Kentucky Power of Attorney
This Power of Attorney is executed in accordance with the laws of the State of Kentucky.
Principal Information:
- Name: ___________________________________
-
- City, State, Zip: ___________________________
- Date of Birth: _____________________________
Agent Information:
- Name: ___________________________________
- Address: ___________________________________
- City, State, Zip: ___________________________
- Phone Number: _____________________________
Grant of Authority:
I, [Principal's Name], hereby appoint [Agent's Name] as my Attorney-in-Fact to act for me in my name and on my behalf in the following matters:
- Managing my financial affairs.
- Handling real estate transactions.
- Making healthcare decisions on my behalf.
- Accessing my safe deposit boxes.
- Filing taxes and managing tax-related matters.
Effective Date:
This Power of Attorney shall become effective immediately and shall remain in effect until revoked by me in writing.
Signature:
______________________________
Principal's Signature
Date: ________________________
Witnesses:
Two witnesses must sign below:
- Witness 1: ___________________________ Date: _______________
- Witness 2: ___________________________ Date: _______________
Notarization:
State of Kentucky
County of ___________________________
Subscribed and sworn to before me this _____ day of ____________, 20__.
______________________________
Notary Public
My Commission Expires: ________________