Power Of Attorney New York Statutory Short Form (Page 2 of 2) in pdf

request. (j) COMPENSATION OF AGENT(S): (OPTIONAL) Your agent is entitled to be reimbursed from

your assets for reasonable expenses incurred on your behalf. If you ALSO wish your agent(s) to

be compensated from your assets for services rendered on your behalf, initial the statement

below. If you wish to define "reasonable compensation", you may do so above, under

"Modifications". ( ) My agent(s) shall be entitled to reasonable compensation for services

rendered. (k) ACCEPTANCE BY THIRD PARTIES: I agree to indemnify the third party for any claims

that may arise against the third party because of reliance on this Power of Attorney. I

understand that any termination of this Power of Attorney, whether the result of my revocation

of the Power of Attorney or otherwise, is not effective as to a third party until the third

party has actual notice or knowledge of the termination. (l) TERMINATION: This Power of

Attorney continues until I revoke it or it is terminated by my death or other event described

in section 5-1511 of the General Obligations Law. Section 5-1511 of the General Obligations Law

describes the manner in which you may revoke your Power of Attorney, and the events which

terminate the Power of Attorney. (m) SIGNATURE AND ACKNOWLEDGMENT: In Witness Whereof I have

hereunto signed my name on ___________,20___. PRINCIPAL signs here:

==>__________________________________________ (acknowledgment) (n) IMPORTANT INFORMATION FOR

THE AGENT: When you accept the authority granted under this Power of Attorney, a special legal

relationship is created between you and the principal. This relationship imposes on you legal

responsibilities that continue until you resign or the Power of Attorney is terminated or

revoked. You must: (1) act according to any instructions from the principal, or, where there

are no instructions, in the principal's best interest; (2) avoid conflicts that would impair

your ability to act in the principal's best interest; (3) keep the principal's property

separate and distinct from any assets you own or control, unless otherwise permitted by law;

(4) keep a record or all receipts, payments, and transactions conducted for the principal; and

(5) disclose your identity as an agent whenever you act for the principal by writing or

printing the principal's name and signing your own name as "agent" in either of the following

manner: (Principal's Name) by (Your Signature) as Agent, or (your signature) as Agent for

(Principal's Name). You may not use the principal's assets to benefit yourself or give major

gifts to yourself or anyone else unless the principal has specifically granted you that

authority in this Power of Attorney or in a Statutory Major Gifts Rider attached to this Power

of Attorney. If you have that authority, you must act according to any instructions of the

principal or, where there are no such instructions, in the principal's best interest. You may

resign by giving written notice to the principal and to any co-agent, successor agent, monitor

if one has been named in this document, or the principal's guardian if one has been appointed.

If there is anything about this document or your responsibilities that you do not understand,

you should seek legal advice. Liability 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. (o) 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 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))

Power Of Attorney New York Statutory Short Form Page 2