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Notary i psers template

Notary i psers template 2026

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The document is a Non-Durable Power of Attorney Affidavit for members of the Pennsylvania Public School Employees' Retirement System (PSERS). It certifies that an agent has been granted authority by a member to act on their behalf, confirming the member's capacity and the validity of the power of attorney. The affidavit includes sections for the agent's information and notarization.

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Click ‘Get Form’ to open the notary i psers template in the editor.
Begin by entering the PSERS Member’s Name in the designated field. Ensure accuracy as this is crucial for identification.
In the section labeled 'I,_________,' input the Name of Agent who is certifying under penalty of perjury.
Fill in the date of the Power of Attorney in the provided space to confirm its validity.
Complete the Agent’s Signature, Printed Name, Phone Number, and Address fields to provide your contact information.
Leave the Notary section blank for completion by a Notary Public. This includes their signature, printed name, and commission expiration date.

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