New York Public Employee Retirement System Special Durable Power Of Attorney (Page 6 of 6) in pdf

New York Public Employee Retirement System Special Durable Power Of Attorney Page 6

acted outside the authority granted to you in the Power of Attorney, you may be liable under the

law for your violation.

(m) AGENT’S SIGNATURE AND ACKNOWLEDGMENT OF APPOINTMENT: It is

not required that the principal and the agent(s) sign at the same time, nor that multiple agents

sign at the same time.

I/we, ___________________________________________, have read the foregoing

Special Durable 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.

Agent(s) sign(s) here:==>_________________________________________________________

(ACKNOWLEDGMENT(S))

State of …………….…)

) ss:

County of …………….)

On the ………..day of …………….in the year ………….before me, the undersigned, 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 he/she executed the same in his/her capacity, and that

by his/her signature on the instrument, the individual, or the person upon behalf of which the

individual acted, executed the instrument.

……………………………………………………

………………………

Signature of Notary

Expiration Date

(n) This document prepared by: ________________________________________

New York Public Employee Retirement System Special Durable Power Of Attorney Page 6