Kansas Power of Attorney Template
This Kansas Power of Attorney ("POA") Template provides a framework for appointing an attorney-in-fact or agent to make decisions on behalf of the principal under the laws of the State of Kansas. It is applicable to various matters including, but not limited to, financial, health care, and property decisions. When completing this template, it is essential to specify the powers being granted and refer to the Kansas Statutes for any state-specific limitations or requirements. Regular review and understanding of the Kansas Power of Attorney Act and any relevant amendments are recommended.
Principal Information:
- Full Name: __________________________________________________
- Physical Address: ____________________________________________
- City, State, Zip Code: ________________________________________
- Contact Number: _____________________________________________
Attorney-in-Fact / Agent Information:
- Full Name: __________________________________________________
- Physical Address: ____________________________________________
- City, State, Zip Code: ________________________________________
- Contact Number: _____________________________________________
This document authorizes the above-named attorney-in-fact to act in my place and perform the following acts on my behalf:
- _____________________________________________________________
- _____________________________________________________________
- _____________________________________________________________
- Add more lines as necessary
These powers will begin on ____________________________________ and will end on ____________________________________ unless I choose to terminate the POA earlier in writing.
Under the laws of Kansas, this Power of Attorney must be signed in the presence of a notary public or at least two adult witnesses, who are not the appointed attorney-in-fact, to be valid.
Principal's Signature: ___________________________________ Date: ________________
Attorney-in-Fact's Signature: _______________________________ Date: ________________
Witness Signatures:
- Witness 1 Signature: _______________________________________ Date: ________________
- Witness 2 Signature: _______________________________________ Date: ________________
Notary Acknowledgment:
This document was acknowledged before me on ______________________(date) by _________________(name of principal), who is personally known to me or has provided _____________________(type of identification) as identification.
Notary's Signature: ____________________________ Date: ________________
Notary's Printed Name: _________________________
Commission Expiry: _____________________________
