This Mississippi Durable Power of Attorney is intended to grant certain legal powers from the principal to the attorney-in-fact, as defined under the Mississippi Power of Attorney Act (§ 87-3-101 et seq. of the Mississippi Code), allowing the attorney-in-fact to make decisions and act on the principal's behalf. This document remains effective even if the principal becomes incapacitated or unable to make decisions.
Date: ________________________
Principal's Full Name: ___________________________________________________________
Principal's Physical Address: ______________________________________________________
City, State, Zip: ________________________________________________________________
Attorney-in-Fact's Full Name: ______________________________________________________
Attorney-in-Fact's Physical Address: _______________________________________________
City, State, Zip: ________________________________________________________________
The Principal grants to the Attorney-in-Fact the following powers:
- To conduct, engage in, and otherwise transact the affairs of the Principal in all financial, commercial, legal and personal matters.
- To purchase, lease, sell, manage, insure, mortgage, and otherwise deal with real and personal property, tangible or intangible, or any interest therein, on the Principal's behalf.
- To represent the Principal in all legal proceedings, negotiations, and transactions with any governmental, public, or private entity or individual.
- To access the Principal's financial accounts, including but not limited to banking, retirement, and investment accounts, and to conduct transactions as deemed necessary.
- To make health care decisions on the Principal's behalf, should the Principal become incapacitated, including decisions regarding medical treatment and access to medical records.
This Durable Power of Attorney shall become effective immediately upon execution and shall continue to be effective even if the Principal becomes incapacitated, disabled, or incompetent.
Signatures:
Principal's Signature: ___________________________ Date: ________________________
Attorney-in-Fact's Signature: ______________________ Date: ________________________
Witness #1 Signature: ____________________________ Date: ________________________
Witness #2 Signature: ____________________________ Date: ________________________
Acknowledgment by Notary Public:
State of Mississippi )
County of _______________ )
On this, the ____ day of ___________, 20__, before me appeared _______________ [Name of Principal], to me personally known, who, being duly sworn, did execute the foregoing Durable Power of Attorney and acknowledged that he/she executed the same as his/her free act and deed.
Notary Public's Signature: ____________________________
Printed Name: _______________________________________
My Commission Expires: ______________