---
title: O.C.G.A. § 10-6B-71. Optional form for agent certification of facts.
collection: code
id: 10-6B-71
cite_as: O.C.G.A. § 10-6B-71 (2025)
canonical_url: https://georgiacommons.org/code/10-6B-71
md_url: https://georgiacommons.org/code/10-6B-71.md
text_url: https://georgiacommons.org/code/10-6B-71/text
source_url: https://www.legis.ga.gov/api/document/docs/default-source/joint-features-document-library/t10-(v8)-2024-pdf.pdf?sfvrsn=1992b47e_0#page=1130
date: 2025
status: active
corpus_version: 2025-supplement-89aa39ab3c68
license: CC0-1.0
publisher: Georgia Commons, an independent project of Georgia Civic Data. Not the State of Georgia. Not legal advice.
up: https://georgiacommons.org/code/10-6B.md
previous: https://georgiacommons.org/code/10-6B-70.md
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index: https://georgiacommons.org/code/index.md
version: the only printed version
in_force: true
current_through: Including Acts of the 2025 Regular Session of the General Assembly
heading_path: COMMERCE AND TRADE / GEORGIA POWER OF ATTORNEY / STATUTORY FORMS
extraction_warnings:
  - indent_level_unclear:p1130
  - indent_level_unclear:p1130
---

# O.C.G.A. § 10-6B-71. Optional form for agent certification of facts.

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 Georgia

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 were 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 signature Date

Agent’s name printed

Agent’s address

Agent’s telephone number

Agent’s email address

This document was signed in my presence on , by

(Date)

(Name of agent)

(Seal)

Signature of notary

My commission expires:

This document prepared by: .

## History

Code 1981, § 10-6B-71, enacted by Ga. L. 2017, p. 435, § 2-1/HB 221; Ga. L. 2018, p. 520, § 20/HB 897; Ga. L. 2024, p. 1052, § 2(57)/SB 448, effective July 1, 2024.

## Amendments

The 2024 amendment, effective July 1, 2024, part of an Act to revise, modernize, and correct the Code, substituted “email” for “e-mail” in this Code section.