Georgia Power of Attorney
This document creates a power of attorney in accordance with the laws of the state of Georgia. Please fill in the required information in the blank spaces provided.
Principal Information:
- Name: ____________________________
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- City, State, ZIP: ____________________________
- Date of Birth: ____________________________
Agent Information:
- Name: ____________________________
- Address: ____________________________
- City, State, ZIP: ____________________________
- Relationship to Principal: ____________________________
Effective Date: This power of attorney is effective immediately upon signing, unless stated otherwise:
Effective Date: ____________________________
Powers Granted: The principal grants the agent the authority to act on their behalf in the following matters:
- Manage financial transactions.
- Make real estate decisions.
- Handle insurance and retirement benefits.
- Other: ____________________________
Signatures:
Principal Signature: ____________________________
Date: ____________________________
Witness Signature: ____________________________
Date: ____________________________
Notary Public:
State of Georgia
County of ____________________________
Subscribed and sworn before me on this ______ day of ____________, 20__.
Notary Signature: ____________________________
My Commission Expires: ____________________________