N.y. Statutory Short Form Power Of Attorney Template (Page 7 of 7) in pdf

N.y. Statutory Short Form Power Of Attorney Template Page 7

N.Y. Statutory Short Form Power of Attorney

Effective 09-01-09

NEW YORK STATUTORY POWER OF ATTORNEY

AFFIDAVIT THAT POWER OF ATTORNEY

REMAINS IN FULL FORCE AND EFFECT

STATE OF _______________________

COUNTY OF _____________________ss:

______________________________________, being duly sworn, deposes and says as follows:

1. This affidavit is made in connection with the (transfer)(mortgage) of property known as

____________________________________, in ____________________, New York

_____________________________________________________________________

2. I am (the)(an) agent named in the Power of Attorney (hereafter "Power of Attorney")

__.

made by ____________________________________, as principal (the "Principal"),

dated _____________________.

3. I do not have actual notice that the Power of Attorney has been modified in any way that

would affect my ability to authorize or engage in the present transaction for which the

Power of Attorney is being used, or notice of any facts indicating that the Power of

Attorney has been so modified.

4. I do not have actual notice of the termination or revocation of the Power of Attorney, or

notice of any facts indicating that the Power of Attorney has been terminated or revoked,

and the Power of Attorney remains in full force and effect.

5. If the Principal has been my spouse, we are not divorced and our marriage has not been

annulled.

6. If I am a successor agent, the prior agent is no longer able or willing to serve.

____________________________________

Sworn to before me this _____ day

of ___________________, 20____.

____________________________

Notary Public

NOTE: If multiple agents are appointed, an affidavit is to be executed by each agent.

N.y. Statutory Short Form Power Of Attorney Template Page 7