{"data":{"id":"us-ia/iowa-code-633b.302","jurisdiction":"us-ia","citation":"Iowa Code § 633B.302","heading":"Agent’s certification — optional form.","body":"The following optional form may be used by an agent to certify facts concerning a power of attorney:\nIOWA STATUTORY POWER OF ATTORNEY AGENT’S CERTIFICATION FORM\nAGENT’S CERTIFICATION OF VALIDITY OF POWER OF ATTORNEY AND AGENT’S AUTHORITY\nState of _________________________\nCounty of ______________________\nI, ______________________________ (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 _____________________.\nI further certify all of the following to my knowledge:\nThe principal is alive and has not revoked the power of attorney or the power of attorney and my authority to act under the power of attorney have not terminated.\nIf the power of attorney was drafted to become effective upon the happening of an event or contingency, the event or contingency has occurred.\nIf I was named as a successor agent, the prior agent is no longer able or willing to serve.\n__________________________________________________________\n__________________________________________________________\n__________________________________________________________.\n\t(Insert other relevant statements)\nSIGNATURE AND ACKNOWLEDGMENT\n_____________________________\t_________________________\nAgent’s Signature\tDate\n_____________________________\nAgent’s Name Printed\n_____________________________\n_____________________________\nAgent’s Address\n_____________________________\nAgent’s Telephone Number\nThis document was acknowledged before me on _______________ (date), by __________________________ (name of agent)\n_____________________________\t(Seal, if any)\nSignature of Notary\nMy commission expires ________________\nThis document prepared by\n___________________________________________________________\n___________________________________________________________","path":["Title XV - JUDICIAL BRANCH AND JUDICIAL PROCEDURES (Ch. 595 - 686D)","Chapter 633B - POWERS OF ATTORNEY","Subchapter III - FORMS"],"source_url":"https://www.legis.iowa.gov/docs/code/2026/633B.302.pdf","current_through":"Iowa Code 2026 edition","vintage":"","retrieved_at":"2026-09-14T19:40:16Z","sha256":"3cf85e7c3c6e2b0d476f825b291762d69e8b605acfc417c2f0d85a31e3cc2f9d","source_id":"us-ia","stale":false,"prev":"us-ia/iowa-code-633b.301","next":"us-ia/iowa-code-633b.303"},"notice":"GroundRules: Original legal text. Not legal advice."}