Pennsylvania Minor Child Power Of Attorney

Information you will need

• Minor Name
• Minor DOB
• Attorney in Fact Relation
• Specific Authority
• Option A: All Authority
• Option B: Specific Authority
• Parent / Guardian Signing Date
• Co Parent / Guardian Signing Date
• Attorney in Fact Name
• Authority
• Attorney in Fact Signing Date
• Notary Only: State
• Notary Only: County
• Notary Only: Date
• Notary Only: Parent/Guardian Name
• Notary Only: Notary Printed Name
• Notary Only: Commission Expiration
• Witness (1) Name
• Witness (2) Name
• Witness (2) Signing Date
• Witness (1) Signing Date
• Witness (1) Address
• Witness (2) Address
• Parent or Guardian

…and 14 more fields in the PDF.

The form includes 5 signature lines, a notary acknowledgment, a witness section.

The document text refers to the laws of Pennsylvania.