Mississippi Durable Power of Attorney
This Durable Power of Attorney (“Agreement”) is made under the powers granted by the Mississippi Durable Power of Attorney Act and is designed to designate a trusted individual (the “Agent”) to manage financial, legal, and personal affairs on behalf of the person executing this document (the “Principal”), specifically when the Principal cannot manage them due to incapacity or any other reason.
Principal Information
Name: ___________________________________________
Address: ________________________________________
County: _________________________________________
State: Mississippi
Zip Code: _______________________________________
Agent Information
Name: ___________________________________________
Address: ________________________________________
County: _________________________________________
State: __________________________________________
Zip Code: _______________________________________
Alternate Agent Information (Optional)
In the event the original Agent is unable or unwilling to serve, the Principal may designate an alternate Agent.
Name: ___________________________________________
Address: ________________________________________
County: _________________________________________
State: __________________________________________
Zip Code: _______________________________________
Powers Granted
This Durable Power of Attorney grants the Agent the following powers, which include but are not limited to, the ability to:
- Buy or sell property
- Manage banking transactions
- Claim, litigate, and settle legal claims
- Make decisions regarding healthcare benefits and insurance
- Handle matters related to taxes and Social Security benefits
Term
This Durable Power of Attorney will become effective immediately upon signing and will remain in effect indefinitely unless a specific termination date is herein stated:
Termination Date (if applicable): _____________________________
Signatures
This document must be signed by the Principal, the Agent, and a Notary Public to be considered valid and enforceable under Mississippi law.
Principal’s Signature
Date: _________________
Signature: ______________________________________
Agent’s Signature
I, the undersigned, accept the designation as Agent under this Durable Power of Attorney.
Date: _________________
Signature: ______________________________________
Alternate Agent’s Signature (If Applicable)
If designated as an alternate, I accept the position upon the original Agent's inability or unwillingness to serve.
Date: _________________
Signature: ______________________________________
Notarization
This document was acknowledged before me on ____________ (date) by the above-named Principal, who is personally known to me or who has produced identification as proof of identity.
Notary Public’s Name: ________________________________
Signature: ______________________________________
My commission expires: ___________________________