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