![]()  | Wyoming Limited (Special) Power of Attorney Form | 
The Wyoming limited (special) power of attorney form is used to specify and describe the particular acts that the Attorney-in-Fact may do, and to clearly state that the acting Agent does not have the authority to act on behalf of the Principal beyond said specified acts. This is a specialized form that is different than a general power of attorney in the broadness of the scope of authority granted, and in the non-durable nature of power should the Principal become incapacitated. It is necessary for the form to be notarized upon completion.
How to Write
Step 1 – Download the Document – Read the following information:
- Notice
 - Incapacitation
 - Revocation
 - Witness and Notary
 
Step 2 – The Parties – Must provide the required information:
- Principal’s name
 - Address
 - City
 - State
 - AND
 - Agent’s name
 - Address
 - City
 - State
 - AND
 - Successor Agent’s name (optional)
 - Address
 - City
 - State
 
Step 3 – Titled Sections – Review:
- Terms and Conditions
 - Third Parties
 - Compensation
 - Disclosure
 
Step 4 – Signatures – In the presence of a notary, provide the following information:
- Printed name of the Principal
 - Date signature in dd/month format
 - Principal’s signature
 - AND
 - Print the Agent’s name
 - Review and agree to the Agent’s attestation
 - Signature of Agent
 - Date the signature in mm/dd/yyyy format
 - AND
 - Print Successor Agent’s name (optional)
 - Read the Agent’s statement
 - Agent’s signature
 - Date Successor’s signature in mm/dd/yyyy format
 
Step 5 – Notary Acknowledgement –
- The notary shall witness the signatures of Principal and Agent’s
 - The notary shall make the document effective by completing the remainder of the acknowledgement section of the documement
 
Step 6 – Acknowledgement and Acceptance of Appointment as Agent –
- Printed name of Agent
 - Read and agree to the Agent’s acknowledgement
 - Agent’s signature
 - Date signature in mm/dd/yyyy format
 
Step 7 – Acceptance of Appointment as Successor Agent –
- Printed name of Successor
 - Review the Successor’s statement
 - Successor’s signature
 - Date signature in mm/dd/yyyy format
 
Step 8 – Witnesses Attestation –
- Print the Witnesses respective names
 - Each witness must review and agree to the attestation
 - Witnesses must provide their signatures
 







