Arizona Power of Attorney
This Power of Attorney is executed in accordance with the laws of the State of Arizona.
Principal Information:
- Name: ________________________________
- Address: ______________________________
- City, State, Zip Code: ________________
- Date of Birth: ________________________
Agent Information:
- Name: ________________________________
- Address: ______________________________
- City, State, Zip Code: ________________
- Phone Number: ________________________
Effective Date: This Power of Attorney shall become effective on the following date: ____________________.
Scope of Authority: The Agent shall have the authority to act on behalf of the Principal in the following matters:
- Financial transactions
- Real estate transactions
- Healthcare decisions
- Legal matters
- Tax matters
Revocation: This Power of Attorney may be revoked by the Principal at any time by providing written notice to the Agent.
Signatures:
By signing below, the Principal affirms that they understand the contents of this document and are executing it voluntarily.
Principal Signature: ________________________________ Date: ________________
Agent Signature: ________________________________ Date: ________________
Notary Acknowledgment:
State of Arizona
County of ________________________________
Subscribed and sworn before me on this ____ day of __________, 20__.
Notary Public Signature: ________________________________
My Commission Expires: ________________________________