Durable General Power Of Attorney
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4DURABLE 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.
THESE 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 FOR YOU. 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, _______, having an address at ______, hereby make, constitute and appoint ______,
having an address at ______, tel. no.: ______, as my attorney-in-fact TO ACT 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 Article 5, Title 15 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
subdivisions as to which you WANT to give the agent authority. If the blank space to the left of any
particular lettered subdivision is NOT initialed, NO AUTHORITY WILL BE GRANTED for matters that
are included in that subdivision. Alternately, the letter corresponding to each power you wish to grant may
be written or typed on the blank line in subdivision "(Q)", and you may then put your initials in the blank
space to the left of subdivision "(Q)" in order to grant each of the powers indicated.)
[
] (A) real estate transactions;
[
] (B) chattel and goods transactions;
[
] (C) bond, share and commodity transactions;
[
] (D) financial institution transactions;
[
] (E) business operating transactions;
[
] (F) insurance transactions;
[
] (G) estate transactions;
[
] (H) claims and litigation;
[
] (I) personal relationships and affairs;
[
] (J) benefits from military service;
[
] (K) records, reports and statements;
[
] (L) retirement benefit transactions;
[
] (M) making gifts to my spouse, children and more
remote descendants, and parents;
[
] (N) tax matters;
[
] (O) all other matters;
[
] (P) full and unqualified authority to my
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