I, [Your Full Name], currently residing at [Your Address], hereby appoint [Representative’s Full Name] of [Representative’s Address] as my authorized representative.
This authorization enables [Representative’s Full Name] to act on my behalf in all aspects concerning [specific matter or general authorization, e.g., handling my financial affairs, overseeing business operations, etc.]. This includes the power to make decisions, enter into agreements, and represent me in various transactions and discussions.
The effective date of this authorization is [Start Date], and it shall remain in effect until [End Date] or until I provide a written notice to revoke it.
I confirm that any actions and decisions made by [Representative’s Full Name] under this authorization are binding on me as if they were made personally by me.
Your cooperation with and assistance to [Representative’s Full Name] in their role as my representative is greatly appreciated.
[Your Signature]
[Your Full Name]