Florida Durable Power of Attorney
This Durable Power of Attorney is created in accordance with Florida Statutes, Chapter 709. It allows you to appoint someone to make decisions on your behalf when you are unable to do so.
Principal's Information:
Name: ________________________________________________
Address: ________________________________________________
City, State, Zip Code: ___________________________________
Agent’s Information:
Name: ________________________________________________
Address: ________________________________________________
City, State, Zip Code: ___________________________________
Grant of Authority:
I hereby grant my Agent the authority to act on my behalf regarding the following matters:
- Real estate transactions
- Banking and financial transactions
- Insurance matters
- Tax matters
- Health care decisions
Effective Date:
This Durable Power of Attorney becomes effective immediately and will remain in effect until my death or revocation.
Signature of Principal:
_________________________________________
Date: ___________________________________
Witnesses:
Witness 1 Name: ___________________________
Signature: _______________________________
Date: ___________________________________
Witness 2 Name: ___________________________
Signature: _______________________________
Date: ___________________________________
Notary Public:
State of Florida
County of _______________________________
Sworn to and subscribed before me this _____ day of __________, 20__.
_________________________________________
Notary Public Signature
My Commission Expires: __________________