Pa poa affidavit 2026

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The document is a Florida Affidavit form for use with a Durable Power of Attorney, intended to be submitted by an attorney-in-fact to a third party. It outlines the responsibilities and affirmations required from the agent regarding the validity of the power of attorney, including the principal's status and any potential incapacity. The form includes sections for signatures from both the agent and a notary public.

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Click ‘Get Form’ to open the pa poa affidavit in the editor.
Begin by entering the PSERS Member’s Name at the top of the form. This identifies the principal involved.
In the section for Affiant/Agent, provide your name as the attorney-in-fact and ensure you fill in the date when the Durable Power of Attorney was executed.
Complete the statement regarding the principal's domicile by inserting the name of their state, territory, or foreign country.
Carefully check and confirm that all conditions regarding the principal's status are accurate, including their living status and any pending legal actions.
Sign and date where indicated as Affiant/Agent, ensuring your printed name is also included.
Leave space for a notary to complete their section, which includes their signature and seal.

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Versions	Form popularity	Fillable & printable
2014	4.8 Satisfied (66 Votes)

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