Mississippi Power of Attorney Template
This Mississippi Power of Attorney Template is designed to facilitate the appointment of a trusted individual to make decisions on your behalf, in accordance with Mississippi Code Title 87 - Trusts and Estates; Powers of Attorney. It is tailored specifically for residents of Mississippi, ensuring compliance with state-specific legal requirements.
Please complete the sections below with accurate information to establish a Power of Attorney in Mississippi. It is recommended that you review this document with a legal advisor to ensure it fully meets your needs and complies with Mississippi law.
Part 1: Principal Information
Full Name of Principal: ________________________________________________________
Principal's Address: __________________________________________________________
City, State, Zip: _____________________________________________________________
Principal's Contact Number: ___________________________________________________
Part 2: Agent Information
Full Name of Agent: ___________________________________________________________
Agent's Address: ______________________________________________________________
City, State, Zip: ______________________________________________________________
Agent's Contact Number: ________________________________________________________
Part 3: Powers Granted
Specify the powers you are granting to your Agent. Tick the applicable powers and provide any necessary details.
Part 4: Terms and Conditions
Define the duration and any limitations of the Power of Attorney. Include specific start and end dates if the powers are not intended to be effective immediately or indefinitely.
Effective Date: ________________________________________________________________
Termination Date (if applicable): ________________________________________________
Additional Terms/Conditions: __________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
Part 5: Signatures
This Power of Attorney will not be effective unless it is signed by the Principal, the designated Agent agrees to act by signing, and it is notarized. Ensure all parties are present before a notary to complete this step.
Principal's Signature: ___________________________________ Date: _____________
Agent's Signature: ______________________________________ Date: _____________
State of Mississippi
County of ______________________
On this, the ______ day of __________, 20__, before me, the undersigned notary public, personally appeared __________________________________________________, known to me (or satisfactorily proven) to be the person(s) whose name(s) is(are) subscribed to the within instrument and acknowledged that he/she/they executed the same for the purposes therein contained.
In witness whereof, I hereunto set my hand and official seal.
Notary Public's Signature: ___________________________________ Date: _____________
My Commission Expires: ______________________________________