A Sample Power of Attorney Template

Below find a sample power of attorney template for different situations. These help you decide which power of attorney best fits your needs.

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Durable Power of Attorney Template

I, Sam Jones, of Nowhere, Kansas, appoint Tom Smith, of Nowhere, Kansas, as my attorney in fact to handle all the following duties legal through a durable power of attorney that I handle on a daily basis should I become incapacitated.

(List of duties)

The durable power of attorney becomes effective on the date below, unless I extend or rescind the power of attorney duties.

Dated December 1, 20xx.

Signatures of primary, witnesses and notary public.

General Power of Attorney Template

I, Sam Jones, of Nowhere, Kansas, appoint Tom Smith, of Nowhere, Kansas, as my attorney in fact to handle all duties legal through a power of attorney that I handle on a daily basis. The general power of attorney becomes effective on the date below and remains in effect until December 1, 20xx, or unless I extend or rescind the power of attorney duties.

Dated December 1, 20xx.

Signatures of primary, witnesses and notary public.

Medical Power of Attorney Template

I, Sam Jones, of Nowhere, Kansas, appoint Tom Smith, of Nowhere, Kansas, as my attorney in fact to handle all medical decisions, following my wishes, for myself through a medical power of attorney.

· I do not wish, at any time, to be hooked to a life support machine.
· I do not wish to be given a feeding tube.
· If my heart stops, I hereby order the hospital and attorney in fact to follow my Do Not Resuscitate order.
· My organs are to be donated to someone in need.

The medical power of attorney becomes effective on the date below and remains in effect until December 1, 20xx, or unless I extend or rescind the power of attorney duties.

Dated December 1, 20xx.

Signatures of primary, witnesses and notary public.

Non-Durable Power of Attorney Template

I, Sam Jones, of Nowhere, Kansas, appoint Tom Smith, of Nowhere, Kansas, as my attorney in fact to handle all the following duties legal through a power of attorney that I handle on a daily basis should I become incapacitated.

(List of duties)

The non-durable power of attorney becomes effective on the date below and continues until June 1, 20xx, unless I extend or rescind the power of attorney duties.

Dated December 1, 20xx.

Signatures of primary, witnesses and notary public.


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