Iowa Statutory Power Of Attorney Agent'S Certification Form Agent'S Certification Of Validity Of Power Of Attorney And Agent'S Authority printable pdf download

Iowa Statutory Power Of Attorney Agent'S Certification Form Agent'S Certification Of Validity Of Power Of Attorney And Agent'S Authority

IOWA STATUTORY POWER OF ATTORNEY AGENT’S CERTIFICATION FORM

AGENT’S CERTIFICATION OF VALIDITY OF

POWER OF ATTORNEY AND AGENT’S AUTHORITY

State 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 all of the following to my knowledge:



The principal is alive and has not revoked the power of attorney or the Power of Attorney and my

authority to act under the Power of Attorney have not terminated.



If the power of attorney was drafted to become effective upon the happening of an event or contingency,

the event or contingency has occurred.



If I was named as a successor agent, the prior agent is no longer able or willing to serve.

__________________________________________________________

(Insert other relevant statements)

SIGNATURE AND ACKNOWLEDGMENT

Agent’s Signature

Date

Agent’s Name Printed

Agent’s Address

Agent’s Telephone Number

This document was acknowledged before me on _______________ (date), by __________________________

(name of agent).

(Seal, if any)

Signature of Notary

My commission expires

This document prepared by

Iowa Statutory Power Of Attorney Agent'S Certification Form Agent'S Certification Of Validity Of Power Of Attorney And Agent'S Authority