Wyoming Power of Attorney
This Power of Attorney document is designed to comply with the Wyoming Uniform Power of Attorney Act and grants the person you designate (your "Agent") the power to act on your behalf.
Please complete the following information:
- Full Name of Principal (Person Granting the Power): _________________________
- Principal's Physical Address: _____________________________________________
- Principal's Mailing Address (if different): __________________________________
- Full Name of Agent (Person Receiving the Power): ____________________________
- Agent's Physical Address: ________________________________________________
- Agent's Mailing Address (if different): _____________________________________
- Relationship of Agent to Principal: ________________________________________
- Effective Date of Power of Attorney: ________________________________________
- Duration of Power of Attorney: ___________________________________________
By signing this document, the Principal grants the Agent the following powers:
- To conduct any and all financial transactions on behalf of the Principal.
- To buy or sell real estate on behalf of the Principal.
- To manage the Principal's personal and business affairs.
- To make health care decisions on behalf of the Principal, if this document is a Durable Power of Attorney for Health Care.
Additional Powers and Limitations (Specify any additional powers or limitations on the Agent's authority, if any):
__________________________________________________________________________
__________________________________________________________________________
This Power of Attorney shall become effective on the date specified above and shall remain in effect until it is revoked by the Principal or as otherwise provided by law. The Principal may revoke this Power of Attorney at any time by providing written notice to the Agent.
Signature of Principal: _______________________________________________
Date: ______________________________________________________________
Signature of Agent: __________________________________________________
Date: ______________________________________________________________
Witnesses: (Wyoming law requires that this Power of Attorney must be signed in the presence of two witnesses, who are not the Agent or related to the Principal or Agent by blood, marriage, or adoption. Neither witness should be the Principal's physician or employee of the physician or health care facility in which the Principal is a patient.)
- Witness 1 Signature: ___________________________________________________
- Witness 1 Printed Name: _________________________________________________
- Witness 2 Signature: ___________________________________________________
- Witness 2 Printed Name: _________________________________________________
This document was prepared on the date the Principal signed above.