Request for Power of Attorney

You can use this form to request our office to prepare a Power of Attorney for you.

Our fee for a Power of Attorney for the sale of real estate is $125.00.
Our fee for a general comprehensive Power of Attorney is $200.00.

Please enter the name of the Principal (the person granting the power), complete a new form for each additional Principal if more than one:

Name:*

First Last

Address:*

Street Address Address Line 2 City State ZIP Code

Phone:*

Email:*

Please enter the name of the Agent (the person to whom power is given):

Name:*

First Last

Address:*

Street Address Address Line 2 City State ZIP Code

Phone:

Email:

Enter the relation of the Agent to you, if any:

Select type of Power of Attorney needed:

Power to sell real estate
General comprehensive power

Address of real estate being sold:*

Street Address Address Line 2 City State ZIP Code

Please enter your forwarding address:

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Please enter any restrictions:

Please enter any special instructions:

Once the form is submitted our office will contact you to arrange for the payment and delivery of the document.

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