Create Your Own Estate Plan..

Durable Power of Attorney.

Appoint a trusted person to manage your legal and financial matters in the event of your incapacity or absence.

Every Florida estate plan should include a durable power of attorney. This document allows you to appoint the person you trust to handle all of your legal and financial matters, and manage your property and assets, in the event you are unable to yourself.

There are different types of power of attorney documents. This intake form deals with only a durable power of attorney.

Learn more about the different types of power of attorney documents in Florida

Price: ~~$350.00~~ $250.00

Create your own Durable Power of Attorney today with my easy-to-use custom online questionnaire. All responses are secure and confidential and your information is kept private and protected. Once your online form is submitted, I will contact you to arrange for an initial consultation before preparing and finalizing your documents.

Florida Durable Power of Attorney Intake Form

Step 1 of 5

PERSONAL INFORMATION
Full Legal Name*
First Middle Last
Gender*
- Male
- Female
Date of Birth*
Home Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Phone Number Listed*
- Home
- Cell
- Business
Email*
Enter Email Confirm Email
How do you prefer to be contacted?*
Subscribe to my eNewsletter? You can opt out any time, but you won't want to!
- Yes!

Save and Continue Later

FAMILY INFORMATION
Are you married?*
- Yes
- No
Spouse Full Legal Name*
First Middle Last
Spouse Gender*
- Male
- Female
Spouse's Birth Date*
Does your spouse have a different address than you?*
- Yes
- No
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Spouse Phone Number*
Spouse Email*
Enter Email Confirm Email

Save and Continue Later

AGENT/ATTORNEY-IN-FACT
Your Agent (also known as your "Attorney-in-Fact") is the person you trust to manage your property and business on your behalf, based on instructions you leave for them, if you are unable to yourself for any reason.
Will your spouse be your initial Agent?*
- Yes
- No
Who will be your initial Agent?*
Full Legal Name Mailing Address Phone Email Over 18? [Y/N] Relationship to You
Who will be your back up Agent?*
List, in order of preference, the names of the person(s) you want to be your back up Agent to act on your behalf in the event your initial Agent cannot or is unwilling to serve for any reason.
Full Legal Name Mailing Address Phone Email Over 18? [Y/N] Relationship to You

Save and Continue Later

ADDITIONAL ESTATE PLANNING DOCUMENTS
- Check if interested in designing more estate planning documents.
Consent
I agree to the privacy policy (found in link on footer of this website), and understand that submission of this form does not create an attorney-client relationship between myself and the Law Office of Jordan W. Jacob and/or its agents.
CAPTCHA

Save and Continue Later

BACK TO FORMS

Contact Me.

If you have a question or just want to connect, get in touch today.

Create Your Own Estate Plan..

Durable Power of Attorney.

Florida Durable Power of Attorney Intake Form

Step 1 of 5

PERSONAL INFORMATION

FAMILY INFORMATION

AGENT/ATTORNEY-IN-FACT

Powers Granted to Your Agent

ADDITIONAL ESTATE PLANNING DOCUMENTS

Contact Me.

Subscribe to my eNewsletter

Success! You won't be disappointed!

Full Legal Name	Mailing Address	Phone	Email	Over 18? [Y/N]	Relationship to You