Power Of Attorney New York Statutory Short Form

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New York Statutory Short Form Power of Attorney, Effective. Sept. 12, 2010 
POWER OF ATTORNEY
NEW YORK STATUTORY SHORT FORM
(a)
CAUTION TO THE PRINCIPAL: Your Power of Attorney is an important document. As the
“principal,” you give the person whom you choose (your “agent”) authority to spend your money and
sell or dispose of your property during your lifetime without telling you. You do not lose your
authority to act even though you have given your agent similar authority.
When your agent exercises this authority, he or she must act according to any instructions you
have provided or, where there are no specific instructions, in your best interest. “Important
Information for the Agent” at the end of this document describes your agent’s responsibilities.
Your agent can act on your behalf only after signing the Power of Attorney before a notary
public.
You can request information from your agent at any time. If you are revoking a prior Power of
Attorney, you should provide written notice of the revocation to your prior agent(s) and to any third
parties who may have acted upon it, including the financial institutions where your accounts are
located.
You can revoke or terminate your Power of Attorney at any time for any reason as long as you
are of sound mind. If you are no longer of sound mind, a court can remove an agent for acting
improperly.
Your agent cannot make health care decisions for you. You may execute a “Health Care
Proxy” to do this.
The law governing Powers of Attorney is contained in the New York General Obligations Law,
Article 5, Title 15. This law is available at a law library, or online through the New York State Senate
or Assembly websites, or
If there is anything about this document that you do not understand, you should ask a lawyer of
your own choosing to explain it to you.
(b)
DESIGNATION OF AGENT(S):
I, _____________________________
__________________________________________
(name of principal)
(address of principal)
hereby appoint:
_______________________________
___________________________________________
(name of agent)
(address of agent)
_______________________________
___________________________________________
(name of second agent)
(address of second agent)
as my agent(s).
Chapter 340 of the Laws of 2010, the New York Legislature
Page 1 of 6 

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