Agent’s certification — optional form.
Iowa Code § 633B.302
in effect633B.302. Agent’s certification — optional form.
The following optional form may be used by an agent to certify facts concerning a power of attorney:
IOWA STATUTORY POWER OF ATTORNEY AGENT’S CERTIFICATION FORMAGENT’S CERTIFICATION OF VALIDITY OF POWER OF ATTORNEY AND AGENT’S AUTHORITYState 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 all of the following to my knowledge:The 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.If the power of attorney was drafted to become effective upon the happening of an event or contingency, the event or contingency has occurred.If I was named as a successor agent, the prior agent is no longer able or willing to serve.______________________________________________________________________________________________________________________________________________________________________________. (Insert other relevant statements)SIGNATURE AND ACKNOWLEDGMENT_____________________________ _________________________Agent’s Signature Date_____________________________Agent’s Name Printed__________________________________________________________Agent’s Address_____________________________Agent’s Telephone NumberThis document was acknowledged before me on _______________ (date), by __________________________ (name of agent)_____________________________ (Seal, if any)Signature of NotaryMy commission expires ________________This document prepared by______________________________________________________________________________________________________________________
2014 Acts, ch 1078, §44; 2015 Acts, ch 29, §111
Source: Iowa Legislature (legis.iowa.gov)URL: https://www.legis.iowa.gov/docs/code/2026/633B.302.pdfFetched: 10/20/2026