California Power of Attorney Template
This California Power of Attorney (POA) template is designed to help individuals appoint someone they trust as their agent to manage affairs on their behalf. In alignment with the California Probate Code, this document grants specific powers to the designated agent. It's important to complete this form thoughtfully to ensure your affairs are managed according to your wishes.
Principal Information
Full Name: ________________________________________
Address: __________________________________________
City, State, Zip: _________________________________
Phone Number: _____________________________________
Agent Information
Full Name: ________________________________________
Address: __________________________________________
City, State, Zip: _________________________________
Phone Number: _____________________________________
Alternate Agent Information (Optional)
Full Name: ________________________________________
Address: __________________________________________
City, State, Zip: _________________________________
Phone Number: _____________________________________
Powers Granted
Please specify the powers granted to your agent. Note that without specific authorizations, your agent will not be able to make decisions in certain areas.
- Real Estate Transactions
- Financial and Banking Transactions
- Insurance and Annuity Transactions
- Healthcare Decisions
- Personal and Family Maintenance
- Tax Matters
- Claims and Litigation
- Government Benefits
- Retirement Plan Transactions
- Other: ________________________________________________
Duration
This Power of Attorney will become effective on ____________________ and will remain in effect:
- Until a specified date: ___________________________ (leave blank if not applicable)
- Until I revoke it in writing.
- Until my death.
- If I become incapacitated, this POA will (choose one):
_____ Become void upon my incapacitation.
_____ Continue to be effective during any period of incapacitation.
Signatures
Principal's Signature: ___________________________ Date: ____________
Agent's Signature: _______________________________ Date: ____________
Alternate Agent's Signature (if applicable): ___________________________ Date: ____________
Witnesses (Optional depending on local requirements)
The signing of this document was witnessed by:
Witness 1's Full Name: ___________________________
Witness 1's Signature: ___________________________ Date: ____________
Witness 2's Full Name: ___________________________
Witness 2's Signature: ___________________________ Date: ____________
By signing, all parties agree to the terms and conditions outlined in this document, ensuring that it adheres to the laws and regulations of the State of California.