Trading Authorization Power Of Attorney Page 4
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4Liability of agent: The meaning of the authority given to you is defined in New York’s General Obligations Law, Article
5, Title 15. If it is found that you have violated the law or acted outside the authority granted to you in the Power of
Attorney, you may be liable under the law for your violation.
VIII. AUTHORIZED AGENT: AGENT’S SIGNATURE AND ACKNOWLEDGMENT OF APPOINTMENT—
Signature(s)
I/we,
, have read the foregoing Power of Attorney. I
am/we are the person(s) identified therein as agent(s) for the principal named
therein. I/we acknowledge my/our legal responsibilities to the principal.
AGENT’S NAME:
AGENT’S SIGNATURE:
DATE:
ADDRESS:
CITY:
STATE:
ZIP/POSTAL CODE:
PROVINCE/COUNTY/SUBDIVISION:
COUNTRY:
—
—
—
SOCIAL SECURITY NUMBER
TAXPAYER IDENTIFICATION NUMBER (if applicable)
CO-AGENT’S NAME:
CO-AGENT’S SIGNATURE:
DATE:
ADDRESS:
CITY:
STATE:
ZIP/POSTAL CODE:
PROVINCE/COUNTY/SUBDIVISION:
COUNTRY:
—
—
—
SOCIAL SECURITY NUMBER
TAXPAYER IDENTIFICATION NUMBER (if applicable)
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