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

state: "TN"

category: "Power of Attorney"

date: "2026-03-24"

price: "$47"

lsc_grade: true

version: "COMPLETE_WITH_FORMS_ELDER_LAW_ENHANCED"

Tennessee 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" (you understand what you are signing)
• [ ] You are signing voluntarily — no pressure from anyone
• [ ] You have identified a trusted agent who is at least 18 and of sound mind
• [ ] Your agent is NOT your healthcare provider or facility employee (unless related)
• [ ] Your agent has NOT been adjudicated incapacitated
• [ ] You want a Durable POA (survives incapacity) — include durability language
• [ ] If granting "hot powers" (gifts, trust creation), you have specifically initialed those powers
• [ ] If the POA will be used for real estate, you plan to record it at the Register of Deeds
• [ ] If age 70+: you are aware that financial exploitation by an agent is a crime under TN Code § 39-15-502

FORM 1: DURABLE FINANCIAL POWER OF ATTORNEY — BLANK TEMPLATE

> INSTRUCTIONS: Complete all sections in BLUE INK. Have notarized. Give copy to your agent. Keep original in safe place.

`

________________________________________________________________________________

TENNESSEE 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.

THE POWERS GRANTED TO YOUR AGENT ARE BROAD. YOUR AGENT WILL

HAVE THE AUTHORITY TO MAKE FINANCIAL DECISIONS FOR YOU.

YOU MAY REVOKE THIS POWER OF ATTORNEY AT ANY TIME.

________________________________________________________________________________

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

[CITY], Tennessee [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 Tennessee.

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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

COMMODITIES AND OPTIONS

___ (H) Buy, sell, exchange, and trade commodities and options

BANKS AND OTHER FINANCIAL INSTITUTIONS

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

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

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

OPERATION OF ENTITY OR BUSINESS

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

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

INSURANCE AND ANNUITIES

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

___ (O) Collect insurance proceeds

ESTATES, TRUSTS, AND OTHER BENEFICIAL INTERESTS

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

___ (Q) Establish, modify, or terminate trusts

CLAIMS AND LITIGATION

___ (R) Bring, defend, and settle lawsuits

___ (S) File claims and receive proceeds

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PERSONAL AND FAMILY MAINTENANCE

___ (T) Pay for my support and maintenance

___ (U) Pay for support of my dependents

___ (V) Make arrangements for my care

BENEFITS FROM GOVERNMENTAL PROGRAMS OR CIVIL OR MILITARY SERVICE

___ (W) Apply for and manage government benefits

___ (X) Receive and manage pension and retirement benefits

RETIREMENT PLANS

___ (Y) Make contributions to retirement plans

___ (Z) Make rollovers and change investments

___ (AA) Designate beneficiaries

TAXES

___ (BB) Prepare and file tax returns

___ (CC) Pay taxes and deal with tax authorities

GIFTS (HOT POWER - requires specific authorization)

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

in T.C.A. § 28-6-117 (not to exceed $15,000 per year per donee)

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, and shall be construed as a "Durable Power of Attorney" as that

term is defined in T.C.A. § 28-6-109.

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.

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ARTICLE V: NOMINATION OF CONSERVATOR

If a conservator 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. See Revocation Form in this packet.

ARTICLE VII: THIRD-PARTY RELIANCE

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

Attorney without further inquiry. T.C.A. § 28-6-118 provides protection

to third parties who accept this Power of Attorney in good faith.

ARTICLE VIII: GOVERNING LAW

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

with the laws of the State of Tennessee.

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. I agree to act in

accordance with the Principal's best interests and in good faith.

_______________________________

[AGENT'S SIGNATURE]

[AGENT'S PRINTED NAME]

Date: _______________

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--- PAGE BREAK ---

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________________________________________________________________________________

NOTARY ACKNOWLEDGMENT

STATE OF TENNESSEE )

) 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: __________

________________________________________________________________________________

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

> INSTRUCTIONS: Use this form for a single, specific purpose like selling a car or closing on a home.

`

________________________________________________________________________________

LIMITED POWER OF ATTORNEY

________________________________________________________________________________

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

[CITY], Tennessee [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 TENNESSEE )

) 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: __________

________________________________________________________________________________

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--- 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 (banks, etc.).

`

________________________________________________________________________________

REVOCATION OF POWER OF ATTORNEY

________________________________________________________________________________

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

[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, Tennessee

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]

________________________________________________________________________________

NOTARY ACKNOWLEDGMENT

STATE OF TENNESSEE )

) 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

Revocation, and acknowledged that they executed the same.

_______________________________

Notary Public

My Commission Expires: __________

________________________________________________________________________________

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]

________________________________________________________________________________

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--- PAGE BREAK ---

FORM 4: AFFIDAVIT OF AGENT — BLANK TEMPLATE

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

`

________________________________________________________________________________

AFFIDAVIT OF AGENT

________________________________________________________________________________

STATE OF TENNESSEE )

) 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 conservator.

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, 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: __________

________________________________________________________________________________

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FILING STEPS

1. Choose your agent — someone you trust completely, organized with finances, willing to serve; consider naming an alternate.
2. Decide which powers to grant — initial each box in Article II; consider carefully before initialing the gifts "hot power."
3. Complete the form in blue or black ink, filling in all blanks.
4. Sign in front of a notary public; have your agent sign the acknowledgment.
5. Keep the original in a fireproof safe or safe deposit box; give a certified copy to your agent.
6. Give copies to banks, investment firms, insurance companies, and anyone who may need to accept the POA.
7. If the POA involves real estate, take the original or certified copy to the County Register of Deeds and pay the recording fee (~$10–25).
8. Notify trusted family members where the original is stored.
9. Review every 3–5 years or after major life events (divorce, move to new state, agent becomes unavailable).
10. To cancel: complete FORM 3 (Revocation) and deliver it to your agent and all third parties who have a copy.

COURT INFORMATION

Recording is only required for real estate transactions. Bring photo ID and recording fee (most counties: cash, check, or money order only).

FILING CHECKLIST

• [ ] Original POA form completed in blue/black ink
• [ ] All desired powers initialed in Article II
• [ ] Correct effective date selected (immediate or springing)
• [ ] Principal's signature notarized
• [ ] Agent's acknowledgment signed
• [ ] Original stored safely; copy given to agent
• [ ] Copies delivered to banks and institutions as needed
• [ ] If real estate: original recorded at Register of Deeds
• [ ] Trusted family member knows where original is stored

STATUTE REFERENCES

DISCLAIMER

Jurisdiction-correct document templates. Not legal advice.

• Jurist-Diction is not a law firm and cannot provide legal advice.
• Power of Attorney laws are complex and individual circumstances vary.
• A POA is a powerful legal document — consider consulting a licensed Tennessee attorney if you have significant assets, complex family dynamics, or are unsure which powers to grant.
• This packet is valid as of March 2026. Tennessee laws may change.

Need help? Find free legal aid at lawhelp.org or call 211.