The following optional form may be used by an agent to certify facts concerning a power of attorney.AGENT'S CERTIFICATION AS TO THE VALIDITY OF POWEROF ATTORNEY AND AGENT'S AUTHORITYState of _____________________________[County] of___________________________I, _____________________________________________ (Name of Agent), certify under penalty of perjury that __________________________________________(Name of Principal) granted me authority as an agent or successor agent in a power of attorney dated ________________________.I further certify that to my knowledge:
(1)the principal is alive and has not revoked the power of attorney or my authority to act under the power of attorney and the power of attorney and my authority to act under the power of attorney have not terminated;
Free access — add to your briefcase to read the full text and ask questions with AI
The following optional form may be used by an agent to certify facts concerning a power of attorney.AGENT'S CERTIFICATION AS TO THE VALIDITY OF POWEROF ATTORNEY AND AGENT'S AUTHORITYState of _____________________________[County] of___________________________I, _____________________________________________ (Name of Agent), certify under penalty of perjury that __________________________________________(Name of Principal) granted me authority as an agent or successor agent in a power of attorney dated ________________________.I further certify that to my knowledge:
(1) the principal is alive and has not revoked the power of attorney or my authority to act under the power of attorney and the power of attorney and my authority to act under the power of attorney have not terminated;
(2) if the power of attorney was drafted to become effective upon the happening of an event or contingency, the event or contingency has occurred;
(3) if I was named as a successor agent, the prior agent is no longer able or willing to serve; and
(4) _____________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ _______________________________________________________________________(Insert other relevant statements)SIGNATURE AND ACKNOWLEDGMENT____________________________________________ __________Agent's Signature Date____________________________________________Agent's Name Printed________________________________________________________________________________________Agent's Address____________________________________________Agent's Telephone NumberThis document was acknowledged before me on __________________________, (Date)by______________________________________. (Name of Agent)____________________________________________ (Seal, if any)Signature of NotaryMy commission expires: ________________________ This document prepared by:_________________________________________________________________