Mississippi Power of Attorney Template
This Mississippi Power of Attorney (the "Document") is created in accordance with the Mississippi Power of Attorney Act, allowing a person (the "Principal") to designate another person (the "Agent") to act on the Principal's behalf in specified matters.
Principal Information
- Full Name: ________________________________________
- Physical Address: __________________________________
- City, State, Zip: ___________________________________
- Phone Number: ______________________________________
- Email Address: _____________________________________
Agent Information
- Full Name: ________________________________________
- Physical Address: __________________________________
- City, State, Zip: ___________________________________
- Phone Number: ______________________________________
- Email Address: _____________________________________
Authority Granted
This document grants the Agent the power to act on the Principal's behalf in the following matters (check all that apply):
- ____ Banking and financial transactions
- ____ Real estate transactions
- ____ Business operating transactions
- ____ Insurance and annuity transactions
- ____ Estate, trust, and other beneficiary transactions
- ____ Legal claims and litigation
- ____ Personal and family maintenance
- ____ Government benefits
- ____ Retirement plan transactions
- ____ Taxes
Effective Date and Duration
This Power of Attorney shall become effective on ________________________ (date) and, unless sooner revoked by the Principal, shall remain in effect until ________________________ (date).
Third-party Reliance
This document serves as evidence of the Agent's authority to act on the Principal's behalf and shall be relied upon by any third party as per the provisions of the Mississippi Power of Attorney Act.
Signatures
This document must be signed and dated by the Principal, the Agent, and a Notary Public to be considered valid and legally binding.
Principal's Signature: ______________________________ Date: ____________
Agent's Signature: _________________________________ Date: ____________
State of Mississippi, County of ______________________
This document was acknowledged before me on _______________ (date) by _________________________ (name of Principal) and _________________________ (name of Agent).
Notary Public: _____________________________________
My Commission Expires: _____________________________