title: "Mississippi Power of Attorney - Complete LSC Packet with Forms"

state: "MS"

date: "2026-03-20"

price: "$47"

Mississippi Power of Attorney Packet

Jurisdiction-correct document templates. Not legal advice.

ELIGIBILITY CHECKLIST

• [ ] You are at least 18 years old
• [ ] You are of "sound mind" (understand what you're signing)
• [ ] You are signing voluntarily
• [ ] You trust the person you're naming as agent
• [ ] For a Durable POA: you want powers to continue if you become incapacitated
• [ ] For a Limited POA: you need authority for one specific transaction only
• [ ] A notary is available (required for recording; strongly recommended for all POAs)
• [ ] For real estate transactions: you will record the POA with the County Chancery Clerk
• [ ] You understand gifts require specific authorization in the POA

File at: Mississippi court finder: https://www.mscourts.gov/directory/

FILING STEPS

1. Choose an agent you trust completely — name an alternate in case the first cannot serve.
2. Initial each specific power you want to grant in FORM 1 (or FORM 2 for limited use).
3. Sign FORM 1 in front of a notary public; the agent must sign the Acknowledgment.
4. Keep the original in a safe place; give a copy to your agent.
5. If the POA involves real estate, record it with the County Chancery Clerk.
6. Recording fees in Mississippi are typically ~$10–25.
7. Provide copies to banks, investment firms, insurance companies, and other relevant parties.
8. To revoke: complete FORM 3 and deliver to agent and all third parties immediately.
9. Use FORM 4 (Agent's Affidavit) when financial institutions require proof the POA is still valid.
10. Mississippi does not require witnesses by statute, but adding two witnesses is recommended for extra protection.

FILING CHECKLIST

• [ ] Completed FORM 1 (Durable POA) or FORM 2 (Limited POA)
• [ ] Notary acknowledgment signed and sealed
• [ ] Agent signed Acknowledgment of Agent
• [ ] Original stored safely; copy given to agent
• [ ] Copies provided to banks and institutions as needed
• [ ] If real estate: recorded with County Chancery Clerk
• [ ] FORM 4 (Agent's Affidavit) available for agent to use with third parties

LEGAL AID

• Mississippi Center for Legal Services: mslegalservices.org · 1-800-498-1804
• North MS Rural Legal Services: nmrls.com · 1-800-498-1804
• MS Volunteer Lawyers Project: msvlp.org · (601) 960-9572
• MS Access to Justice Commission: msajc.org · (601) 359-9250

FORM 1: DURABLE FINANCIAL POWER OF ATTORNEY — BLANK TEMPLATE

> INSTRUCTIONS: Complete all sections. Have notarized. Give copy to your agent.

`

________________________________________________________________________________

MISSISSIPPI DURABLE POWER OF ATTORNEY

For Financial Matters

________________________________________________________________________________

NOTICE: THIS IS A DURABLE POWER OF ATTORNEY. THIS DOCUMENT

GIVES THE PERSON YOU DESIGNATE BROAD POWERS TO HANDLE YOUR

FINANCIAL AFFAIRS. THESE POWERS WILL CONTINUE EVEN IF YOU

BECOME DISABLED, INCAPACITATED, OR INCOMPETENT. READ THIS

DOCUMENT CAREFULLY BEFORE SIGNING.

This document is governed by the Mississippi Uniform Power of

Attorney Act, Miss. Code § 87-3-101 et seq.

________________________________________________________________________________

I, [YOUR FULL LEGAL NAME] ("Principal"), residing at [YOUR STREET ADDRESS],

[CITY], Mississippi [ZIP CODE], appoint:

Name: [AGENT'S FULL NAME]

Address: [AGENT'S STREET ADDRESS]

[CITY], [STATE] [ZIP CODE]

Phone: [AGENT'S PHONE NUMBER]

as my Agent (also called "Attorney-in-Fact") to act for me in any lawful way

with respect to the following powers:

ARTICLE I: GRANT OF GENERAL AUTHORITY

I grant my Agent authority to do any act that I could do if present, subject

to the limitations stated herein and the laws of the State of Mississippi.

ARTICLE II: SPECIFIC POWERS GRANTED

My Agent MAY exercise the following powers (initial each power you grant):

REAL PROPERTY

___ (A) Buy, sell, exchange, rent, lease, manage, and maintain real property

___ (B) Borrow money using real property as collateral

___ (C) Grant easements, licenses, and rights of way

TANGIBLE PERSONAL PROPERTY

___ (D) Buy, sell, exchange, and manage personal property

___ (E) Store, ship, and transport personal property

STOCKS AND BONDS

___ (F) Buy, sell, and exchange stocks and bonds

___ (G) Exercise stock options and voting rights

BANKS AND OTHER FINANCIAL INSTITUTIONS

___ (H) Open, close, and maintain bank accounts

___ (I) Write checks, withdraw funds, and make deposits

___ (J) Apply for and use credit cards, lines of credit, and loans

OPERATION OF ENTITY OR BUSINESS

___ (K) Operate, buy, sell, or dissolve a business

___ (L) Hire and fire employees, agents, and contractors

INSURANCE AND ANNUITIES

___ (M) Buy, sell, and manage insurance policies

___ (N) Collect insurance proceeds

ESTATES, TRUSTS, AND OTHER BENEFICIAL INTERESTS

___ (O) Accept, disclaim, or manage inheritances and trusts

CLAIMS AND LITIGATION

___ (P) Bring, defend, and settle lawsuits

___ (Q) File claims and receive proceeds

PERSONAL AND FAMILY MAINTENANCE

___ (R) Pay for my support and maintenance

___ (S) Pay for support of my dependents

BENEFITS FROM GOVERNMENTAL PROGRAMS

___ (T) Apply for and manage government benefits (Social Security, Medicare)

___ (U) Receive and manage pension and retirement benefits

RETIREMENT PLANS

___ (V) Make contributions to retirement plans

___ (W) Make rollovers and change investments

TAXES

___ (X) Prepare and file tax returns

___ (Y) Pay taxes and deal with tax authorities

GIFTS (requires specific authorization)

___ (Z) Make gifts to individuals and charities, subject to limitations

ARTICLE III: DURABILITY

This Power of Attorney shall not be affected by my subsequent disability,

incapacity, or incompetence. This Power of Attorney shall remain effective

notwithstanding any later disability, incapacity, or incompetence of the

Principal, pursuant to Miss. Code § 87-3-104.

ARTICLE IV: EFFECTIVE DATE

[ ] This Power of Attorney is effective immediately upon my signing.

[ ] This Power of Attorney shall become effective upon my incapacity as

certified by a licensed physician who has examined me.

ARTICLE V: NOMINATION OF GUARDIAN

If a guardian of my person or estate is required, I nominate my Agent

to serve in that capacity.

ARTICLE VI: REVOCATION

I may revoke this Power of Attorney at any time by delivering a written

revocation to my Agent and all third parties who have relied on this POA.

ARTICLE VII: THIRD-PARTY RELIANCE

Any third party may rely upon the original or a copy of this Power of

Attorney without further inquiry, in accordance with Miss. Code § 87-3-118.

ARTICLE VIII: GOVERNING LAW

This Power of Attorney shall be governed by and construed in accordance

with the laws of the State of Mississippi.

IN WITNESS WHEREOF, I have executed this Power of Attorney on this _____

day of _________________, 20___.

_______________________________

[YOUR SIGNATURE]

[YOUR PRINTED NAME]

________________________________________________________________________________

ACKNOWLEDGMENT OF AGENT

I, [AGENT'S NAME], acknowledge that I have read and understand the terms

of this Power of Attorney and my duties as Agent under Miss. Code § 87-3-112.

I agree to act in accordance with the Principal's best interests and in

good faith.

_______________________________

[AGENT'S SIGNATURE]

[AGENT'S PRINTED NAME]

Date: _______________

________________________________________________________________________________

NOTARY ACKNOWLEDGMENT

STATE OF MISSISSIPPI )

) ss.

COUNTY OF __________ )

Before me, the undersigned authority, personally appeared [YOUR NAME],

known to me (or proved to me through satisfactory evidence) to be the

person whose name is subscribed to the foregoing instrument, and

acknowledged to me that they executed the same for the purposes therein

contained.

IN WITNESS WHEREOF, I hereunto set my hand and official seal.

_______________________________

Notary Public

My Commission Expires: __________

________________________________________________________________________________

`

--- PAGE BREAK ---

FORM 2: LIMITED/SPECIAL POWER OF ATTORNEY — BLANK TEMPLATE

> INSTRUCTIONS: Use this form for a single, specific purpose.

`

________________________________________________________________________________

LIMITED POWER OF ATTORNEY

________________________________________________________________________________

I, [YOUR FULL NAME] ("Principal"), residing at [YOUR ADDRESS],

[CITY], Mississippi [ZIP CODE], hereby appoint:

Name: [AGENT'S FULL NAME]

Address: [AGENT'S ADDRESS]

[CITY], [STATE] [ZIP CODE]

as my true and lawful Agent to act for me and in my name for the following

limited purpose ONLY:

[DESCRIBE THE SPECIFIC PURPOSE IN DETAIL - Examples:]

[ ] To sell the real property located at: [PROPERTY ADDRESS]

[ ] To sign documents for the closing of my home at: [ADDRESS]

[ ] To manage my bank account at [BANK NAME], Account #[NUMBER]

[ ] To register my vehicle: [YEAR MAKE MODEL], VIN: [VIN]

[ ] Other: __________________________________________________

This Limited Power of Attorney grants my Agent the authority to:

1. __________________________________________________________________
2. __________________________________________________________________
3. __________________________________________________________________

This authority shall expire on: [DATE] or upon completion of the

transaction described above, whichever occurs first.

This Power of Attorney is not affected by my subsequent disability or

incapacity (check one):

[ ] YES - This is a DURABLE Power of Attorney

[ ] NO - This Power of Attorney terminates if I become incapacitated

IN WITNESS WHEREOF, I have executed this Limited Power of Attorney on

this _____ day of _________________, 20___.

_______________________________

[YOUR SIGNATURE]

[YOUR PRINTED NAME]

________________________________________________________________________________

NOTARY ACKNOWLEDGMENT

STATE OF MISSISSIPPI )

) ss.

COUNTY OF __________ )

Before me, the undersigned authority, personally appeared [YOUR NAME],

known to me to be the person whose name is subscribed to the foregoing

instrument, and acknowledged that they executed the same.

_______________________________

Notary Public

My Commission Expires: __________

________________________________________________________________________________

`

--- PAGE BREAK ---

FORM 3: REVOCATION OF POWER OF ATTORNEY — BLANK TEMPLATE

> INSTRUCTIONS: Complete and deliver to your agent and all third parties who relied on the POA.

`

________________________________________________________________________________

REVOCATION OF POWER OF ATTORNEY

________________________________________________________________________________

I, [YOUR FULL NAME], residing at [YOUR ADDRESS], [CITY], Mississippi

[ZIP CODE], hereby REVOKE the Power of Attorney dated [DATE OF ORIGINAL POA]

in which I appointed [AGENT'S NAME] as my Agent.

The revoked Power of Attorney was recorded (if applicable):

[ ] Not recorded

[ ] Recorded in [COUNTY] County, Mississippi

Instrument/Book/Page: _______________

This Revocation is effective immediately upon my signing below.

I request that all persons who have received a copy of the revoked Power

of Attorney destroy it or mark it "REVOKED" and return it to me.

NOTICE: Any action taken by the Agent after receipt of this Revocation

is unauthorized and void.

Dated: _____________________ _______________________________

[YOUR SIGNATURE]

[YOUR PRINTED NAME]

________________________________________________________________________________

CERTIFICATE OF SERVICE

I certify that on [DATE], I served a copy of this Revocation on:

Former Agent: [NAME]

Address: [ADDRESS]

Method: [ ] Certified Mail [ ] First Class Mail [ ] Hand Delivery

Third Parties: (list banks, institutions that received original POA)

1. [NAME]: [ADDRESS]
2. [NAME]: [ADDRESS]

_______________________________

[YOUR SIGNATURE]

________________________________________________________________________________

`

--- PAGE BREAK ---

FORM 4: AGENT'S AFFIDAVIT — BLANK TEMPLATE

> INSTRUCTIONS: Some banks and institutions require this when your agent uses the POA.

`

________________________________________________________________________________

AGENT'S AFFIDAVIT

________________________________________________________________________________

STATE OF MISSISSIPPI )

) ss.

COUNTY OF __________ )

I, [AGENT'S FULL NAME], being first duly sworn, depose and state as follows:

1. I am the Agent named in the Power of Attorney executed by [PRINCIPAL'S NAME]

dated [DATE OF POA].

1. To the best of my knowledge, the Principal is still living.

1. To the best of my knowledge, the Principal has not revoked the Power of

Attorney.

1. To the best of my knowledge, no legal proceeding has been commenced to

determine the Principal's incapacity or to appoint a guardian.

1. I am acting within the scope of the authority granted to me by the

Power of Attorney.

1. I acknowledge my fiduciary duties to the Principal under Miss. Code § 87-3-112,

including the duty to act in the Principal's best interests, in good faith,

and within the scope of authority granted.

1. I certify that the Power of Attorney has not been modified or amended

since the date of execution, except as follows:

[ ] No modifications

[ ] Modifications: [DESCRIBE]

FURTHER AFFIANT SAYETH NAUGHT.

_______________________________

[AGENT'S SIGNATURE]

[AGENT'S PRINTED NAME]

________________________________________________________________________________

Sworn to and subscribed before me on this _____ day of _____________, 20___.

_______________________________

Notary Public

My Commission Expires: __________

________________________________________________________________________________

`

*Not legal advice. Jurist-Diction is not a law firm. Templates are jurisdiction-correct.

Verify current law before filing. For legal advice contact a licensed Mississippi attorney or legal aid. jurist-diction.com*