Springing Power of Attorney
Effective Date/Condition:
Principal's Full Name:
Principal's Address:
Attorney-in-Fact's Full Name:
Attorney-in-Fact's Address:
Powers Granted
Describe the powers and limitations of authority granted:
Special Instructions
Special instructions, if any:
Duration
Springing event/condition which enables this Power of Attorney:
Revocation
Revocation instructions (if applicable):
Principal's Signature:
Date:
Witness/Notary Signature:
Date: