Iowa Code 633B.302 – Agent’s certification — optional form
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Terms Used In Iowa Code 633B.302
- following: when used by way of reference to a chapter or other part of a statute mean the next preceding or next following chapter or other part. See Iowa Code 4.1
- Power of attorney: A written instrument which authorizes one person to act as another's agent or attorney. The power of attorney may be for a definite, specific act, or it may be general in nature. The terms of the written power of attorney may specify when it will expire. If not, the power of attorney usually expires when the person granting it dies. Source: OCC
- Signature: includes an electronic signature as defined in section 554D. See Iowa Code 4.1
633B.302 Agent’s certification — optional form.
The following optional form may be used by an agent to certify facts concerning a power of attorney:
IOWA STATUTORY POWER OF ATTORNEY AGENT’S CERTIFICATION FORM
AGENT’S CERTIFICATION OF VALIDITY OF POWER OF ATTORNEY AND AGENT’S AUTHORITY
State of 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 all of the following to my knowledge:
The principal is alive and has not revoked the power of attorney or the power of attorney and my authority to act under the power of attorney have not terminated.
If the power of attorney was drafted to become effective upon the happening of an event or contingency, the event or contingency has occurred.
If I was named as a successor agent, the prior agent is no longer able or willing to serve.
The following optional form may be used by an agent to certify facts concerning a power of attorney:
IOWA STATUTORY POWER OF ATTORNEY AGENT’S CERTIFICATION FORM
AGENT’S CERTIFICATION OF VALIDITY OF POWER OF ATTORNEY AND AGENT’S AUTHORITY
State of 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 all of the following to my knowledge:
The principal is alive and has not revoked the power of attorney or the power of attorney and my authority to act under the power of attorney have not terminated.
If the power of attorney was drafted to become effective upon the happening of an event or contingency, the event or contingency has occurred.
If I was named as a successor agent, the prior agent is no longer able or willing to serve.
. (Insert other relevant statements)
SIGNATURE AND ACKNOWLEDGMENT
Agent’s Signature Date
Agent’s Name Printed
Agent’s Address
Agent’s Telephone Number
This document was acknowledged before me on (date), by (name of agent)
(Seal, if any)
Signature of Notary
My commission expires This document prepared by
2014 Acts, ch 1078, §44; 2015 Acts, ch 29, §111
Referred to in §633B.119, 638.9