Kansas Power of Attorney
This Power of Attorney is executed in accordance with the laws of the State of Kansas.
Principal:
Name: ____________________________
Address: ____________________________
City: ____________________________
State: ____________________________
Zip Code: ____________________________
Date of Birth: ____________________________
Agent:
Name: ____________________________
Address: ____________________________
City: ____________________________
State: ____________________________
Zip Code: ____________________________
Relationship to Principal: ____________________________
Powers Granted:
The Principal grants the Agent the authority to act on their behalf in the following matters:
- Managing financial accounts
- Buying and selling real estate
- Handling tax matters
- Making healthcare decisions
- Managing business interests
Effective Date:
This Power of Attorney shall become effective on: ____________________________
Durability:
This Power of Attorney shall remain in effect until revoked by the Principal in writing or until the Principal's death.
Signatures:
By signing below, the Principal confirms that they understand the powers granted to the Agent and the implications of this document.
Principal's Signature: ____________________________
Date: ____________________________
Agent's Signature: ____________________________
Date: ____________________________
Witnesses:
Witness 1 Name: ____________________________
Witness 1 Signature: ____________________________
Date: ____________________________
Witness 2 Name: ____________________________
Witness 2 Signature: ____________________________
Date: ____________________________
Notary Public:
State of Kansas
County of ____________________________
Subscribed and sworn to before me this ____ day of __________, 20__.
Notary Public Signature: ____________________________
My Commission Expires: ____________________________