Power of Attorney for Finances (Limited Power)
I, 	 [your name] (principal),
of 	 [your city and state],
appoint 	 [name of your attorney-in-fact] to act in my place for the purposes of: 			 .
This power of attorney takes effect on 	 , and shall continue until terminated in writing, or until 	 , whichever comes first. In the event of my incapacity or death, this power of attorney shall terminate immediately.
I grant my attorney-in-fact full authority to act in any manner both proper and necessary to the exercise of the foregoing powers, and I ratify every act that my attorney-in-fact may lawfully perform in exercising those powers.
I agree that any third party who receives a copy of this document may act under it. Revocation of the power of attorney is not effective as to a third party until the third party has actual knowledge of the revocation. I agree to indemnify the third party for any claims that arise against the third party because of reliance on this power of attorney.
Signed: This 	 day of 	 , 	
State of: 	 County of: 	
Signature: 	 , Principal
Witnesses
[Witnesses are required in some states, optional in others. See Chapter 1 for details.]
On the date written above, the principal declared to me that this instrument is his or her financial power of attorney, and that he or she willingly executed it as a free and voluntary act. The principal signed this instrument in my presence.
Witness 1
Signature: 	
Name: 	
Address: 		
Witness 2
Signature: 	
Name: 	
Address: 		
Acknowledgment of Attorney-in-Fact
By accepting or acting under the appointment, I assume the fiduciary and other legal responsibilities and liabilities of an agent. I understand that I owe a duty of loyalty and good faith to the principal and must use the powers granted to me only for the benefit of the principal. I acknowledge that my authority to act on behalf of the principal ceases at the death of the principal.
Name of Attorney-in-Fact: 	
Signature of Attorney-in-Fact: 	

[ATTACH NOTARY CERTIFICATE]