Ohio Power of Attorney Template
This document serves as a Power of Attorney under Ohio law. It allows you to designate someone to make financial or healthcare decisions on your behalf.
Principal Information:
- Name: ______________________________
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- City, State, Zip: ______________________________
- Date of Birth: ______________________________
Agent Information:
- Name: ______________________________
- Address: ______________________________
- City, State, Zip: ______________________________
- Phone Number: ______________________________
Authority Granted:
The Principal grants the Agent authority to act in their name in relation to financial and healthcare matters. This includes, but is not limited to, the following:
- Managing bank accounts and investments.
- Signing checks and legal documents.
- Making healthcare decisions, including medical treatment options.
Effective Date:
This Power of Attorney becomes effective on: ______________________________
Revocation:
This Power of Attorney will remain in effect until revoked. To revoke, the Principal must provide written notification to the Agent and any relevant institutions.
Signatures:
By signing below, the Principal confirms that they understand this document and its implications.
Principal Signature: ______________________________ Date: ______________________________
Agent Signature: ______________________________ Date: ______________________________
Witnesses:
This document requires two witnesses or a notary public in accordance with Ohio law.
Witness 1 Signature: ______________________________ Date: ______________________________
Witness 2 Signature: ______________________________ Date: ______________________________
Notary Public Signature: ______________________________ Date: ______________________________