereby grant the full authority to the person named
herein, the ability to facilitate the duties listed in this document, titled
Full Power of Attorney. The individual listed herein shall have full said
authority as described, beginning on the date indicated on this document and
shall continue unless otherwise made null and void by me. The document titled
Full Power of Attorney is to be considered null and void if alterations and
additions are suspected and/or if my signature,
_________________________________, is not notarized on said
document.
______________________________________________ ____/____/____
Signature of Authorizing
Party Date
Printed name of authorizing
Party; _________________________________
______________________________________________ ____/____/___
Signature of Notary
Date
Notary Seal:
__________________________
Addendum to Full Power of
Attorney
This document shall remain as
an attachment to the notarized Power of Attorney, by which full power of
attorney has been given to
__________________________by
___________________________on
____/____/____. This document
shall provide the limited duties and the authority of the Full Power of
Attorney.
Duties and Responsibilities of the Full Power of
Attorney
1.
To;____________________________________________
2.
To;____________________________________________
3.
To:____________________________________________
4.
To;____________________________________________
5.
To;____________________________________________
Limitations of authorization powers of the Full Power
of Attorney
• Authorization
to; ____________________________________
• Authorization
to; ____________________________________
• Authorization
to; ____________________________________
• Authorization
to; ____________________________________
• Authorization
to; ____________________________________
The authorizing party of this
document shall reserve all rights to render this document and any other
documents null and void at anytime and/or to grant override authority to any
beneficiary, partial or full power of attorney or legal representative given
such authority by authorizing party listed herein to do so.
_________________________________________ ____/____/____
Signature of Authorizing
Party Date
Printed Name of Authorizing
Party: ________________________________
_________________________________________ ____/____/____
Signature of
Notary
Date
Notary Seal:
___________________