Massachusetts Power of Attorney Template
This Power of Attorney is created in accordance with Massachusetts General Laws Chapter 201B.
Principal's Information:
Full Name: ________________________________________
Address: _____________________________________________
City, State, Zip Code: _______________________________
Agent's Information:
Full Name: ________________________________________
Address: _____________________________________________
City, State, Zip Code: _______________________________
Effective Date:
This Power of Attorney shall be effective immediately upon signing, or on the following date: ______________________________________.
Powers Granted:
The Principal grants the Agent the authority to act on their behalf in the following matters:
- Financial transactions
- Real estate decisions
- Legal matters
- Tax-related matters
- Healthcare decisions (if applicable)
Special Instructions:
___________________________________________________________________
___________________________________________________________________
Revocation:
This Power of Attorney may be revoked by the Principal at any time, provided that written notice of such revocation is delivered to the Agent.
Signature:
In witness whereof, I hereunto set my hand this _____ day of __________, 20__.
Principal's Signature: __________________________________
Witnesses: (Two required in Massachusetts)
- Witness Name: __________________________________________
- Witness Signature: ______________________________________
- Date: _________________________________________________
- Witness Name: __________________________________________
- Witness Signature: ______________________________________
- Date: _________________________________________________
Notary Public:
State of Massachusetts
County of ________________________
Subscribed and sworn to before me on this _____ day of __________, 20__.
Notary Public Signature: ________________________________
My Commission Expires: ________________________________