Mississippi Durable Power of Attorney
This Mississippi Durable Power of Attorney ("Document") is made in accordance with the Mississippi Power of Attorney Act, allowing a person (the "Principal") to appoint another person (the "Agent") to make decisions and act on the Principal's behalf.
Principal Information
Full Name: ___________________________
Address: _____________________________
City: ________________________________
State: Mississippi
Zip Code: ___________________________
Agent Information
Full Name: ___________________________
Address: _____________________________
City: ________________________________
State: _______________________________
Zip Code: ___________________________
Alternate Agent (Optional)
If the first Agent is unable or unwilling to serve, an alternate Agent can act. Include the following information for the alternate Agent:
Full Name: ___________________________
Address: _____________________________
City: ________________________________
State: _______________________________
Zip Code: ___________________________
Authority Granted to the Agent
The Principal grants the Agent the following powers:
- Real estate transactions
- Banking and financial transactions
- Personal and family maintenance
- Government benefits
- Retirement plan transactions
- Taxes
- Any other matters
Durability Provision
This Durable Power of Attorney will not be affected by the Principal's subsequent disability or incapacity. This Document remains in effect until the Principal's death unless revoked earlier by the Principal.
Revocation
The Principal may revoke this Durable Power of Attorney at any time by providing written notice to the Agent.
Signatures
This Document must be signed by the Principal, acknowledged before a notary public, and witnessed by two disinterested witnesses to be effective.
Principal's Signature: ___________________________ Date: ____________
Agent's Signature: _____________________________ Date: ____________
Alternate Agent's Signature (If applicable): ___________________________ Date: ____________
Notary Acknowledgment
State of Mississippi
County of _______________________
On this ______ day of ____________, 20__, before me, a notary public, personally appeared ___________________________, known to me (or satisfactorily proven) to be the person whose name is subscribed to the within instrument, and acknowledged that he/she executed the same for the purposes therein contained.
In witness whereof, I hereunto set my hand and official seal.
Notary Public: ___________________________
My Commission Expires: __________________
Witnesses
The following witnesses, who are not named as an Agent or Alternate Agent in this Document, have witnessed the Principal's signing of this Mississippi Durable Power of Attorney:
Witness 1 Full Name: ___________________________
Witness 1 Address: ___________________________
Witness 2 Full Name: ___________________________
Witness 2 Address: ___________________________