Prepared by, recording requested by
and return to:
----------------------Above this Line for Official Use
Only---------------------Name:
Company:
Address:
City:
State: Zip:
Phone:
Fax:
The information above is provided in the event this form is to be recorded.
SPECIAL POWER OF ATTORNEY
FOR CLOSING REAL ESTATE TRANSACTION
(Agent for Purchaser)
STATE of LOUISIANA
PARISH OF ____________
KNOW ALL MEN BY THESE PRESENT, THAT I _____________________ ,
whose address is __________________ , __________________ (City),
__________________ (State), __________ (Zip) “Principal”, have made, constituted and
appointed, and by these presents do, make, constitute and appoint,
_______________________ my true and lawful attorney in fact to act with the following
limited powers, to wit:
To do all things necessary to close on the purchase of the property described below,
commonly known as
___________________________________ (address), with full power and
authority for me and in my name to sign, seal, execute, acknowledge, and deliver and
accept any and all documents necessary to effect the purchase and settlement on said
property from the owner thereof, including but not limited to, sales contracts and
addendum thereto, negotiable instruments, deeds, deeds of trust, or other instruments,
disclosure statements, closing or settlement statements, etc. FURTHER GRANTING full
power and authority to pay any funds for the purchase and the execution of any and all
documents in connection therewith, including, but not limited to notes, deeds of trust or
mortgages.
The legal description of the property is as follows, to-wit:
I hereby ratify and confirm all that said attorney-in-fact shall lawfully do or cause to be done by
virtue of this Power of Attorney and the rights and powers herein granted.
All acts done by means of this power shall be done in my name, and all instruments and
documents executed by my Attorney hereunder shall contain my name, followed by that of my
attorney and the description "Attorney-in-Fact", excepting however any situation where local
practice differs from the procedure set forth herein, in that event local practice may be followed.
This SPECIAL POWER OF ATTORNEY shall be valid and may be relied upon by any third
parties until such time as any revocation is recorded in the recorder's office of the county where
the land is located.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this the _____ day of
________________ , 20 ____ .
______________________________________________
PRINCIPAL
Print Name:
Address:
City, State, Zip:
ATTESTATION
The hereinafter named Witnesses, each declare under penalty of perjury under the laws
of the State of Louisiana, that the principal is personally known to us, that the principal signed
and acknowledged this limited power of attorney in our presence, that the principal appears to be
of sound mind and under no duress, fraud or undue influence, that we are not the person
appointed as attorney-in-fact by this document and that we witnessed this power of attorney in
the presence of the principal. We are not related to the principal by blood, marriage or adoption,
and to the best of our knowledge, are not entitled to any part of the estate of the principal upon
the death of the principal under a will now existing or by operation of law.
WITNESSES:
______________________________
Signature
Print Name: __________________________
Address: _____________________________
City: ________________ State: ___________
Zip: __________ WITNESSES:
______________________________
Signature
Print Name: ___________________________
Address: ______________________________
City: ________________ State: ___________
Zip: __________
STATE OF LOUISIANA
PARISH OF
On this day of ,
, before me personally appeared
, to me known to be the person (or persons)
described in and who executed the foregoing instrument, and acknowledged that (he/she)
executed it as (his/her) free act and deed.
WITNESS my hand and official seal.
____________________________________
Notary Public
Print Name
My commission expires: