Florida Power of Attorney Order Form

Full legal name of person granting power of attorney*

First Last

Mailing Address*

Street Address Address Line 2 City State ZIP Code

This person is*

Buyer
Seller
Other

Phone*

Email*

Full legal name of person receiving power of attorney*

First Last

Mailing Address*

Street Address Address Line 2 City State ZIP Code

This person is*

One of the Buyers
Seller
Other

Phone*

Email*

Property Address for the Transaction*

Street Address Address Line 2 City State ZIP Code

*Required Fields

Can the Power of Attorney conduct all matters for this transaction as follows: Giving and granting unto my said attorney-in-fact full power and authority to do and perform all and every act and thing whatsoever, including but not limited to signing the following documents: the CD, HUD, affidavits, note, mortgage, riders, contract of any kind and nature relating to the purchase of said property and to ensure insurability of the title, and all other supporting buyer or seller documents, requisite and necessary to be done in and about the premises as fully, to all intents and purposes as I/we might or could do if personally present, with full power of substitution and revocation, hereby ratifying and confirming all that my/our attorney-in-fact, or his substitute, shall lawfully do or cause to be done by virtue hereof?

Yes
No

If NO is checked off, please specify what the POA is NOT authorized to do for you?

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