New York Power of Attorney Template
This Power of Attorney document grants authority to an individual, known as the Agent, to act on behalf of another individual, the Principal, in financial matters. It is designed in compliance with the New York General Obligations Law Article 5, Title 15.
Complete all sections below with accurate information to ensure the validity of the document.
Principal Information
Full Name: ________________________________________________________
Address: ___________________________________________________________
City, State, Zip: New York, NY, _______
Phone Number: ___________________________
Agent Information
Full Name: ________________________________________________________
Address: ___________________________________________________________
City, State, Zip: _________________________________________________
Phone Number: ___________________________
Powers Granted
Select below the powers being granted to the Agent by initialing each applicable line.
- ____ Real Estate Transactions
- ____ Banking Transactions
- ____ Investment Management and Transactions
- ____ Business Operating Transactions
- ____ Insurance and Annuity Transactions
- ____ Estate, Trust, and Other Beneficiary Transactions
- ____ Legal Claims and Litigation
- ____ Personal and Family Maintenance
- ____ Government Benefits
- ____ Retirement Plan Transactions
- ____ Tax Matters
Duration
This Power of Attorney shall become effective on the date signed and shall remain in effect
Until: ________________________ (Date) OR until the Principal is incapacitated, unless a Durable Power of Attorney is selected.
Third Party Reliance
The validity of this document is governed by the New York General Obligations Law Article 5, Title 15, ensuring that third parties may rely on the Agent’s authority granted hereunder unless the third party has actual knowledge the Power of Attorney has been revoked or terminated.
Signatures
To be legally binding, this Power of Attorney must be signed in the presence of a Notary Public or two witnesses not related to the Principal or Agent.
_____________________________________ ________________________________
Signature of Principal Date
_____________________________________ ________________________________
Signature of Agent Date
Notarization (If Applicable)
This section to be completed by a Notary Public.
State of New York )
County of ___________ )
On this ___ day of _______________, 20__, before me, _______________________________ (name of notary), personally appeared ________________________________________ (name of Principal), known to me to be the person whose name is subscribed to the within instrument, and acknowledged that they executed the same for the purposes therein contained.
In witness whereof, I hereunto set my hand and official seal.
______________________________________
Notary Public
My Commission Expires: _______________