Durable General Power Of Attorney - New York Statutory Short Form
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1
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3DURABLE GENERAL POWER OF ATTORNEY
NEW YORK STATUTORY SHORT FORM
THE POWERS YOU GRANT BELOW CONTINUE TO BE EFFECTIVE
SHOULD YOU BECOME DISABLED OR INCOMPETENT
Caution: This is an important document. It gives the person whom you designate
(your "Agent”) broad powers to handle your property during your lifetime, which may
Include powers to mortgage, sell, or otherwise dispose of any real or personal property
without advance notice to you or approval by you. Then powers will continue to exist even
after you become disabled or incompetent These powers are explained more fully In New
York General Obligations Law, Article 5, Title 15, Sections 5-1502A through 5-1503, which
expressly permit the use of any other or different form of power of attorney.
This document does not authorize anyone to make medical or other health care
decisions. You may execute a health care proxy to do this.
If there is anything about this form that you do not understand, you should ask a
lawyer to explain it to you.
THIS is intended to constitute a DURABLE GENERAL POWER OF ATTORNEY
pursuant to Article 5, Title 15 of the New York General Obligations Law:
I, .................................................................................................. do hereby appoint:
(insert your name and address)
................................................................................................................................................
(If one person is to be appointed agent, insert the name and address of your agent above)
................................................................................................................................................
(If two or more persons are to be appointed agents by you, insert their name and addresses above)
my attorney(s)-in-fact TO ACT
(If more than one agent is designated, CHOOSE ONE of the following two choices by putting your initials in ONE
of the blank spaces to the left of your choice:)
[
] Each agent may SEPARATELY act.
[
] All agents must act TOGETHER.
(If neither blank space is initialed, the agents will be required to act TOGETHER)
IN MY NAME, PLACE AND STEAD, in any way which I myself could do, if I were personally
present, with respect to the following matters as each of them is defined in Title 15 of Article 5
of the New York General Obligations Law to the extent that I am permitted by law to act through
an agent:
DIRECTIONS: Initial in the blank space to the left of your choice any one or more
of the following lettered subdivisions as to which you WANT to give your agent authority.
If the blank space to the left of any particular lettered subdivision is NOT initialed, NO
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