 | Illinois Limited (Special) Power of Attorney Form |
The Illinois limited (special) power of attorney form acts as a written delegation of power, providing an Agent with the ability to perform specific tasks on behalf of an individual (the Principal). This particular form contrasts a general power of attorney form in that it places a scope on the authority granted to the Agent in question, specifying the tasks he/she has the ability to perform.
In accordance with State Law, the document must be signed by the Principal in the presence of a witness and a Notary Public (Illinois Power of Attorney Act, 755 ILCS 45).
How to Write
Step 1 – Notice – The Principal must read all of the following Titled Paragraphs as follows:
- Notice
- Incapacitation
- Revocation
- Witness and Notary
Step 2 – Principal Information –
- Enter the printed name of the Principal
- Address
- City
- State
- AND
- Agent’s printed name
- Address
- City
- State
- AND
- Successor Agent’s printed name
- Address
- City State
- AND
- The Principal must enter a detailed description of the specific powers to be granted to the Agent’s
Step 3 – Titled Paragraphs – The Principal must review the following, prior to application of signatures:
- Terms and Conditions
- Third Parties
- Compensation
- Disclosure
Step 4 – Signatures – Enter Before a Notary Public:
- The Principal’s printed name
- Date of signature in dd/mm format
- Provide the Principal’s Signature
- AND A
- Agent and Successor printed names
- Agent and Successor Signatures
- Date the signatures in mm/dd/yyyy
- AND
- Witnesses must read the Wittness Attestation Paragraph
- Witness must Attest to the information on the form by providing their printed names in the same paragraph
- Enter the Signatures of both witnesses
Step 5 – Notary Acknowledgement –
- As the notary witnesses the signatures of all parties, they will then acknowledge the document by completing all of the notary’s required information
Step 6 – Acknowledgement and Acceptances of Agent and Successor Agent:
- Both Agent and Successor, must read the respective paragraphs
- Enter printed names
- Enter both signatures
- Date each signature in mm/dd/yyyy format
