Georgia Durable Power of Attorney
This Durable Power of Attorney (“Document”) is created pursuant to the Georgia Durable Power of Attorney Act and allows you, the Principal, to designate an individual, the Agent, to manage your financial affairs. This Document becomes effective immediately unless stated otherwise and remains in effect if you become incapacitated or unable to communicate your wishes.
Please complete all applicable sections:
Principal Information
- Full Legal Name: ________________________
- Address: ________________________
- City, State, Zip: ________________________
- Phone Number: ________________________
Agent Information
- Full Legal Name: ________________________
- Address: ________________________
- City, State, Zip: ________________________
- Phone Number: ________________________
The Principal designates the following individual as Agent to act on the Principal’s behalf in any lawful way with respect to the following initialed subjects:
- Banking Transactions
- Real Estate Transactions
- Stock and Bond Transactions
- Tangible Personal Property Transactions
- Safe Deposit Box Transactions
- Insurance and Annuity Transactions
- Retirement Plan Transactions
- Tax Matters
- Legal Claims and Litigation
- Social Security, Medicare, and Medicaid
This Durable Power of Attorney is made durable and shall not be affected by the subsequent incapacity of the Principal.
Date of Execution: ________________________
Principal’s Signature: ________________________
State of Georgia County of ____________________: On this day, personally appeared before me, a notary public in and for said county and state, ________________________ (name of Principal) who acknowledged signing this Durable Power of Attorney voluntarily for its stated purpose.
Notary Public’s Signature: ________________________
My Commission Expires: ________________________