Arizona Limited Power Of Attorney

Information you will need

• Principal Name
• Principal City, State, ZIP Code
• Principal Date of Birth
• Agent (Attorney in Fact) Name
• Agent Street Address
• Principal Street Address
• Agent City, State, ZIP Code
• Agent Date of Birth
• Agent Powers
• Expiration Month and Day
• Expiration Year
• Regular Power of Attorney: Effective Date
• Type of Power of Attorney
• State (Notary Only)
• County (Notary Only)
• Principal Name (Notary Only)
• Witness Name
• Witness Name (Notary Only)
• Principal Signature Month and Year
• Durable Power of Attorney: Effective Date
• Principal Signature Day
• Signing Day (Notary Only)
• Signauture Month and Year (Notary Only)

Completed by the principal and the agent.

The form includes 2 signature lines, a notary acknowledgment, a witness section.