Limited Power of Attorney Form

A limited power of attorney form is a legal document written to give a defined grant of authority to someone when acting on another person’s behalf. A limited POA is used when you need to authorize someone to take care of a specific matter or undertaking if you are unable to perform the action yourself.

With a limited power of attorney form, the PRINCIPAL the person giving limited power of attorney – empowers the ATTORNEY-IN-FACTthe person receiving limited power of attorney – to manage explicit responsibilities defined by the principal and set forth in the limited POA.

Create a Limited Power of Attorney

Limited power of attorney is used to give someone you trust the ability to perform specific obligations or transactions that you are unable to care of yourself. A limited POA form is very useful if you only want to grant your agent the authority to perform some, but not all of the possible powers that can be given with a POA.

Free Limited Power of Attorney Form

There are a variety of personal affairs that can be managed with a limited power of attorney form. The most common actions that you can take care of with limited power of attorney include:

  • Financial transactions including banking, stocks, bonds and mutual funds;
  • Real estate and personal property transactions;
  • Legal matters;
  • Child care and guardianship details;
  • Business transactions;
  • Certain types of medical and health care decisions.

A limited power of attorney form offers the principal the ability to limit the powers granted to the attorney-in-fact to a particular action or actions and can even be further restricted to a defined date range. A limited POA terminates at a date specified by the principal, when revoked by the principal or if the principal dies or becomes incapacitated.

Steps to Fill Out a Limited Power of Attorney Form

To fill out a limited power of attorney form, you start by entering the full legal name and address of the PRINCIPALthis is the person who is granting limited power of attorney. Then, enter the full legal name and address of the ATTORNEY-IN-FACTthe agent, or person receiving limited power of attorney.

After the agent’s information is entered in your limited POA form, you will see a numbered sequence or blank space to list the affairs or transactions that you want the ATTORNEY-IN-FACT to attend to. It is extremely important that the PRINCIPAL be as specific as possible in this space to avoid any misunderstandings.

For the next step, the limited power of attorney form is dated, your state and county information is entered and the witnesses must sign the form. The PRINCIPAL should then sign and date the limited power of attorney form in the presence of the notary public.

Finally, the notary public will sign and seal the document to execute your limited power of attorney. Once signed and sealed by the notary, your limited POA is legal and valid in all fifty states. Make sure to give a copy to your agent and keep your original document in a safe place where it can be easily located.

Free Limited Power of Attorney Form

Sample Limited Power of Attorney Form

Our sample limited power of attorney form has all of the basic information needed to draft your own power of attorney form. Cut and paste this limited POA form to a word document or PDF and change it to fit your needs. Feel free to add or exclude any information to the form needed.


LET IT BE KNOWN, that _____________________________________ has made and appointed, and by these presents does make and appoint _______________________________ true and lawful attorney for him/her and in his/her name, place and stead, for the following specific and limited purposes only:


giving and granting said attorney, full power and authority to do and perform all and every act and thing whatsoever necessary to be done in and about the specific and limited premises (set out herein) as fully, to all intents and purposes, as might or could be done if personally present, with full power of substitution and revocation, hereby ratifying and confirming all that said attorney shall lawfully do or cause to be done by virtue hereof.

IN WITNESS WHEREOF, I have hereunto set my hand and seal this _______ day of _______________________, 19____.

Signed, sealed and delivered in the presence of:



State of _____________

County of ____________

The foregoing instrument was acknowledged by me this ______ day of _____________, 19 ____ by:_______________________________ who is/are personally known by me or who has/have produced:___________________________ as identification and who did not take an oath.

Notary Public
State of
My Commission Expires:

Do I Need a Lawyer to Create a Limited Power of Attorney?

No, you don’t need to hire a lawyer to create a limited power of attorney form. You can create a limited power of attorney with ease. Just download and print a limited POA form online and complete the document yourself.

However, if you have specific issues that you do not know how to address, a generic limited power of attorney form will not be the route that you should take. If you do not know what you are doing and need help, we highly suggest that you consult a licensed attorney before you draft and execute a DIY limited power of attorney form.