Power Of Attorney Form - Virginia
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4Virginia Power of Attorney
Date: ____/____/______
I, do hereby
[Legal Name], AKA [Name]
A resident of
[City][State]
Located at
[Address]
[City], [State] [Zip Code]
Appoint as my Attorney in fact:
Name
[Legal Name]
A resident of
[City][State]
Located at
[Address]
[City], [State] [Zip Code]
st
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Successor:
Name
[Legal Name]
A resident of
[City][State]
Located at
[Address]
[City], [State] [Zip Code]
If you designate more than one agent above, by default they must act together unless you
initial the statement below.
[___] My agents may act separately.
If you designate more than one successor agent above, by default they must act together
unless you initial the statement below.
[___] My successor agents may act separately.
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