Pennsylvania Power of Attorney Forms

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Pennsylvania power of attorney forms are for the purpose of choosing a person to handle medical decisions, financial affairs, or other tasks. The person giving power (“principal”) will assign the specific power to their representative (“agent”) and also enter whether the duration has an end date or lasts the rest of their life. No matter the form that is completed, once signed it may be used immediately.

Types (8)


Durable (Financial) Power of Attorney – Using this form, a person may plan to have a friend or relative available to make financial decisions on his or her behalf. This form can go into effect upon a person’s incapacity and it will remain in effect thereafter.

Download: Adobe PDF, MS Word (.docx), OpenDocument

Signing Requirements (§ 5601(b)(3)): Two (2) witnesses and a notary public.

 


General (Financial) Power of Attorney – Using this form a person may appoint a friend or relative to handle his or her financial affairs, however, unlike the durable type, it becomes void if the person creating the document becomes incapacitated.

Download: Adobe PDF, MS Word (.docx), OpenDocument

Signing Requirements (§ 5601(b)(3)): Two (2) witnesses and a notary public.

 


Limited Power of Attorney – Using his form, a person who needs someone for a short-term or limited assignment, can appoint someone to stand in their place, just for that one assignment.

Download: Adobe PDF, MS Word (.docx), OpenDocument

Signing Requirements (§ 5601(b)(3)): Two (2) witnesses and a notary public.

 


Medical Power of Attorney – Using this form a person can appoint another to work with their health care providers to make medical decisions on their behalf in the event they are unable to do so.

Download: Adobe PDF

Signing Requirements (§ 5452 and § 5471): Two (2) witnesses. In addition to the witnesses, notarization is optional but not required.

 


Minor Child Power of Attorney – Using this form, a person can convey authority to another to be the temporary caretaker of their minor child(ren) and make decisions on the children’s behalf.

Download: Adobe PDF, MS Word (.docx), OpenDocument

Signing Requirements: Not specifically mentioned.

 

 


Revocation of Power of Attorney – Using this form, you can revoke a power of attorney that you may have signed in the past.

Download: Adobe PDF, MS Word (.docx), OpenDocument

Signing Requirements: Not specifically mentioned.

 

 


Tax Power of Attorney (Form REV 677) – Using this you can appoint another, usually a tax professional, to handle tax filings and other matters in front of the Pennsylvania Department of Revenue.

Download: Adobe PDF

Signing Requirements: Principal only, unless the representative is not an attorney, certified accountant, or enrolled agent, in which case two (2) witnesses or a notary public must acknowledge signature.

 


Vehicle Power of Attorney – Using this form, a person can appoint another to handle matters with the Department of Transportation in Pennsylvania as it relates to titling and registering vehicles.

Download: Adobe PDF, MS Word (.docx), OpenDocument

Signing Requirements: Two (2) witnesses and a notary acknowledgment