Kentucky Power of Attorney
This Power of Attorney is made in accordance with Kentucky state laws. It allows you to designate someone to make decisions on your behalf.
Principal Information:
- Name: _______________________________
- Address: _____________________________
- City, State, Zip: _____________________
- Date of Birth: ________________________
Agent Information:
- Name: _______________________________
- Address: _____________________________
- City, State, Zip: _____________________
- Phone Number: ________________________
Effective Date: This Power of Attorney shall become effective on: ________________.
Authority Granted: The Agent shall have the authority to act on behalf of the Principal in the following matters:
- Financial decisions
- Real estate transactions
- Legal matters
- Healthcare decisions
- Other: ____________________________
Duration: This Power of Attorney shall remain in effect until revoked by the Principal.
Signature:
By signing below, I, the Principal, affirm that I am of sound mind and voluntarily grant this Power of Attorney.
______________________________ (Signature of Principal)
______________________________ (Date)
Witness Information:
- Name: _______________________________
- Address: _____________________________
- Signature: ___________________________
- Date: ________________________________
This document must be signed in the presence of a notary public to be valid.