New Jersey Limited (Special) Power of Attorney Form

The New Jersey limited (special) power of attorney form is used to transfer authority and/or responsibility from one person to another. The individual nominated to receive authority is known as the “Agent”; an Agent will act on behalf of the Principal and perform tasks specific to those detailed within the limited (special) power of attorney form (e.g. receiving mail, managing property, collecting debts). A form of this nature will often be needed for a single event lasting only a short time. Should the form be required for a single event, the form will automatically be terminated as soon as the event has concluded. In the State of New Jersey, the document must be signed in the presence of a Notary Public.

How to Write

Step 1 – Titled Sections – Principal, begin by carefully reviewing the following titles:

  • Notice
  • Incapacitation
  • Revocation
  • Witness and Notary

Step 2 – The Parties – Submit the following Information:

  • The name of the Principal
  • The Principal’s mailing address
  • City of residence
  • State
  • AND
  • Agent’s full name
  • Agent’s mailing Address
  • Agent’s City of residence
  • State
  • AND –

The Principal may wish to appoint a Successor Agent in the event the the initial Agent should become unwilling or unable to act on behalf of the Principal for any reason:

  • Submit the name of a selected Successor Agent (Optional)
  • Enter the Successor’s mailing Address
  • Their City of residence
  • State
  • Submit the name of the state in which this document will be executed

Step 3 – Additional Titled Sections – The Principal must also review the following:

  • Terms and Conditions
  • Third Parties
  • Compensation
  • Disclosure

Step 4 – Signatures – All signatories must be personally present before a notary:

  • Print the name of the Principal
  • Date the Principal’s Signature in dd/mm format
  • Submit the Principal’s Signature
  • AND
  • Print Agent’s name
  • Review the remaining portions of the information provided in this section
  • Submit Agent’s  signature
  • Date the Agent’s signature in mm/dd/yyyy format
  • AND
  • Provide the name of a Successor Agent
  • Read the remainding information’
  • Successor Agent must enter their Signature

Step 5 – Notarization –

After the Notary has witnessed all signatures, the notary will provides all of the required notary  information and taffix the notary’s state seal (if any) in acknowledgement of the document

Step 6 – Acknowledgement and Acceptance of Appointment of Agent(s) –The Agent(s) must first review the acceptance and enter the following information:

  • The Agent(s) printed name(s)
  • Review all information contained in each section
  • Both Agent(s) must enter their signatures
  • Date the Agent(s) signatures in mm/dd/yyyy format

Step 7 – Witness Attestation (OPTIONAL) – Witnesses must:

  • Review the witness attestation
  • Print Witnesses Names in the lines provided
  • Submit Witnesses signatures