Arizona Limited Power of Attorney Form

An Arizona limited power of attorney is a written document in which you, the principal, name an agent (an attorney-in-fact) to act for you on one specific task. For a financial power of attorney, other than a motor vehicle power of attorney, Arizona law requires the principal's signature and a notarization.[1.2] This free Arizona limited power of attorney form is a PDF to fill out online and print.

Last Updated: October 2026. This guide is reviewed and updated regularly to reflect current Arizona law. If you notice an error or outdated information, please contact us.

Arizona limited power of attorney form preview

Create a high-quality Arizona Limited Power of Attorney Form online now!

Build Your Document

Answer a few simple questions to make your document in minutes

Save and Print

Save progress and finish on any device, download and print anytime

Sign and Use

Your valid, lawyer-approved document is ready

... or download your Arizona Limited Power of Attorney Form as a  PDF file

Arizona Limited Power of Attorney Requirements

For a financial power of attorney, other than a motor vehicle power of attorney, Arizona law requires the principal's signature, a witness, a notarization and language that clearly names the agent.[1.2]

  • Signature: the principal signs or marks the document. Another individual may instead sign the principal's name, but only in the principal's conscious presence and at the principal's direction.[1.2]
  • Notarization: the document is executed and attested by the principal's acknowledgment and by a witness's affidavit before a notary public. It is evidenced by the notary public's certificate, under official seal.[1.2]
  • Agent: the document contains language that clearly shows the principal intends to create a power of attorney and clearly identifies the agent.[1.2]
  • Witness: the document is witnessed by a person other than the agent, the agent's spouse, the agent's children or the notary public. Page 4 of this form has a witness block.[1.2]

Arizona Limited Power of Attorney Form Details

Document NameArizona Limited Power of Attorney Form
Other NameArizona Special Power of Attorney
Relevant LawsArizona Revised Statutes, Sections 14-5501 and 14-5504
Avg. Time to Fill Out8 minutes
# of Fillable Fields48
Available FormatsAdobe PDF

The form limits all of your agent's decisions and actions to the purposes you write on the purpose lines. Be specific, because anything you leave off those lines is outside the agent's authority. If you want broad authority over your finances to pass to an agent, see our Arizona general power of attorney form instead.

How an Arizona Limited Power of Attorney Ends

This form lets you choose when your power of attorney ends, using the Termination Date lines on pages 1 and 2. A durable power of attorney in Arizona also stays in force regardless of how much time has passed, unless the document states a definite termination time.[1.1]

  • Death of the principal: under a durable power of attorney, the death does not revoke or terminate the agency as to an agent or another person who acts in good faith under the power, without actual knowledge of the death.[2]
  • Acts after the death: a good-faith act of that kind binds the principal's successors in interest, unless the act is otherwise invalid or unenforceable.[2]
  • Disability or incapacity: under a written power of attorney that is not durable, the principal's disability or incapacity does not revoke or terminate the agency as to an agent or another person who acts in good faith under the power. This holds when that person has no actual knowledge of it.[2]
  • Acts after the disability: a good-faith act of that kind binds the principal and the principal's successors in interest, unless the act is otherwise invalid or unenforceable.[2]

The incapacity choice on page 2 says "as defined below," but the form does not define incapacity. Think about this choice before you initial it.

How to Fill Out the Arizona Limited Power of Attorney Form PDF With Sample Entries

The Arizona limited power of attorney form is a four-page PDF with 48 fillable fields. Page 1 covers the principal, the agent, the limited purpose, the effective date and the first termination choice. Page 2 holds the other termination choices, the successor agent and your signature. Page 3 is the notary acknowledgment, and page 4 holds the sworn declarations and the witness and notary blocks.

The screenshots under each step show the FormsPal Arizona limited power of attorney template filled with sample entries in blue, so you can see where each answer goes. The names, addresses, dates and amounts are examples only.

  1. Name the principal and the agent (page 1). Write your name and address as the principal. Then write the name and address of your agent, the person you appoint to act for you (the attorney-in-fact).
    Arizona limited power of attorney: A RIZONA LIMITED POWER OF ATTORNEY, filled with sample entries
    Step 1: sample entries, not a real document.
  2. List the limited purpose (page 1). Write each purpose your agent may handle on the lines provided. The special instructions below the lines limit the agent's decisions and actions to the purposes you describe.
    Arizona limited power of attorney: purpose(s), filled with sample entries
    Step 2: sample entries, not a real document.
  3. Choose the effective date (page 1). Initial one line. The first line makes the power of attorney effective immediately. The second makes it effective on a date you write in.
    Arizona limited power of attorney: EFFECTIVE DATE, filled with sample entries
    Step 3: sample entries, not a real document.
  4. Start the termination date list (page 1). Initial one line in the whole Termination Date list. The first line ends the power of attorney when you have signed a written revocation. The other lines continue on page 2.
    Arizona limited power of attorney: TERMINATION DATE, filled with sample entries
    Step 4: sample entries, not a real document.
  5. Finish the termination choices and name a successor (page 2). The other two lines end the power of attorney on a date you write in, or when you are determined to be incapacitated. Then fill in the successor paragraph with your agent's name, the alternate agent's name and the alternate agent's address.
    Arizona limited power of attorney: A WRITTEN REVOCATION, filled with sample entries
    Step 5: sample entries, not a real document.
  6. Date and sign the form (page 2). Fill in the day, month and year after "Signed this." Sign above "(signature)" and print your name below it.
    Arizona limited power of attorney: Day, Month and more, filled with sample entries
    Step 6: sample entries, not a real document.
  7. Complete the acknowledgment (page 3). With the notary public present, fill in the county, the date, the officer's name and title, and your name. The form says the officer verifies only your identity, not the truthfulness, accuracy or validity of the document.
    Arizona limited power of attorney: STATE OF A RIZONA, filled with sample entries
    Step 7: sample entries, not a real document.
  8. Let the officer sign and seal (page 3). The notary public or other officer signs on the "Signature" line and adds the seal. This is not a line for you.
    Arizona limited power of attorney: Signature, filled with sample entries
    Step 8: sample entries, not a real document.
  9. Complete the principal's declaration (page 4). Write your name, the day and the month in the sworn declaration. The declaration says you sign willingly and that you are of sound mind.
    Arizona limited power of attorney: Poa execution az blocks.1.i, Poa execution az blocks.2.the principal sign my name to this power and more, filled with sample entries
    Step 9: sample entries, not a real document.
  10. Sign as the principal (page 4). Sign on the "Principal" line. The witness's name goes into the witness declaration that follows.
    Arizona limited power of attorney: Poa execution az blocks.4.blank, Poa execution az blocks.5.i, filled with sample entries
    Step 10: sample entries, not a real document.
  11. Complete the witness and notary blocks (page 4). The witness signs on the "Witness" line and prints a name and an address. The state, county, date and names go into the notary certificate. The notary public signs and adds the seal.
    Arizona limited power of attorney: Poa execution az blocks.6.blank, Poa execution az blocks.7.the state of and more, filled with sample entries
    Step 11: sample entries, not a real document.

Need a different document? Get all the available Arizona power of attorney forms and complete the templates you need for this state.

Template Preview
Create a high-quality Arizona Limited Power of Attorney Form online now!

Frequently Asked Questions

Does an Arizona limited power of attorney have to be notarized?

For a financial power of attorney, other than a motor vehicle power of attorney, yes. Arizona law requires the document to be notarized.[1.2] On this form, notarization appears in two places:

  • Page 3: the principal's acknowledgment before the notary public.
  • Page 4: the witness's affidavit and the notary public's certificate, under official seal.[1.2]

Can someone else sign a power of attorney for the principal in Arizona?

Yes, in the way the law allows. For a financial power of attorney, other than a motor vehicle power of attorney, the principal signs or marks it. Another individual may instead sign the principal's name, in the principal's conscious presence and at the principal's direction.[1.2]

Does an Arizona power of attorney have to name the agent?

Yes. For a financial power of attorney, other than a motor vehicle power of attorney, the document must clearly indicate that the principal intends to create a power of attorney. It must also clearly identify the agent. Step 1 of the form is where you write the agent's name.[1.2]

How long does a durable power of attorney last in Arizona?

A durable power of attorney in Arizona stays in force regardless of how much time has elapsed, unless the document states a definite termination time.[1.1]

Does an Arizona durable power of attorney end when the principal dies?

Not as to an agent or another person who acts in good faith under the power without actual knowledge of the death. A good-faith act of that kind binds the principal's successors in interest, unless the act is otherwise invalid or unenforceable.[2]

Does an Arizona power of attorney end if the principal becomes incapacitated?

Under a written power of attorney that is not durable, the principal's disability or incapacity does not revoke or terminate the agency as to an agent or another person who acts in good faith under the power. This holds when that person has no actual knowledge of the disability or incapacity. Such an act binds the principal and the principal's successors in interest, unless it is otherwise invalid or unenforceable.[2]

General information, not legal or tax advice.

Sources

Unless noted otherwise, the sources below are from the Arizona Revised Statutes.

  1. Ariz. Rev. Stat. §§ 14-5501(A)(2), 14-5501.
    • 1.1 Ariz. Rev. Stat. 14-5501(A)(2)
    • 1.2 § 14-5501
  2. Ariz. Rev. Stat. § 14-5504.
Published: Aug 15, 2024
Mara Erlach
Mara Erlach
Writer & Attorney
Mara has been practicing estate planning and trust law in California since 2003, taking pride in helping clients of all backgrounds and asset profiles form a complete and customized estate plan. Her specialties are: estate planning, wills and trusts, trust and probate administration.