Durable Power of Attorney

Please fill in the necessary details to generate a Power of Attorney. After submitting the information, you will receive the documents for your review. The completed document will be sent in PDF format with the information you provided. This is the example of the form below.

On the ___ day of __________________, 20____ I, __________________, the
principal, of __________________, State of __________________, hereby designate
__________________, of __________________, State of __________________, my
attorney-in-fact (hereinafter my “attorney-in-fact”), to act as initialed below, in my name,
in my stead and for my benefit, hereby revoking any and all financial powers of attorney
I may have executed in the past.

CHECK ONE TYPE OF POWER OF ATTORNEY:

General Power of Attorney with an expiration date :

General Durable Power of Attorney, to end upon Principal’s death or revocation

Could you please specify the termination date for this power of attorney?

Principle First Name

Principle Middle Name

Principle Last Name

(Principle) Select the Date you designate your Attorney-In-Fact

(Principle) Write The City and State You Reside

Principle Date Of Birth

Please provide the details for the position/title of the person you appoint as your Attorney-In-Fact.

Please clarify the relationship of the individual whom you have appointed as your Attorney-In-Fact.

Is the Attorney-in-Fact signing the same document, in the same city and state as the principal?

Please choose how the designated Attorney -In- Fact will sign the document?

Attorney-In-Fact Designation First Name

Attorney-In-Fact Designation Middle Name

Attorney-In-Fact Designation Last Name

Attorney-In-Fact Date Of Birth

Write The City and State Where the Attorney-In-Fact Reside

POWERS OF ATTORNEY-IN-FACT

My attorney-in-fact shall exercise powers in my best interests and for my welfare as a
fiduciary.

Revocation of previously granted general powers of attorney.

I now revoke any general powers of attorney that I previously signed. However, the
preceding sentence shall not have the effect of revoking any powers of attorney directly related to my health care that I previously signed.

Scope of Authority of Attorney-in-Fact

My Attorney-In-Fact (“Agent”) shall have full power and authority to act on my behalf. It shall be authorized to
manage and conduct all of my affairs and exercise all of my legal rights and powers, including all rights and

powers I may acquire in the future. My Agent's powers shall include, but not be limited to, the following:
1. Open, maintain, or close banking and financial accounts, brokerage accounts, and other similar
accounts with financial institutions.
a. Conduct any business with a banking or financial institution concerning any of my
accounts, including, but not limited to, making deposits and withdrawals, obtaining bank
statements, passbooks, drafts, money orders, warrants, and certificates or vouchers payable
to me by any person, firm, corporation, or political entity.
b. Perform all acts necessary to deposit, negotiate, sell, or transfer any note, security, or draft
of the United States of America, including U.S. Treasury Securities.
c. Have access to the contents of any safe deposit box owned by or accessible to me.
2. Sell, exchange, buy, invest, or reinvest any assets or property owned by me, including income
producing or non-income producing assets and property.
3. Purchase and/or maintain insurance, including life insurance upon my life or the life of any other
appropriate person.
4. Take any legal steps necessary to collect any amount or debt owed to me or to settle any claim,
whether made against me or asserted on my behalf against any other person or entity.
5. Enter into binding contracts on my behalf.
6. Exercise stock rights on my behalf as my proxy, including all rights concerning stocks, bonds,
debentures, or other investments.
7. Maintain and/or operate any business owned by me.
8. Employ professional and business assistance as may be appropriate, including attorneys,
accountants, and real estate agents.
9. Sell, lease, convey, mortgage, manage, insure, repair, improve, or perform any other act with respect
to any of real my property now owned or later acquired, including, but not limited to, real estate and
real estate rights (including the right to remove tenants and to recover possession). This includes the
right to sell or encumber any homestead I own or may own.
10. Prepare, sign, and file documents with any governmental body or agency, including, but not limited
to, authorization to:
a. Prepare, sign, and file income and other tax returns with federal, state, local, and other
governmental bodies.
b. Obtain information or documents from any government or its agencies and negotiate,
compromise, or settle any matter with such government or agency (including tax matters).
c. Prepare applications, provide information, and perform any other act reasonably requested
by any government or its agencies in connection with governmental benefits (including military
and social security benefits)

11. Make gifts from my assets to family members and other persons or charitable
organizations with whom I have an established pattern of giving. However, my Agent may not make
gifts of my property to the Agent himself or herself. I appoint ________________________, residing
at __________________________________________, as my substitute Agent for the sole purpose
of making gifts of my property to my Agent, as appropriate.
12. Transfer any of my assets to the trustee of any revocable trust created by me if such trust is in
existence at the time of such transfer.
13. Disclaim any interest that might otherwise be transferred or distributed to me from any other
person, estate, trust, or other entity, as may be appropriate.
This Power of Attorney shall be construed broadly as a General Power of Attorney. The listing of specific powers
is not intended to limit or restrict the general powers granted in this Power of Attorney in any manner.
Any power or authority granted to my Agent under this document shall be limited to the extent necessary to
prevent this Power of Attorney from causing:
(i) my income to be taxable to my Agent,
(ii) my assets to be subject to a general power of appointment by my Agent and
(iii) my Agent to have any incidents of ownership concerning any life insurance policies that I may
own on the life of my Agent.
My Agent shall not be liable for any loss resulting from a judgment error made in good faith. However, My agent shall be responsible for willful misconduct or the failure to act in good faith while acting under the authority
of this Power of Attorney.
I authorize my Agent to indemnify and hold harmless any third party who accepts and acts under this document.
5. Compensation
My Agent shall be entitled to reasonable compensation for any services provided as my Agent. My Agent shall
also be entitled to reimbursement of all reasonable expenses incurred with this Power of Attorney.
6. Accounting
My Agent shall provide an accounting for all funds handled and all acts performed as my Agent if I so request
or if such a request is made by any authorized personal representative or fiduciary acting on my behalf.
7. Effective Date
This Power of Attorney shall become effective immediately. It shall not be affected by my disability or lack of
mental competence except as may be provided otherwise by an applicable state statute.
8. Revocation
I may revoke this Power of Attorney at any time by providing written notice to my Agent

Do you designate a substitute agent solely for the purpose of transferring my assets as gifts to my primary agent, when suitable?

First Name

Middle Name

Last Name

SPECIAL INSTRUCTIONS: On the following lines are any special instructions limiting or extending the powers I give to my attorney-in-fact (Write “None” if no additional instructions are given):

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I will provide my own independent witnesses

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First Name

Last Name

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Mobile Notary Service $75.00 Miami -Dade County

Online Notary $25.00 per sesssion

No Notarization - I want the PDF Durable Power of Attorney emailed to me /Prepayment required (no refunds)

The cost for visiting our offices, which includes notary witnesses, power of attorney form, and notarization but excludes certified copies, mobile services, online, and apostilles, is $60 plus tax. Please select the services you require.The total cost for visiting our offices, which includes notary witnesses, power of attorney form, and notarization but excludes certified copies, mobile services, online, and apostilles, is $60 plus tax. Please select the services you need.

At Miami Beach Notary, we want to make it clear that we're here to help you with notarizing your documents, particularly the durable power of attorney form. However, it's important to know that we're not lawyers, and we can't give you legal advice.

What we can do is provide you with the durable power of attorney form, and you can fill it out based on your specific situation. We're here to assist with the notarization process, ensuring that your document meets all the legal requirements. But remember, we can't provide you with legal counsel or guidance on what to include in the form.

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