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Limited Power of Attorney Template

This document is a Limited Power of Attorney granting JSJ Dispatching LLC specific authority to act on behalf of the Principal, including completing Broker/Carrier Agreements, booking loads, and performing administrative tasks. The authority can be revoked by the Principal at any time or upon completion of tasks, and it automatically revokes upon the Principal's death or incapacitation. The document requires signatures from the Principal, Attorney-in-Fact, and a witness, along with notarization for validity.

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pa.xto.n.sa.un.ders6
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21 views3 pages

Limited Power of Attorney Template

This document is a Limited Power of Attorney granting JSJ Dispatching LLC specific authority to act on behalf of the Principal, including completing Broker/Carrier Agreements, booking loads, and performing administrative tasks. The authority can be revoked by the Principal at any time or upon completion of tasks, and it automatically revokes upon the Principal's death or incapacitation. The document requires signatures from the Principal, Attorney-in-Fact, and a witness, along with notarization for validity.

Uploaded by

pa.xto.n.sa.un.ders6
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Limited Power of Attorney

BE IT ACKNOWLEDGED that I, (Carrier/Carrier Company), the “Principal”, do hereby grant a


limited and specific power of attorney to JSJ Dispatching LLC . of as my “Attorney- in-Fact”.

Said Attorney-in-Fact shall have full limited power and authority to undertake and perform only the
following acts on my behalf:

1. Complete any and all Broker/Carrier Agreement(s) for any and all brokerage(s) that carrier is
onboarding

2. Complete any and all Rate Confirmations, officially booking loads

3. Any additional administrative tasks, such as bookkeeping or invoicing

The authority herein shall include such incidental acts as are reasonably required to carry out and perform
the specific authorities granted herein. My Attorney-in-Fact agrees to accept this appointment subject to
its terms, and agrees to act and perform in said fiduciary capacity consistent with my best interest, as my
Attorney-in-Fact in its discretion deems advisable. This limited power of attorney is effective upon
execution.

This limited power of attorney may be revoked by any of the following:


( Initial and Check the Box if Applicable )
- By the Principal at any time by authorizing a Revocation.

- When the above stated one (1) time limited power of attorney or responsibility has been
completed.

- On the day of , 20 .

This limited power of attorney form shall automatically be revoked upon my death or incapacitation,
provided any person relying on this limited power of attorney shall have full rights to accept and reply upon
the authority of my Attorney-in-Fact until in receipt of actual notice of revocation.
State Law. This Limited Power of Attorney is governed by the laws of the State of .
Signed this day of , 20 .

(Principal’s Signature)

(Principal’s Print Name)

ACCEPTANCE OF APPOINTMENT

I, JSJ Dispatching LLC. , the attorney-in-fact named above, hereby accept appointment as attorney-in-
fact in accordance with the foregoing instrument.

Attorney-in-Fact’s Signature:

Attorney-in-Fact’s Printed Name: JSJ Dispatching LLC.

WITNESS

I, the witness, do hereby declare in the presence of the principal that the principal signed and executed this
instrument as his Limited Power of Attorney in my presence, that he signed it willingly, that I hereby sign
this Limited Power of Attorney as witness at the request of the principal and in his presence, and that, to
the best of my knowledge, the principal is eighteen years of age or over, of sound mind, and under no
constraint or undue influence.

Witness Signature Address

Witness Print Name City, State & Zip Code ,,


ACKNOWLEDGMENT OF NOTARY PUBLIC

STATE OF

, County

On this day of , 20 , before me appeared , as Principal of this Limited Power of Attorney


who proved to me through government issued photo identification to be the above- named person, in my
presence executed foregoing instrument and acknowledged that he executed the same as his free act and
deed.

(Official Seal Here)


Notary Public

My commission expires:

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