Power of Attorney Document for Oregon State

Oregon Power of Attorney Form

This Power of Attorney Form is created in accordance with the Oregon Uniform Power of Attorney Act. It grants the person you designate (your "Agent") the power to act on your behalf in specific matters you choose. Please complete all sections with accurate information to ensure your intentions are clearly understood and legally recognized.

Principal's Information

• Full Name: ________________
• Address: ________________
• City, State, Zip: ________________
• Phone Number: ________________

Agent's Information

• Full Name: ________________
• Address: ________________
• City, State, Zip: ________________
• Phone Number: ________________

Alternate Agent's Information (Optional)

If the primary Agent is unable or unwilling to serve, provide information for an alternate Agent.

• Full Name: ________________
• Address: ________________
• City, State, Zip: ________________
• Phone Number: ________________

Authority Granted

Detail the specific powers being granted to the Agent. Select from the options below or add any additional powers not listed.

1. Real property transactions
2. Tangible personal property transactions
3. Stock and bond transactions
4. Commodity and option transactions
5. Banking and financial service transactions
6. Business operating transactions
7. Insurance and annuity transactions
8. Estate, trust, and other beneficiary transactions
9. Claims and litigation
10. Personal and family maintenance
11. Benefits from government programs or civil or military service
12. Retirement plan transactions
13. Tax matters
14. Additional powers: ________________

Duration

Specify the period during which this Power of Attorney will be effective.

• Effective Date: ________________
• Termination Date (if applicable): ________________

Signature Section

This document must be signed and dated by the Principal, or by another adult in the Principal’s direction if he or she is unable to sign, in the presence of a Notary Public or two witnesses who have no interest in the document.

Principal’s Signature: ________________ Date: ________________

Agent’s Signature: ________________ Date: ________________

Alternate Agent’s Signature (if applicable): ________________ Date: ________________

Notarization

This section is for the Notary Public to complete, certifying that the Principal acknowledged signing the document or directing someone to sign on their behalf.

__________ [Notary Public's section for official seal and signature] __________

Witnesses (If signing in the presence of witnesses instead of a notary)

1. Witness 1's Signature: ________________ Date: ________________
2. Witness 2's Signature: ________________ Date: ________________

Important Notice

Your Power of Attorney is an important legal document. By signing it, you are voluntarily giving another individual broad powers to handle your affairs. These powers can include selling your property, dealing with your bank accounts, and making healthcare decisions for you. If you have any questions or concerns about this document, it’s recommended that you consult a lawyer.