West Virginia Power of Attorney
Date: ____/____/______
I,
[Legal Name]
A resident of
[City], West Virginia
Located at
[Address]
[City], West Virginia [Zip Code]
Do Hereby Appoint, [Legal Name]
A resident of
[City], West Virginia
Located at
[Address]
[City], West Virginia [Zip Code]
As my attorney-in-fact.
My attorney-in-fact may act on my behalf for the following purpose(s):
[____] Real Estate Transactions
[____] Stock and Bond Transactions
[____] Commodity and Option Transactions
[____] Tangible Personal Property Transactions
[____] Banking and Other Financial Institution Transactions
[____] Business Operating Transactions
[____] Insurance and Annuity Transactions
[____] Estate, Trust and Other Beneficiary Transactions
[____] Claims and Litigation
[____] Personal and Family Maintenance
[____] Benefits from Social Security, Medicare, Medicaid or Other Government Programs
[____] Retirement Plan Transactions
Go to for more free business forms