Tennessee Power of Attorney Template
This Tennessee Power of Attorney (POA) Template grants authority to an individual (referred to as the "Agent") to act on behalf of the person executing the document (referred to as the "Principal") under the conditions stated herein. This legal document is governed by the Tennessee Uniform Power of Attorney Act, Tenn. Code Ann. §§ 34-6-101 to 34-6-404.
Please fill in the blanks below to customize your Power of Attorney document:
Principal's Full Name: ___________________________________________
Principal's Physical Address: _____________________________________
Principal's Mailing Address (if different): __________________________
Agent's Full Name: _______________________________________________
Agent's Physical Address: _________________________________________
Agent's Mailing Address (if different): _____________________________
This Power of Attorney becomes effective on: _______________________
Authority Granted:
Select the matters for which the Agent will have authority by marking the appropriate lines:
- ___ Financial Decisions
- ___ Real Estate Transactions
- ___ Personal and Family Maintenance
- ___ Business Operations
- ___ Insurance and Annuity Transactions
- ___ Estate, Trust, and Other Beneficiary Transactions
- ___ Claims and Litigation
- ___ Tax Matters
- ___ Employment Benefits
- ___ Other: __________________________________________________
Special Instructions (if any): ____________________________________________
_________________________________________________________________________
Duration:
This Power of Attorney is ☐ DURABLE (remains in effect even if the Principal becomes incapacitated)
or ☐ NON-DURABLE (becomes invalid if the Principal becomes incapacitated).
Signatures:
This document must be signed by the Principal, the Agent, and a Notary Public.
Principal's Signature: _______________________________ Date: ____________
Agent's Signature: _________________________________ Date: ____________
Witness Signature: _________________________________ Date: ____________
Notary Public: ______________________________________ Date: ____________
State of Tennessee
County of _______________________
Subscribed and sworn before me this ___ day of ____________, 20__.
Notary Public Signature: _________________________
My commission expires: _________________________