Kansas Power of Attorney Form
This Power of Attorney (POA) document authorizes an individual (hereinafter referred to as the “Agent”) to act on behalf of the principal (the person executing the document) concerning specific matters as outlined herein, in accordance with the Kansas Power of Attorney Act (K.S.A. 58-650 et seq.).
Principal Information
- Full Name: ________________________
- Address: ________________________
- City: _____________________, State: Kansas, Zip: ___________
- Phone Number: ________________________
Agent Information
- Full Name: ________________________
- Address: ________________________
- City: _____________________, State: Kansas, Zip: ___________
- Phone Number: ________________________
This Power of Attorney shall be in effect from Date: _______________ and shall remain effective until Date: _______________, unless earlier revoked by the Principal in writing.
Powers Granted
The Principal hereby grants the Agent the following powers:
- To act on the Principal’s behalf in financial and personal matters as allowed by Kansas law.
- To enter into contracts, negotiate and execute agreements on behalf of the Principal.
- To manage, buy, sell, and trade financial accounts and real estate properties.
- To make legal decisions and conduct transactions as necessary for the best interest of the Principal.
This Power of Attorney does not authorize the Agent to make healthcare decisions for the Principal.
Signatures
This Power of Attorney must be signed and dated by the Principal, acknowledged before a notary public, and may require witness signatures in accordance with Kansas law to be legally effective.
Principal’s Signature: ________________________ Date: _______________
Agent’s Signature: ________________________ Date: _______________
State of Kansas, County of _______________
Subscribed and sworn (or affirmed) before me on this ____ day of ___________, 20__, by ________________________ (name of Principal).
Notary Public: ________________________
My commission expires: _______________
This document is intended to be used within the State of Kansas and may not meet the legal requirements of other jurisdictions.