The following optional form may be used by an agent to certify facts concerning a power of attorney.
AGENT'S CERTIFICATION AS TO THE VALIDITY OF POWER OF ATTORNEY AND AGENT'S AUTHORITY
State of Idaho | ) |
) | ss. |
County of ..... | ) |
I, ......(Name of Agent)......, certify under penalty of perjury that ......(Name of Principal) ...... granted me authority as an agent or successor agent in a Power of Attorney dated .......
I further certify that to my knowledge:
..............................................................................................
SIGNATURE AND ACKNOWLEDGMENT
.....................
Agent's Signature
Date: ..................................................................
Agent's Name Printed: ..................................................................
Agent's Address: ..................................................................
Agent's Phone Number: ..................................................................
This document was acknowledged before me on .....(date)....., by ....(Name of Agent).....
Notary Public for Idaho: ..................................................................
Residing at: ..................................................................
My commission expires on: ..................................................................
Idaho Code § 15-12-302