2021 Oklahoma Statutes
Title 58. Probate Procedure
§58-3042. Agent's certification.
The following optional form may be used by an agent to certify facts concerning a Power of Attorney.
AGENT'S CERTIFICATION AS TO THE VALIDITY OF POWER OF ATTORNEY
AND AGENT'S AUTHORITY
State of _____________________________
County of ___________________________
I, _____________________________________________ (Name of Agent), certify under penalty of perjury that __________________________________________(Name of Principal) granted me authority as an agent or successor agent in a Power of Attorney dated ________________________.
I further certify that to my knowledge:
- 1.The Principal is alive and has not revoked the Power of Attorney or my authority to act under the Power of Attorney and the Power of Attorney and my authority to act under the Power of Attorney have not terminated;
- 2.If the Power of Attorney was drafted to become effective upon the happening of an event or contingency, the event or contingency has occurred;
- 3.If I was named as a successor agent, the prior agent is no longer able or willing to serve; and
- 4.__________________________________________________________
- __________________________________________________________
- __________________________________________________________
- __________________________________________________________
- __________________________________________________________
- __________________________________________________________
(Insert other relevant statements)
SIGNATURE AND ACKNOWLEDGMENT
____________________________________________ _______________
Agent's SignatureDate
____________________________________________
Agent's Name Printed
____________________________________________
Agent's Address
____________________________________________
Agent's Telephone Number
This document was acknowledged before me on _______________,
(Date)
by ____________________________________________
(Name of Agent)
____________________________________________ (Seal, if any)
Signature of Notary: _______________________________________________
My commission expires: _______________
This document prepared by: _________________________________________
Added by Laws 2021, c. 332, § 42, eff. Nov. 1, 2021.