Arizona Limited Power of Attorney Form

In Arizona, an individual who desires to appoint another person to act as her/his proxy for a specific event or action must fulfill and sign this form. This form is for one-time transactions such as closing a real estate, signing for a certified mail, and filing taxes.

Extracted Text for Proper Search

© 2012 by O’Steen & Harrison, PLC 	
DURABLE SPECIAL POWER OF ATTORNEY  	
PRINCIPAL: 	
NAM E	 	PLACE OF RESIDENCE	 	DAT E	 OF BIRTH	 	
 
 
 
 
 
 	
 
 
 
 
 
 	
 
 
 
 
 
 	
ATTORNEY-IN -FACT /AGENT : 	
NAM E	 	PLACE OF RESIDENCE	 	DAT E	 OF BIRTH	 	
 
 
 
 
 
 	
 
 
 
 
 
 	
 
 
 
 
 
 	
 
Principal hereby constitutes and appoints Attorney -in-Fact to act in t he name and place of Principal, and as the true 
and lawful agent  for Principal to perform the following acts:  
   
 
 
   
   
 
 
 
 
 
 
Principal gives and grants to Attorney -in-Fact full power and authority to do and perform every act and thing 
whatsoever requisite, necessary or appropriate to be done in and about the premises as fully to all intents and 
purposes as Principal might or could do if personally present, hereby ratifying all that Attorney -in-Fact shall lawfully 
do or cause to be done by virtue of this Spec ial Power of Attorney. 
 
This Power of Attorney is not affected by subsequent disability or incapacity of the Principal, nor is it affected by how 
much time has elapsed since its execution.  
 
 	
        	
Signature of Principal

© 2012 by O’Steen & Harrison, PLC 
I, ____________________________________   	, the Principal, sign my name to this Power of 	
Attorney this 	_________  day of  ______________________ , ___________	, and, being first duly sworn, do declare to 	
the undersigned authority that I sign and execute this instrument or direct another to sig n for me as my Power of 
Attorney, and that I sign it willingly, or willingly direct another to sign for me, that I execute it as my free and voluntar y 
act for the purposes expressed in the Power of Attorney and that I am eighteen years of age or older, of sound mind 
and under no constraint or undue influence.  
 
 	
        	
Signature of Principal  
 
I,  _________________________________     	
, the Witness, sign my name to the foregoing Power 	
of Attorney this 	_________  day of ______________________,  ___________	, and, being first duly sworn, do declare 	
to the undersigned authority that the Principal signs and executes this instrument  as his/her Power of Attorney and 
that he/she signs it willingly, or willingly directs another to sign for him/her, and that I, in the pres ence and hearing of 
the Principal, sign this Power of Attorney as witness to the Principal's signing and that to the best of my knowledge 
the Principal is eighteen years of age or older, of sound mind and under no constraint or undue influence.  	
 
 	
        	
Signature of Witness  
 	
STATE OF 	 	
County of	 	
) 
)  ss.  
) 	
  
Subscribed, sworn to and acknowledged before me by 	________________________________                      _______ 	,  the 	
Principal, and subscribed, sworn to and acknowledged before me by 	___________________________________	,                       	
the Witness, this 	_______  day of  ________________________ , ___________	. 	
 
 
 
  
______________________________________	 	
(Notary Seal)	 	
  
___________________________________________________________	 	
Signature of Nota	ry Public