Georgia Durable Power of Attorney — Notarial Certificate

Statutory basis: This certificate is executed pursuant to O.C.G.A. § 10-6B-5, which requires that a power of attorney be acknowledged before a notary public and attested by at least one competent adult witness who is not the agent named in the instrument.

County of Execution

State

County

Principal Acknowledgment

Before me, the undersigned notary public, on this day of , , personally appeared , known to me or satisfactorily proven to be the principal named in the foregoing instrument.

Said principal acknowledged to me that they executed the instrument as their free and voluntary act and deed for the purposes therein expressed, and that at the time of execution they were of sound mind and not acting under duress, menace, fraud, or undue influence.

Attesting Witness

O.C.G.A. § 10-6B-5 requires at least one competent adult witness. The witness may not be the agent named in the instrument.

Witness

Signature of Witness

Printed Name

Printed Name of Witness

Notarial Certificate

Acknowledged before me by , principal, in County, Georgia, on the date set forth above.

Signature of Notary Public

Commission Expiration Date

Printed Name of Notary Public

Official Capacity of Officer

Affix official notary stamp here. O.C.G.A. § 10-6B-5 requires acknowledgment before a notary public for a durable power of attorney. The notary is not an attorney and cannot provide legal advice.

Durable Power of AttorneyNotarial Certificate

Durable Power of Attorney
Notarial Certificate