{"data":{"id":"us-wv/w.-va.-code-39b-3-102","jurisdiction":"us-wv","citation":"W. Va. Code § 39B-3-102","heading":"Agent's certification","body":"The following optional form may be used by an agent to certify facts concerning a power of attorney:\nAGENT'S CERTIFICATION AS TO THE VALIDITY OF POWER OF\nATTORNEY AND AGENT'S AUTHORITY\nState of _____________________________\n[County] 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] that to my knowledge:\n(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;\n(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;\n(3) If I was named as a successor agent, the prior agent is no longer able or willing to serve; and\n____________________________________________________________________________________________________________________________________________________________________________________________________________________________________ (Insert other relevant statements)\nSIGNATURE AND ACKNOWLEDGMENT\n____________________________________________________________________________\nAgent's Signature ___________________________________Date _______________\nAgent's Name Printed ____________________________________________\nAgent's Address__________________________________________________\nAgent's Telephone Number_________________________________________\nThis document was acknowledged before me on _______________,\n(Date)\nby ______________________________________.\n(Name of Agent)\n_________________________________________\nSignature of Notary\n(Seal, if any)\nMy commission expires: ________________________\n[This document prepared by:_____________________________________]","path":["CHAPTER 39B. UNIFORM POWER OF ATTORNEY ACT.","ARTICLE 3. STATUTORY FORMS."],"source_url":"https://code.wvlegislature.gov/39B-3-102/","current_through":"as of 2026-08-03; contains at least the enactments of the 2026 Regular Session","vintage":"","retrieved_at":"2026-09-06T00:29:25Z","sha256":"047b4c1fe0a65b985162653995ce800ea540fd4009c6de97742adddcc6c7fcfd","source_id":"us-wv","stale":true,"prev":"us-wv/w.-va.-code-39b-3-101","next":"us-wv/w.-va.-code-39b-4-101"},"notice":"GroundRules: Original legal text. Not legal advice."}