Ohio Power of Attorney Template
This Power of Attorney is created in accordance with the laws of the State of Ohio. It allows you to designate an individual to act on your behalf in various matters. Please fill in the blanks with your specific information.
Principal Information:
Name: ____________________________
Address: ____________________________
City: ____________________________
State: Ohio
Zip Code: ____________________________
Agent Information:
Name: ____________________________
Address: ____________________________
City: ____________________________
State: ____________________________
Zip Code: ____________________________
Effective Date:
This Power of Attorney shall become effective on: ____________________________
Duration:
This Power of Attorney shall remain in effect until: ____________________________
Powers Granted:
The Agent is granted the authority to act on behalf of the Principal in the following matters:
- Managing financial accounts
- Making healthcare decisions
- Handling real estate transactions
- Managing business interests
- Other: ____________________________
Limitations:
Any limitations on the Agent’s authority are as follows:
- __________________________________________________
- __________________________________________________
Signatures:
By signing below, the Principal acknowledges that they are granting the Agent the powers described above.
Principal's Signature: ____________________________
Date: ____________________________
Agent's Signature: ____________________________
Date: ____________________________
Notarization:
State of Ohio, County of ____________________________
Subscribed and sworn before me on this ____ day of __________, 20__.
Notary Public: ____________________________
My Commission Expires: ____________________________