Durable General Power Of Attorney Page 4

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This power of attorney shall be governed by New York law, although I request that it be
honored in any state or other location in which I or my property may be found. If any provisions hereof
shall be unenforceable or invalid, such unenforceability or invalidity shall not affect the remaining
provisions of this power of attorney.
IN WITNESS WHEREOF, I have hereunto signed my name this ___ day of ____, ___.
__________________________
STATE OF NEW YORK, COUNTY OF GREENE, ss.
On the ___ day of _____, ____, before me, the undersigned notary public, personally
appeared ______, personally known to me or proved to me on the basis of satisfactory evidence to be the
individual whose name is subscribed to the within instrument and acknowledged to me that she executed
the same in her capacity, and that by her signature on the instrument, the individual, or the person upon
behalf of which the individual acted, executed the instrument.
_______________________________
Notary Public
My commission expires on

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