Illinois Power of Attorney
This Power of Attorney is made in accordance with the Illinois Power of Attorney Act (755 ILCS 45/1-1 et seq.). It grants an individual the authority to act on behalf of another in legal and financial matters.
Principal: This is the person giving authority.
Name: ________________________________
Address: ________________________________
City, State, Zip: ________________________________
Date of Birth: ________________________________
Agent: This is the person receiving authority.
Name: ________________________________
Address: ________________________________
City, State, Zip: ________________________________
Date of Birth: ________________________________
Effective Date: This Power of Attorney becomes effective on:
_________________________
Durability: This Power of Attorney will remain in effect until:
- Revoked by the Principal.
- The Principal passes away.
Powers Granted: The undersigned grants the following powers to the Agent:
- Manage financial accounts.
- Make healthcare decisions.
- Handle real estate transactions.
- File taxes and manage tax-related matters.
- Open or close bank accounts.
Discretion is given to the Agent as needed to act in the best interest of the Principal.
Signature of Principal:
_____________________________________ Date: _________
Witnesses: This document must be signed in the presence of two witnesses.
Witness 1 Name: ________________________________
Signature: ____________________________________ Date: _________
Witness 2 Name: ________________________________
Signature: ____________________________________ Date: _________
Notary Public: State of Illinois
County of ________________________________
Subscribed and sworn before me, this _____ day of ____________, 20__.
____________________________________ Notary Public Signature
My Commission Expires: _______________