INFORMATION FOR SPECIAL DURABLE POWER OF ATTORNEY FOR REAL ESTATE TRANSACTIONS

 

Date:

Principal (name of person granting the Power of Attorney):

Principal's Social Security Number:

Principal's mailing address:

Agent (name of person being granted/receiving the Power of Attorney):

Agent's Mailing Address:

Effective Date (when power of attorney begins):

Expiration Date (if applicable):

Legal description of property:

Address of property:

 

PERSON / COMPANY SUBMITTING THIS INFORMATION:

Name:

Tel. Number:

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INFORMATION FOR SPECIAL DURABLE POWER OF ATTORNEY FOR REAL ESTATE TRANSACTIONS FORM

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