Purpose This is for This is for One (1) PropertyMore than One (1) Property Street Address Street Address of the Property Street Address Address Line 2 City Please SelectAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWashington DCWest VirginiaWisconsinWyoming State ZIP Code Legal Description Do you want to enter the Legal Description of the Property? Do you want to enter the Legal Description of the Property? YesNo Not required but highly recommended. The Legal Description is known at the town or county level and referred to as the Parcel ID Number (#), Tax Map/Lot Number(s), and/or Book and Page Numbers. Enter the Legal Description Person GIVING Power (the Principal) Who is GIVING power over their Real Estate? Who is GIVING power over their Real Estate? Business EntityIndividual(s) This is the person or company that owns or controls the Property. How many Individuals? Select12345 Enter their Full Name(s) It's required to list ALL the owners of the property. Business Entity Name Representative's Name First Last Enter the individual who is acting on behalf of the business entity Principal's Mailing Address Is the Principal's Mailing Address the SAME as the Property Address? Is the Principal's Mailing Address the SAME as the Property Address? YesNo This is the Mailing Address of who is GIVING power over their real estate. Principal's Mailing Address Street Address Address Line 2 City Please SelectAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWashington DCWest VirginiaWisconsinWyoming State ZIP Code Principal's Mailing Address Street Address Address Line 2 City Please SelectAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWashington DCWest VirginiaWisconsinWyoming State ZIP Code Person RECEIVING Power (the Agent) Who is RECEIVING power over the Real Estate? Who is RECEIVING power over the Real Estate? Business EntityIndividual This is known as the "Agent" or "Attorney-in-Fact" (Note: This person does not need to be an actual attorney) Agent's Name First Last Name of Business Entity Representative's Name (Agent) First Last Name of person that will be acting as the Attorney-in-Fact ("Agent"). Agent's Mailing Address The Agent's Mailing Address is required under State law. Street Address Address Line 2 City Please SelectAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWashington DCWest VirginiaWisconsinWyoming State ZIP Code Selling Will the Agent have the power to SELL the Property? Will the Agent have the power to SELL the Property? YesNo Selling only (no purchasing powers) Purchasing Will the Agent have the power to PURCHASE the Property? Will the Agent have the power to PURCHASE the Property? YesNo Purchase only (no selling powers) Property Management Will the Agent have the power to MANAGE the Property? Will the Agent have the power to MANAGE the Property? YesNo Such as writing leases, handling evictions, common maintenance, etc. Refinance Will the Agent have the power to REFINANCE the Property? Will the Agent have the power to REFINANCE the Property? YesNo Additional Powers Are there any ADDITIONAL POWERS you wish to grant the Agent? Are there any ADDITIONAL POWERS you wish to grant the Agent? YesNo If there are any other additional powers you would like to list specifically such as picking up mail, performing repairs, paying property taxes, etc. List any Additional Powers to the Agent: Begin When will this Real Estate Power of Attorney BEGIN? When will this Real Estate Power of Attorney BEGIN? On a Specific DateUpon Incapacitation (Principal not being able to think for themselves)) This is the 1st day the Agent will have the power to begin acting on behalf of the Principal. Start Date End When will this Real Estate Power of Attorney END? When will this Real Estate Power of Attorney END? on a Specific DateUpon Principal's Incapacitation or Death End Date Recording Will this Power of Attorney Be Recorded? Will this Power of Attorney Be Recorded? YesNo If so, the document will contain a space on top of the first page for the recorder's use. Who Prepared this Document? First Last Please enter the preparer's name. After Recording, the Document Should Be Sent To: Street Address Address Line 2 City Please SelectAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWashington DCWest VirginiaWisconsinWyoming State ZIP Code Enter the mailing address where the recorder will send a copy of the document after recording. Signing Jurisdiction Which STATE will this Real Estate Power of Attorney be signed? Choose StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming If the Principal is not in the United States, select the State the real estate is located. How would you like to sign this Real Estate Power of Attorney? How would you like to sign this Real Estate Power of Attorney? Notary PublicTwo (2) Witnesses Under State law, the Principal has the option to sign in the presence of a Notary Public or Two (2) Witnesses. Under State law, you are required to SIGN this form in the presence of a NOTARY PUBLIC and ONE (1) WITNESS Under State law, you are required to SIGN this form in the presence of a NOTARY PUBLIC and ONE (1) WITNESS I Understand A notary public can be found at every branch bank in the United States. Next Save Save and finish later
