Illinois Power of Attorney Template
This Power of Attorney is executed in accordance with the laws of the State of Illinois.
Principal's Information:
- Name: __________________________
- Address: ________________________
- City: ____________________________
- State: ___________________________
- Zip Code: ________________________
- Date of Birth: ____________________
Agent's Information:
- Name: __________________________
- Address: ________________________
- City: ____________________________
- State: ___________________________
- Zip Code: ________________________
- Phone Number: ____________________
Effective Date: This Power of Attorney shall become effective immediately upon signing, unless otherwise specified.
Scope of Authority:
- Real estate transactions
- Banking transactions
- Personal and family maintenance
- Health care decisions
Limitation of Authority: The Agent cannot make decisions regarding the Principal's finances that affect the principal's estate plan without explicit consent.
Signature of Principal: ___________________________ Date: ____________
Signature of Witness: ___________________________ Date: ____________
Notary Acknowledgment:
State of Illinois
County of __________________
Subscribed and sworn before me, a Notary Public, this ____ day of ____________, 20__.
___________________________
Notary Public Signature
My commission expires: ________________