This Tennessee Durable Power of Attorney is a legal document that grants a chosen individual or entity (the "Agent") the authority to act on behalf of the person executing the document (the "Principal"), in matters specified within, even in the event that the Principal becomes incapacitated. This document is governed by the laws of the State of Tennessee, specifically pursuant to the Tennessee Uniform Durable Power of Attorney Act.
Principal Information:
- Full Name: ___________________________________
- Address: _____________________________________
- City, State, ZIP: _____________________________
- Phone Number: ________________________________
- Email Address: _______________________________
Agent Information:
- Full Name: ___________________________________
- Address: _____________________________________
- City, State, ZIP: _____________________________
- Phone Number: ________________________________
- Email Address: _______________________________
Alternate Agent Information (Optional):
- Full Name: ___________________________________
- Address: _____________________________________
- City, State, ZIP: _____________________________
- Phone Number: ________________________________
- Email Address: _______________________________
By this document, the Principal designates the above-named Agent to act on the Principal’s behalf in all matters that the Principal specifies, including but not limited to financial, health care, and real estate decisions, effective immediately and continuing until revoked by the Principal in writing. This Power of Attorney shall remain in effect in the event of the Principal’s disability or incapacity.
Special instructions, limitations, or restrictions concerning the powers granted to the Agent are as follows:
_________________________________________________
_________________________________________________
_________________________________________________
The Agent will be compensated for services as follows:
_________________________________________________
Signatures:
Principal: ___________________________ Date: ____________
Agent: ___________________________ Date: ____________
If applicable, Alternate Agent: ___________________________ Date: ____________
This document was executed in the presence of witnesses and notarized on the date indicated above, conforming to the requirements of the State of Tennessee.
Witness 1: ___________________________ Date: ____________
Witness 2: ___________________________ Date: ____________
Notary Public: ___________________________________________
State of Tennessee, County of _________________________________
Commission Expires: ______________________________________