Louisiana Durable Power of Attorney
This Durable Power of Attorney is made pursuant to the laws of the State of Louisiana.
Principal: This document is executed by:
Name: ________________________________
Address: ________________________________
City, State, Zip: ________________________________
Agent: I appoint the following individual as my Agent:
Name: ________________________________
Address: ________________________________
City, State, Zip: ________________________________
Effective Date: This Durable Power of Attorney shall become effective on:
Date: ________________________________
Durability: This Durable Power of Attorney shall not be affected by my subsequent incapacity.
Powers Granted: I grant my Agent the authority to act on my behalf in the following matters:
- Real estate transactions
- Banking and financial transactions
- Personal and family maintenance
- Tax matters
- Government benefits
- Legal claims and litigation
Revocation: This Durable Power of Attorney may be revoked by me at any time, provided that I notify my Agent in writing.
Signature: By signing below, I affirm that I am of sound mind and that I understand the contents of this document.
Principal's Signature: ________________________________
Date: ________________________________
Witnesses: This document must be signed in the presence of two witnesses:
Witness 1 Name: ________________________________
Witness 1 Signature: ________________________________
Date: ________________________________
Witness 2 Name: ________________________________
Witness 2 Signature: ________________________________
Date: ________________________________
Notarization: This Durable Power of Attorney must be notarized:
Notary Public Signature: ________________________________
Notary Seal: ________________________________
Date: ________________________________