Letterhead
{{company_name}}
{{company_address}}
Phone: {{phone}}
Email: {{email}}
Website: {{website}}
LIMITED POWER OF ATTORNEY
**DATE:** {{date}}
**PRINCIPAL:**
I, {{principal_name}}, of {{principal_address}}, with Identification/Passport Number {{principal_id_number}}, hereby appoint the below-named Agent.
**AGENT:**
I, {{agent_name}}, of {{agent_address}}, with Identification/Passport Number {{agent_id_number}}, am hereby appointed as Agent.
**EFFECTIVE DATE:** {{effective_date}}
TERM
This Limited Power of Attorney shall become effective on {{effective_date}} and shall terminate automatically on the earlier of:
1. {{termination_date}}.
2. The completion of all specific purposes for which this Power of Attorney is granted.
3. The express written revocation by the Principal.
4. The death or legal incapacity of the Principal or Agent.
INDEMNITY
The Principal agrees to indemnify and hold harmless the Agent from any claims, losses, liabilities, costs, and expenses incurred by the Agent in good faith and in the exercise of the authority granted herein, provided such actions were within the scope of this Power of Attorney and not a result of the Agent's gross negligence or willful misconduct.
REVOCATION
This Limited Power of Attorney may be revoked by the Principal at any time by providing written notice to the Agent and any third parties who may have relied on this instrument. Such revocation shall be effective upon receipt of the written notice.
GOVERNING LAW
This Limited Power of Attorney shall be governed by and construed in accordance with the laws of {{jurisdiction}}.
SIGNATURES
IN WITNESS WHEREOF, the undersigned, being the Principal herein, has executed this Limited Power of Attorney on the date first above written.
___________________________
**PRINCIPAL**
{{principal_name}}
Date: {{signature_date}}
___________________________
**AGENT (Acknowledgement of Acceptance)**
{{agent_name}}
Date: {{signature_date}}
**WITNESSES:**
We, the undersigned, declare that we are of full age and capacity, and that the Principal signed this Limited Power of Attorney in our presence, believing the Principal to be of sound mind and acting voluntarily.
___________________________
**WITNESS 1 NAME:** {{witness_1_name}}
**ADDRESS:** {{witness_1_address}}
**SIGNATURE:**
___________________________
**WITNESS 2 NAME:** {{witness_2_name}}
**ADDRESS:** {{witness_2_address}}
**SIGNATURE:**
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