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

Power Of Attorney Form - New York Page 2

I do hereby grant my attorney in fact complete authority to act in any reasonable manner that

is necessary to execute the above mentioned powers that are granted.

This power of attorney shall continue until I revoke it or it is terminated by my death.

I agree that any third party who is given a copy of this power of attorney may act relying on it. I

also agree that revocation of this power of attorney is effective as to a third party only upon

receipt of actual notice by the third party. I agree to indemnify the third party for any loss that

may be suffered while carrying out this power of attorney.

Signature And Acknowledgment

This contract shall be governed by the laws of the State of New York in __________ County and any

applicable Federal Law.

__________________________________________________________

Date____________

Signature of Principle

By accepting this appointment and acting under it, I the attorney-in-fact (“Agent”) do hereby assume the

legal responsibilities of an agent.

_____________________________________________________________________Date____________

Signature of Attorney-in-Fact

_____________________________________________________________________Date____________

Signature of Successor

WITNESS #1) _________________________________

WITNESS #2) _________________________________

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Power Of Attorney Form - New York Page 2