Tennessee General Financial Power of Attorney Form

The following form allows you to choose any person who will represent you in any financial situation.

Extracted Text for Proper Search

1 GENERAL POWER OF ATTORNEY	
 
 
STATE OF TENNESSEE 
 
COUNTY OF _________________ 
 
I, _______________________________	
, the undersigned, being a resident of ____________ 
County, Tennessee, hereby appoint __________________________	
, to be my attorney-in-fact to 
act in my name in any way for which I could act for myself with respect to the following matters 
as each of them is defined in Tennessee Code Annotated §§34-6-101, et seq. 
 
This Power of Attorney is limited in nature and only grants such powers upon the 
happening of a specified event.   
 
1.  Temporary authority regarding these matters is being given to the 
designated attorney in fact ONLY upon the occurrence of (check at least one): 
 
(____)    incarceration of the principal; 
 
(____)    the detention or removal or deportation of the principal;  
 
(____)    other (please describe) _________________________________________ 
___________________________________________________________. 
 
2.  Temporary authority is limited in nature solely to the areas I have designated below. 
 
(1)  _________  Real Property and Lease Transactions 
 
(2)  _________  Personal Property Transactions 
 
(3)  _________  Banking and Financial Transactions 
 
(4)  _________  Estate Transactions 
 
(5)  _________  Contractual Agreements 
 
(6)  _________  Insurance Transactions 
 
(7)  _________  Medical Matters 
     Asuntos Médicos  
 
(8)  _________  Legal Matters 
      Asuntos de Seguridad Social 
 
(9)  _________  Social Security Matters 
      Asuntos de Seguridad Social 
 
(10)  ________  Tax Matters 
      Asuntos de Impuesto

2 (11)  ________  Employment of Agents and Service Professionals 
 
(12)  ________  Personal Relationships and Affairs 
 
3.  The undersigned being first duly sworn says: 
 
(____)    I also give to such person full power to appoint another to act as my attorney-in-
fact and full power to revoke such appointment.  
 
(____)    This power shall not be affected by my subsequent incapacity or mental capacity. 
 
(____)    The powers herein granted shall be deemed continuing and relate as fully to any 
property which I may hereafter acquire as to any property which I may now own 
and may be exercised repeatedly. The powers herein granted shall exist to their 
full extent in any jurisdiction, including any State of the United States of America 
and in any foreign country where such powers may be necessary. The powers 
herein granted shall exist to their full extent regardless of my whereabouts within 
or without the United States of America; 
 
(____)    This Power of Attorney has been provided to me at the moment of execution in 
both the English language and the Spanish language.  I am able to read and 
understand the Spanish language and by being provided the English and Spanish 
versions of this Power of Attorney, I have fully understood every term and 
condition contained herein. 
 
I declare under penalty of perjury under the laws of the State of Tennessee that the 
foregoing is true and correct. 
 
STATE OF TENNESSEE) 
COUNTY OF __________ ) 
______________________________ Date: ______________ 
Principal 
 
The Principal, ______________________, personally appeared 
before me this _____ day of ____________, 20___. 
 
______________________________ 
NOTARY PUBLIC 
My commission expires: 
 
___________________