Trading Authorization Power Of Attorney printable pdf download

TRADING AUTHORIZATION/POWER OF ATTORNEY

AND INDEMNIFICATION FORM: DOMESTIC

This document constitutes a power of attorney, designed to give a designated person either (1) limited

trading authorization or (2) full trading authorization over a brokerage account as further set forth herein.

NOTE:

Under New York law, the following disclosure is required to be included, verbatim, in every Power

of Attorney.

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 by executing

this Power of Attorney, you should provide written notice of the revocation to your prior agent(s) and to 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,

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.

I. ACCOUNT INFORMATION

FINANCIAL ORGANIZATION NAME:

(hereafter, “Financial Organization”)

ACCOUNT TITLE:

—

ACCOUNT NUMBER:

II. AUTHORIZATION

The undersigned hereby authorizes the following individual,

(whose information appears below), as his or her authorized agent to buy, sell (including short sales) and trade

in stocks, bonds, options contracts and any other securities and/or commodities and/or contracts relating to the

same on margin or otherwise in accordance with the terms and conditions of Financial Organization for his or

her account and risk and in the undersigned's name or number on Financial Organization’s books. In addition,

the undersigned hereby specifically authorizes the agent to make transactions, which would result in

uncovered short positions in options contracts or in the uncovering of any existing short position in options

contracts. The undersigned hereby agrees to indemnify and hold Financial Organization and its clearing firm,

National Financial Services, harmless from, and to pay Financial Organization and/or National Financial

Services promptly on demand of, any and all losses arising there from or debit balance due thereon. This

Trading Authorization/Power of Attorney and Indemnification shall not terminate in the event of the disability or

incapacity of the undersigned.

Trading Authorization Power Of Attorney