"Power of Attorney Form" - Iowa

ADVERTISEMENT
ADVERTISEMENT

Download "Power of Attorney Form" - Iowa

Download PDF

Fill PDF online

Rate (4.5 / 5) 12 votes
Iowa Power of Attorney
Effective Date: ____/____/______
I,
[Legal Name]
A resident of
[City], Iowa
Located at
[Address]
[City], Iowa [Zip Code]
Do Hereby Appoint, [Legal Name]
A resident of
[City], Iowa
Located at
[Address]
[City], Iowa [Zip Code]
As my attorney-in-fact.
My attorney-in-fact may act on my behalf for the following purpose(s):
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
Go to www.AtYourBusiness.com for more free business forms
Iowa Power of Attorney
Effective Date: ____/____/______
I,
[Legal Name]
A resident of
[City], Iowa
Located at
[Address]
[City], Iowa [Zip Code]
Do Hereby Appoint, [Legal Name]
A resident of
[City], Iowa
Located at
[Address]
[City], Iowa [Zip Code]
As my attorney-in-fact.
My attorney-in-fact may act on my behalf for the following purpose(s):
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
Go to www.AtYourBusiness.com for more free business forms
This power of attorney shall take effect on the above mentioned effective date and will
continue indefinitely or until revoked by me or by my death.
I do hereby grant my attorney in fact complete authority to act in any reasonable manner that
is necessary to execute the above mentioned powers that are granted.
I agree that any third party who is given a copy of this power of attorney may act relying on it. I
also agree that revocation of this power of attorney is effective as to a third party only upon
receipt of actual notice by the third party. I agree to indemnify the third party for any loss that
may be suffered while carrying out this power of attorney.
Signature & Acknowledgment
Iowa
This contract shall be governed by the laws of the State of
in __________ County and any
applicable Federal Law.
__________________________________________________________
Date____________
Signature
By accepting this appointment and acting under it, I the attorney-in-fact (“Agent”) do hereby assume the
legal responsibilities of an agent.
_____________________________________________________________________Date____________
Signature of Attorney-in-Fact
_____________________________________________________________________Date____________
ST
Signature of 1
Successor Agent
_____________________________________________________________________Date____________
nd
Signature of 2
Successor Agent
Go to www.AtYourBusiness.com for more free business forms
WITNESS #1) _________________________________
WITNESS #2) _________________________________
Go to www.AtYourBusiness.com for more free business forms
Page of 3