New York Durable Power of Attorney Template
This Durable Power of Attorney is executed in accordance with the New York General Obligations Law (Article 5, Title 15), which permits a principal to designate an agent to act on their behalf in a broad or specific manner and includes a durability provision to ensure it remains in effect upon the disability or incapacity of the principal.
Principal Information:
- Full Name: ________________________________________
- Address: __________________________________________
- City/State/Zip: ____________________________________
- Phone Number: _____________________________________
Agent Information:
- Full Name: ________________________________________
- Address: __________________________________________
- City/State/Zip: ____________________________________
- Phone Number: _____________________________________
In this document, the person granting the power is referred to as the "Principal," and the person receiving the power is referred to as the "Agent."
Powers Granted:
The Principal hereby appoints the Agent to act in the Principal's name, place, and stead in any lawful way with respect to the following initialed subjects:
- ______ Real estate transactions
- ______ Banking transactions
- ______ Business operating transactions
- ______ Insurance transactions
- ______ Estate transactions
- ______ Legal claims and litigation
- ______ Personal and family maintenance
- ______ Government benefits
- ______ Retirement plan transactions
- ______ Tax matters
This Durable Power of Attorney shall not be affected by the subsequent disability or incapacity of the Principal.
Signature of Principal: _______________________________ Date: ________________
Signature of Agent: _________________________________ Date: ________________
This document was signed in the presence of two witnesses, as required by New York law, who have no stake in the document.
Witness #1 Signature: _______________________________ Date: ________________
Print Name: ___________________________________________
Witness #2 Signature: _______________________________ Date: ________________
Print Name: ___________________________________________
This document should not be used without consulting a licensed attorney in your area to ensure it adequately meets your needs and complies with state law.