Power of Attorney Form

For your convenience, we inite you to use our online Power of Attorney request form. Please complete the information below and your information will be sent securely transmitted to our office. Please email info@maitlandlaw.com to arrange payment for the document. Upon receipt, we will create the completed document which you can have notarized at our office at no additional charge, or any place of your choosing. The fee for a standard POA document is $175.00. Thank you!

Note: The person granting the POA must sign the document in front of a Notary Public to be legally effective. Fields marked below with an * are required.

Name of person granting Power Of Attorney (#1) *

Name of additional person(s) granting Power Of Attorney (#2)

What is the County of Residence for Person #1 Granting Power of Attorney? *

What is the State of Residence for Person #1 Granting Power of Attorney? *

What is the County of Residence for Person #2 Granting Power of Attorney?

What is the State of Residence for Person #2 Granting Power of Attorney?

Email*

Phone*

Name of person being named as Attorney-In-Fact (AIF) *

What is the County of Residence for the AIF?

What is the State of Residence for the AIF?

What is your relationship to AIF?

Name of person to serve as Backup AIF *

What is the County of Residence for Backup AIF?

What is the State of Residence for Backup AIF?

What is your relationship to Backup AIF?

If you need the POA for the sale or purchase of a specific piece of real estate, please give the address of the property:

This is a General POA suitable for most applications. Is there a special need for the POA we should be aware of? If yes, please describe:

Free Text

The fee for this service is only $100 which will be billed upon completion.

Thank you! We will respond with your POA in One Business Day. Please email us at Info@MaitlandLaw.com with any questions.

2 Couch Road

Chapel Hill, NC 27514

Phone: (919) 265-0800