Louisiana Power of Attorney Template
This Power of Attorney ("POA") is made in accordance with the Louisiana Revised Statutes Title 9: Civil Code-Ancillaries, specifically under Chapter 2: Powers of Attorney, allowing a person (the "Principal") to authorize another person (the "Agent") to act in their place for various matters stated herein.
Principal Information:
- Full Name: ___________________________
- Physical Address: ___________________________
- City, State, Zip: ___________________________
- Phone Number: ___________________________
Agent Information:
- Full Name: ___________________________
- Physical Address: ___________________________
- City, State, Zip: ___________________________
- Phone Number: ___________________________
By this document, the Principal authorizes the Agent to act on the Principal's behalf and in the Principal's best interest in the following matters:
- Financial affairs
- Real estate transactions
- Healthcare decisions
- Legal matters
- Personal and family maintenance
- Government benefits
- Taxes and insurance
- Other: __________________________________________________________________
The authority granted herein shall commence on ________________ (Date) and will terminate upon:
- The death of the Principal,
- The revocation by the Principal,
- A court order,
- Or other: _______________________________________________________________.
The Principal and Agent acknowledge that this POA is subject to the provisions of the laws of the state of Louisiana and that all acts under this POA shall be done in accordance with such laws.
The Agent accepts this appointment and agrees to act only within the scope of authority granted herein, always prioritizing the Principal's best interests.
Principal's Signature: _______________________________ Date: ________________
Agent's Signature: _______________________________ Date: ________________
Witness #1 Signature: _______________________________ Date: ________________
Witness #2 Signature: _______________________________ Date: ________________
This document was signed in the presence of two witnesses, as required by Louisiana law, who are not related to the Principal by blood or marriage and who do not stand to benefit from the Principal's estate.
A notary public must acknowledge this Power of Attorney for it to be considered valid under Louisiana law.
Notary Public's Signature: _______________________________ Date: ________________
Commission Expiration: ________________