Michigan Limited (Special) Power of Attorney Form

The Michigan limited (special) power of attorney form is used when a specific task or responsibility is to be bestowed on the Attorney-in-Fact by the Principal. This form is commonly employed with an end date in mind, or with the intent of cancellation should the task be completed. Due to the non-durable nature of a limited power of attorney, should the Principal become incapacitated, the document will no longer be legally binding. However, in accordance with the Michigan legislature surrounding a durable power of attorney, this document must be signed in the presence of a Notary Public (700.5501). 

How to Write

Step 1 – The Principal must download and review the document  –

  • The Principal must read the following Titled Sections:
  • Notice
  • Incapacitation
  • Revocation
  • Witness and Notary
  • AND – in the lower portion of the document:
  • Terms and Conditions
  • Third Parties
  • Compensation
  • Disclosure

Step 2 – Principal’s Information – Enter the following information:

  • Name of the Principal
  • Principal’s Street Address
  • City
  • State
  • AND
  • Agent’s name
  • Street Address
  • City of residence
  • State
  • AND
  • The name of any Successor Agent  (Optional)
  • Successor’s Street Address
  • City
  • State

Step 3 – Signatures – Must be signed before a  state Notary:

  • Provide the Principal’s Signature
  • Date the signature in dd/mm/yyyy format
  • AND
  • Agent’s Printed Name
  • Agent’s Signature
  • Date of the signature in mm/dd/yyyy format
  • AND
  • Successor Agent’s Printed Name
  • Enter the Successor’s Signature
  • Date the signature in mm/dd/yyyy format

Step 4 – Notarization –

As the Notary Public witnesses the signatures, the notary shall submit the requirements necessary to acknowledge the document

Step 5 – Acknowledgement and Acceptance of Agents – The Agent’s must review the information in the acknowledgement statements and then provide:

  • The printed names of the Agent(s)
  • Agent’s must submit signatures
  • Agents must date their signatures in mm/dd/yyyy format
  • AND

The Witnesses must read the Witness Attestation – Enter the following information:

  • The printed names of the Witnesses
  • The Signatures of the Witnesses