New Jersey General Durable Power Of Attorney (Page 5 of 6) in pdf

New Jersey General Durable Power Of Attorney Page 5

I agree that any third party who receives a copy of this document may act under it. Revocation of

the power of attorney is not effective as to a third party until the third party learns of the

revocation. I agree to indemnify the third party for any claims that arise against the third party

because of reliance on this power of attorney.

Signed this _______ day of _______________, 20____

______________________________

[Your Signature]

_______________________________

[Your Social Security Number]

CERTIFICATE OF ACKNOWLEDGMENT OF NOTARY PUBLIC

STATE OF NEW JERSEY

COUNTY OF ________________

This document was acknowledged before me on _______________ [Date] by

________________________________________________ [name of principal].

[Notary Seal, if any]:

_______________________________

(Signature of Notarial Officer)

Notary Public for the State of New Jersey

My commission expires: ___________________

ACKNOWLEDGMENT OF AGENT

BY ACCEPTING OR ACTING UNDER THE APPOINTMENT, THE AGENT ASSUMES THE

FIDUCIARY AND OTHER LEGAL RESPONSIBILITIES OF AN AGENT.

________________________________________________

[Typed or Printed Name of Agent]

________________________________________________

[Signature of Agent]

New Jersey General Durable Power Of Attorney Page 5