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THIS GENERAL POWER OF ATTORNEY IS MADE PURSUANT TO THE GEORGIA UNIFORM POWER OF ATTORNEY ACT, TITLE 10, CHAPTER 6B OF THE OFFICIAL CODE OF GEORGIA.

NOTICE TO THE PRINCIPAL: This is an important legal document. Before signing this document, you should know these important facts:

  • You are authorizing another person to act for you, the principal.
  • Your agent is required to act in your best interests and in accordance with this document.
  • This document does not authorize the agent to make health care decisions for you.
  • You may revoke this power of attorney at any time.
  1. Principal

Full Legal Name: _____________________________
Address: ___________________________________
City/State/Zip: ______________________________
Phone: ____________________________________

  1. Agent (Attorney-in-Fact)

Full Legal Name: _____________________________
Address: ___________________________________
City/State/Zip: ______________________________
Phone: ____________________________________

  1. Successor Agent(s) (Optional)

If the Agent named above is unable or unwilling to serve, I appoint the following person(s) as successor Agent(s) in the order named:

  1. First Successor Agent:
    Full Legal Name: __________________________
    Address: ________________________________
    City/State/Zip: ___________________________
    Phone: _________________________________
  2. Second Successor Agent (Optional):
    Full Legal Name: __________________________
    Address: ________________________________
    City/State/Zip: ___________________________
    Phone: _________________________________
  3. Powers Granted

I grant my Agent full authority to act on my behalf in all matters authorized under Georgia law, including but not limited to:

  • Real estate transactions.
  • Banking and financial transactions.
  • Business operations.
  • Tax matters.
  • Personal property transactions.
  • Estate and trust management.
  • Claims and litigation.
  • Retirement plan management.
  • Government benefits.

Special Instructions (Optional):

  1. Effective Date

This Power of Attorney shall become effective:
☐ Immediately upon signing.
☐ Only upon the occurrence of the following event: _________________________.

  1. Durability

☐ This Power of Attorney shall remain in effect even if I become incapacitated.
☐ This Power of Attorney shall terminate if I become incapacitated.

  1. Revocation

This Power of Attorney may be revoked by me at any time in writing and delivered to my Agent.

  1. Signatures and Acknowledgment

Principal:
Signature: ______________________________
Printed Name: __________________________
Date: _________________________________

Witness:
I, the undersigned witness, declare that the Principal appears to be of sound mind and is executing this Power of Attorney voluntarily.

Witness Signature: ________________________
Printed Name: __________________________
Address: _______________________________

Notary Public:
State of Georgia
County of ______________

Subscribed and sworn before me this ____ day of _______, 20.

Notary Signature: ________________________
Printed Name: __________________________
My Commission Expires: ________________