Michigan Power of Attorney
This Power of Attorney ("Document") is created pursuant to the Michigan Durable Power of Attorney Act, allowing an individual (the "Principal") to designate another individual (the "Agent") to make decisions on their behalf.
Principal Information
- Name: _______________
- Address: _______________
- City/State/ZIP: _______________
- Phone Number: _______________
Agent Information
- Name: _______________
- Address: _______________
- City/State/ZIP: _______________
- Phone Number: _______________
Alternate Agent (Optional)
In the event the primary Agent is unable or unwilling to serve, an alternate Agent may act on the Principal's behalf.
- Name: _______________
- Address: _______________
- City/State/ZIP: _______________
- Phone Number: _______________
Powers Granted
Check the powers you are granting to your Agent:
- _____ Banking Transactions
- _____ Real Estate Transactions
- _____ Personal Property Transactions
- _____ Business Operations
- _____ Legal Actions and Proceedings
- _____ Tax Matters
- _____ Medical Decisions (Health Care Power of Attorney)
- _____ Other: _______________
Duration
This Power of Attorney shall become effective immediately and will continue:
- ____ Until a specified date: _______________
- ____ Indefinitely, until the Principal becomes incapacitated or revokes the Document.
Signature
To make this Document legally binding, the Principal must sign and date the Document in the presence of a notary public and two witnesses.
Principal's Signature: _______________ Date: _______________
Printed Name: _______________
Witness #1 Signature: _______________ Date: _______________
Printed Name: _______________
Witness #2 Signature: _______________ Date: _______________
Printed Name: _______________
Notary Public: _______________
Notary Seal:
Date: _______________