Mississippi Limited (Special) Power of Attorney Form

The Mississippi limited (special) power of attorney form is a document used by a Principal which allows them to bestow power on an Agent (aka Attorney-in-Fact). This power is, as the title would suggest, limited and specialized, only providing the Agent with the power to carry out a specific task should the Principal be unable to do so.

This could include purchasing or renting property, receiving mail, withdrawing funds, or cashing checks on the Principal’s behalf. In compliance with Section 105 of the Mississippi POA Bill, the document must be signed by the Principal and is presumed to be genuine if the signature is acknowledged before a Notary Public.

How to Write

Step 1 –The Principal – For a better understanding of the information contained within this important document, read the following:

  • Notice
  • Incapaciation
  • Revocation
  • Witness and Notary

Step 2 – The Parties – Sumbit:

  • Principal’s name
  • Street Address
  • City
  • State
  • AND
  • Agent’s name
  • Agent’s Address
  • City
  • State
  • AND
  • Submit the state in which the document shall be executed
  • AND
  • Provide a Successor Agent
  • The Successor Agent’s Address
  • City
  • State
  • AND
  • The state where the document will be executed

Step 3 – Principal  – View the additional titled sections:

  • Terms and Conditions
  • Third Parties
  • Compensation
  • Disclosure

Step 4 – Signatures – To only be signed before a Notary Public:

  • Submit the Principal’s signature
  • Date signature in dd/mm format
  • AND
  • Print Agent’s name
  • Read all of the information regarding the Agent’s required understanding of the acknowledgement
  • Agent must provide their signature
  • Date the signature  – mm/dd/yyyy format
  • AND
  • Print the name of the Successor Agent
  • Successor Agent shall read the acknowledgemen information provided
  • Successor Agent shall submit their signature
  • Date the signature  – mm/dd/yyyy format

Step 5 – Notary Acknowledgement –

As the Notary has has the opportunity to witness all of the signatures, the notary will then enter the required state information that would acknowledge the document that will be recognized by law

Step 6 – Acknowledgement and Acceptance of Powers by Agents – Each Agent must submit the following:

  • Print the respective names of each Agent
  • The Agent’s must enter their signatures
  • Date their signatures in mm/dd/yyyy format

Step 7 – Witness Attestation (OPTIONAL) – Each witness shall review the information provided:

  • Submit the printed names of each witness within the same paragraph
  • Witnesses must provide their respective signatures