委托书英文模板范文(3篇).docxVIP

第1篇

[YourAddress]

[City,State,ZipCode]

[EmailAddress]

[PhoneNumber]

[Date]

ToWhomItMayConcern,

I,[YourFullName],herebyappoint[AppointeesFullName],anindividualofsoundmindandlegalage,asmy[Specifythetypeofagent,e.g.,attorney-in-fact,agent,orrepresentative],withfullpowerandauthoritytoactonmybehalfinallmatterssetforthbelow.

Thisappointmentismadeundertheauthorityofthe[stateorfederallaw,e.g.,theUniformPowerofAttorneyActortheHealthInsurancePortabilityandAccountabilityAct(HIPAA)]andiseffectiveuponthesigningofthis