Louisiana Durable Power of Attorney
This Durable Power of Attorney is executed in accordance with the laws of the State of Louisiana.
Principal Information:
- Name: _______________________________
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- City, State, Zip: ______________________
- Phone Number: _________________________
Agent Information:
- Name: _______________________________
- Address: _____________________________
- City, State, Zip: ______________________
- Phone Number: _________________________
Effective Date: This Durable Power of Attorney shall become effective immediately upon execution, and shall remain in effect until revoked by the Principal.
Scope of Authority: The Agent shall have the authority to act on behalf of the Principal in the following matters:
- Real estate transactions
- Banking and financial transactions
- Insurance and annuity transactions
- Tax matters
- Personal and family maintenance
Revocation: This Durable Power of Attorney may be revoked by the Principal at any time, provided that the revocation is made in writing and delivered to the Agent.
Signatures:
By signing below, the Principal affirms that they understand the contents of this Durable Power of Attorney and that they are signing voluntarily.
Principal Signature: ________________________ Date: ____________
Agent Signature: __________________________ Date: ____________
Witness Signature: _________________________ Date: ____________
Witness Signature: _________________________ Date: ____________
Notary Acknowledgment:
State of Louisiana
Parish of ___________________________
On this ____ day of ____________, 20__, before me appeared ___________________________, known to me to be the person whose name is subscribed to this Durable Power of Attorney.
Notary Public: ____________________________
My commission expires: ___________________