Wisconsin Limited (Special) Power of Attorney Form

The Wisconsin limited (special) power of attorney form is a legal document which relays in no unclear terms the specialized power bestowed on an Attorney-in-Fact by the Principal. This form is used to ensure that the scope of the authority the Principal wishes to provide the Attorney-in-Fact is well defined and limited to the acts relayed therein. Often a form of this nature will terminate once the assigned duties are completed, or a effective termination date will be added to the document. As relayed in the attached form, the signature of the Principal must be acknowledged by the Principal in the presence of a Notary Public.

How to Write

Step 1 – Powers – Read:

  • Notice
  • Incapacitation
  • Revocation
  • Witness and Notary

Step 2 – The Parties – Provide:

  • A Principal’s name
  • Street address
  • City
  • State
  • AND
  • An Agent’s name
  • Street Address
  • City
  • State
  • Submit a state where the Agent shall complete the specified acts
  • AND
  • Name a Successor Agent
  • Street Address
  • City
  • State
  • Provide the state of use by this Agent (if needed)
  • Terms and Conditions

Step 3 – Powers –

  • Initial only the powers to be granted leave unauthorized powers boxes, blank

Step 4 – Additional Titles – Review:

  • Third Parties
  • Compensation
  • Disclosure

Step 5 – Signatures – Notary witness required:

  • A Principal’s printed name
  • Date signature in dd/mm format
  • Principal’s signature
  • AND
  • Agent’s printed name
  • Agent’s signature
  • Date signature in mm/dd/yyyy format
  • AND
  • Successor Agent’s name (optional)
  • Successor Agent’s signature
  • Date signature in mm/dd/yyyy format

Step 6 – Notary Acknowledgement – must be witnessed

  • Once the notary witnesses all signatures, the notary shall enter all required acknowledgement information

Step 7 – Acknowledgement and Acceptance of Appointment as Agent and Successor Agent –

  • Agent must read the acceptance:
  • the name of the Agents in their respective paragraphs
  • Agent’s signatures
  • Date of signatures in mm/dd/yyyy formats

Step 8 – Witness Attestation – The witnesses must review the attestation:

  • Witnesses must enter their printed names
  • Each witness shall provide their signatures