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Power of attorney form — fill in and print

Enter the principal, the agent and what the agent may do to get a power of attorney ready to sign, with two witness lines and a notary block. Each state sets its own rules — California, for example, needs a notary or two witnesses — so check yours and complete that part.

Rules of
Blank form

An empty power of attorney in English with lines to write on.

Person delegating
Person acting (agent)
What is delegated
Period

Leave both empty for “until the matters above are completed”.

Checks

  • CheckChoose or write what is delegated.

Power of Attorney

I, , of , appoint , of , as my agent (attorney-in-fact) to act for me in the matters below.

  1. Powers.
  2. Period.Until the matters above are completed.
Principal
SignatureDate
Printed name

Complete the notary acknowledgment, the two witness signatures, or both, as the law of your state requires.

Witness 1Date
Printed name
Address
Witness 2Date
Printed name
Address
Notary acknowledgment
State ofCounty of
On , before me, , a notary public, personally appeared , who acknowledged signing this power of attorney.
Notary signatureSeal

A print window opens. Choose “Save as PDF” as the printer to keep a file. The form prints in English.

Powers of attorney in the United States

A power of attorney is governed by state law, and the states differ. Check what your state requires before you sign.

In California (Probate Code §4121), it must be dated, signed by the principal (or by another adult in the principal's name, in the principal's presence and at their direction), and either acknowledged before a notary public or signed by two witnesses (§4122). This sheet has a notary block and two witness lines. Some states require both (Florida, for example: two witnesses and a notary, Fla. Stat. §709.2105). Complete the notary block, the witness lines, or both, as your state requires.

California also sets a statutory form, the Uniform Statutory Form Power of Attorney (§4401). Where your state sets a form, use it.

A general letter of authority, not legal advice, and not a replacement for a form an office requires.

Quick questions

Does a power of attorney need to be notarized?

It depends on the state. In California (Probate Code §4121), it must be dated, signed by the principal, and either acknowledged before a notary public or signed by two witnesses. Some states ask for both: Florida wants two witnesses and a notary (Fla. Stat. §709.2105). This form has a notary block and two witness lines; complete either or both, as your state requires.

Is there a standard power of attorney form?

Some states set one. California's is the Uniform Statutory Form Power of Attorney (Probate Code §4401). Where your state sets a form, use it.

Can someone else sign a power of attorney for the principal?

In California, another adult may sign in the principal's name, in the principal's presence and at their direction (Probate Code §4121).