Durable Power Of Attorney - New York (Page 3 of 10) in pdf

Durable Power Of Attorney - New York Page 3

3. Powers to be Granted, Standard Powers, continued

• Answer for tax matters Make, execute, present, modify, and exercise

any certification (including, without limitation, IRS Forms W-8 and W-9

and any substitutes for or successors to those forms) or election available

or required under federal, state, local, or foreign tax law related to the

account(s) or any accounts your Attorney-in-Fact may open, to the extent

permitted by the applicable taxing authority.

• Change addresses Change the legal or mailing address on any account.

• Write checks Set up checkwriting and/or sign checks drawn on any account.

Requires an additional form, which is available at

Not available for 529 plans.

Optional Powers

The Attorney-in-Fact identified in Section 6 will only be granted these powers if you write

your initials next to the appropriate option.

INITIAL one.

Name others as beneficiaries Add, change, or remove

Account Owner Initials

beneficiaries (in accordance with specific account rules) and 529

College Savings Plan successor participants, provided that this

does not grant the Attorney-in-Fact the authority to name him/

herself as a beneficiary.

Name others or self as beneficiary Add, change, or remove

Account Owner Initials

beneficiaries (in accordance with specific account rules) and 529

College Savings Plan successor participants, including the ability

to self appoint.

4. Duplicate Materials

If you would like your Attorney-in-Fact to receive copies of account statements or transaction

confirmations, check the appropriate boxes below. Account statements can be sent either

electronically or by U.S. mail. If you would like them to be sent electronically, your Attorney-

in-Fact must be a Fidelity customer, and you must provide a valid e-mail address.

If your Attorney-in-Fact indicates in Section 6 that he/she is associated with a firm engaged

in the securities business, Fidelity must also send copies of your account statements to that

firm. If you do not authorize Fidelity to send duplicate statements to those parties, Fidelity

will be unable to process this POA.

Indicate which materials

Account statements

should be sent to your

Transaction confirmations (will be sent by U.S. mail)

Attorney-in-Fact and any

securities firm with which

E-mail

he/she is affiliated.

Form continues on next page.

1.933269.101

027750103

Page 3 of 10

Durable Power Of Attorney - New York Page 3

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