Fillable AFFIDAVIT FOR POWER OF ATTORNEY (Foundation Title)

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AFFIDAVIT FOR POWER OF ATTORNEY (Foundation Title)

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AFFIDAVIT FOR POWER OF ATTORNEY
STATE OF New Jersey,
COUNTY OF ______________
I, __________________________________, (Agent), being duly sworn, depose and say:
1. The Principal within did, in writing, appoint me as the Principal’s true and lawful
ATTORNEY-IN-FACT in the within Power of Attorney.
2. I have no actual knowledge or actual notice of revocation or termination of the Power of
Attorney by death or otherwise, or knowledge of any facts indicating the same. I further
represent that the Principal is alive, has not revoked or repudiated the Power of Attorney
and the Power of Attorney is still in full force and effect.
3. I make this affidavit for the purpose of inducing ________________________________
(Title Insurance Underwriter) and its agent ____________________________________
(Title Insurance/Settlement Agency) to accept delivery of the following instrument(s), as
executed by me in my capacity as the Attorney-in-Fact, with full knowledge that this
affidavit will be relied upon in accepting the execution and delivery of the Instruments
and in paying good and valuable consideration therefore:
Signed and sworn before me on ________________________
____________________________________
BY:
(Agent)
Ref. File No.: _______________________
Notary Public
My Commission Expires on:
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AFFIDAVIT FOR POWER OF ATTORNEY (Foundation Title)

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Completed 23 September 2021

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