Arizona Durable Power of Attorney
This Durable Power of Attorney template is designed for residents of Arizona and complies with Arizona state laws, including A.R.S. § 14-5501 through § 14-5507. Please fill in the blanks below with your personal information.
Principal: This is the person appointing the Power of Attorney.
Name: ______________________________________
Address: ____________________________________
City: _______________________ State: _________ Zip Code: __________
Agent: This is the person who will act on your behalf.
Name: ______________________________________
Address: ____________________________________
City: _______________________ State: _________ Zip Code: __________
Successor Agent: This person takes over if the primary agent cannot serve.
Name: ______________________________________
Address: ____________________________________
City: _______________________ State: _________ Zip Code: __________
Effective Date: This Durable Power of Attorney will become effective on:
Date: _______________________________________
Powers Granted: You may select what powers to grant your Agent. Specify below:
- Handling financial transactions
- Managing real estate
- Overseeing personal care decisions
- Making health care decisions
- Accessing bank accounts
Other powers granted: _____________________________________________
Revocation of Prior Powers of Attorney: This document revokes any previous Durable Power of Attorney executed by the Principal.
Signature of Principal:
_____________________________________________
Date: _______________________________________
Notarization:
This Durable Power of Attorney must be notarized to be valid. The Principal's signature should be witnessed by a notary public.
Witness Declaration: By signing below, I confirm that this document was signed by the Principal in my presence.
Witness Name: ____________________________
Signature: ___________________________________
Date: _______________________________________
Notary Public:
State of Arizona
County of _____________________________
On this _____ day of ___________, 20____, before me, a notary public personally appeared
_________________________________, known or proved to me to be the Principal who executed the foregoing document.
Seal: _____________________________________