Georgia Limited (Special) Power of Attorney Form

The Georgia limited (special) power of attorney form is a document which grants specific power to the Attorney-in-Fact to perform acts on behalf of the Principal. Both the Principal and the Agent (Attorney-in-Fact) should read over the document carefully before the Principal provides their signature. The signing of this document must take place in front of two witnesses above the age of 18, one of which cannot be the blood relative or spouse of the Agent in question. While it is often wise, the document needn’t be signed in the presence of a Notary Public.

How To Write

Step 1 – Download the document and review page one to assist in your education as to how this document will affect you and your Attorney In Fact/Agent.

Step 2 – Appointment of Attorney In Fact/Agent – This section will allow the Principal to appoint a person of their choosing to serve as their temporary Agent. The Principal shall provide the following information by writing or typing it into the appropriate lines in the first section of this document:

  • Principal – 
  • Name of Principal
  • Physical Address of Principal
  • City
  • State
  • Attorney In Fact/Agent –
  • Name of Attorney-in-Fact
  • Physical Address of Attorney-in-Fact
  • City
  • State
  • Enter the state where the document will be used
  • The Principal must now provide a detailed and specific description of the limited powers that will be granted – If more space is needed add a sheet to continue and attach it to this form

Step 3 – Successor Attorney In Fact – In the event your original Attorney In Fact/Agent becomes unable or unwilling to serve, you may select a successor agent to take over the instructions in this document on your (the Principal’s) behalf – Provide the following information with regard to the Successor Agent:

  • Name of Successor Attorney-in-Fact/Agent
  • Physical Address of Successor Attorney-in-Fact
  • City
  • State
  • Enter the state that the Successor Attorney In Fact/Agent will execute the instructions of this document
  • The Principal must now provide a detailed and specific description of the limited powers that will be granted to the Successor – If more space is needed add a sheet to continue and attach it to this form

Step 4 – The Principal must review the next four paragraphs. They would then provide, under “Principal’s Signature,” the following information:

  • Printed Name of Principal
  • Date of Signature in dd/mm format
  • Signature of Principal

Step 5 – Attorney In Fact’s Signature – The Attorney In Fact/Agent, must read the paragraph and then enter the following:

  • Printed Name of Attorney-in-Fact
  • Signature of Attorney-in-Fact
  • Date of Signature in mm/dd/yyyy format

Step 6 – (Optional) Successor Attorney In Fact/Agent’s Signature – The Successor Attorney In Fact must read the paragraph pertaining to their agreement with the Principal and provide the following:

  • Printed Name of Successor Attorney-in-Fact
  • Signature of Successor Attorney-in-Fact
  • Date of Successor Attorney-in-Fact in mm/dd/yyyy format

Step 7 – Witness Attestation and Notarization – You will require the signatures of two witnesses and the services of a notary public (optional) to complete proper execution of this document. Once you have all of those who will be adding signatures to this document present before a notary, first have your witnesses read the paragraph pertaining to them and provide the following (they will both provide information in the same paragraph)

  • Printed Name of First Witness
  • Printed Name of Second Witness
  • Signature of First Witness
  • Signature of Second Witness
  • The next section will be completed by the notary public, signature will be provided and they will affix their state seal

Step 8 – Acknowledgement and Acceptance of Appointment as Attorney In Fact and Successor Attorney In Fact – The final section of the document will ask both the  Attorney In Fact and Successor Attorney In Fact to read their respective paragraphs and provide the following:

  • Attorney-in-Fact –
  • Printed Name of Attorney-in-Fact
  • Signature of of Attorney-in-Fact
  • Date of Signature in mm/dd/yyyy format
  • Successor Attorney-in-Fact – 
  • Printed Name of Successor Attorney-in-Fact
  • Signature of of Successor Attorney-in-Fact
  • Date of Signature of Successor, in mm/dd/yyyy format

Step 9 – Once the document is complete, witnessed and notarized, copies must be made and provided to all who have signed this document for their records, as well as, institutions with whom the Principal may have interest and mentioned in this document

  • Provide the original document to the Attorney In Fact/Agent for proper use when needed