North Carolina Power of Attorney for a Child
This document grants temporary authority to an individual to make decisions regarding a child's welfare, education, and healthcare, in accordance with the North Carolina General Statutes, Chapter 32A, Article 1, Part 9.
Principal Information:
Full Name: ______________________
Physical Address: ______________________
City/State/Zip Code: ______________________
Attorney-in-Fact Information:
Full Name: ______________________
Relationship to Child(ren): ______________________
Physical Address: ______________________
City/State/Zip Code: ______________________
Child(ren) Information:
- Full Name: ______________________; Date of Birth: ______________________
- Full Name: ______________________; Date of Birth: ______________________
Purpose and Limitations:
This Power of Attorney grants the Attorney-in-Fact the ability to act on the Principal's behalf in decisions related to the child(ren)'s education, healthcare, and overall welfare. This authority does not include the ability to consent to marriage or adoption of the child(ren). This authority is effective from ______________________ until ______________________, unless sooner revoked in writing by the Principal.
Acceptance of Appointment:
I, ______________________, hereby accept this appointment and agree to act and perform in good faith and within the scope of authority granted to me by this Power of Attorney.
Principal's Signature: ______________________ Date: ______________________
Attorney-in-Fact's Signature: ______________________ Date: ______________________
State of North Carolina,
County of ______________________.
This document was acknowledged before me on ___________ by ______________________, the Principal, and ______________________, the Attorney-in-Fact. Witness my hand and official seal.
Notary Public: ______________________ (Seal)
My Commission Expires: ______________________
Note: It is crucial to have this document notarized to ensure its legal efficacy. Both the Principal and the Attorney-in-Fact should retain copies of the executed document. It is advisable to consult with a legal professional when creating or executing a Power of Attorney.