New York Durable Power of Attorney
This Durable Power of Attorney is made pursuant to the New York General Obligations Law Section 5-1501 et seq.
This document is executed by:
Principal's Name: _______________________________
Principal's Address: _______________________________
Principal's Date of Birth: _______________________________
Hereby appoints:
Agent's Name: _______________________________
Agent's Address: _______________________________
Agent's Phone Number: _______________________________
This Power of Attorney grants the Agent authority to act on behalf of the Principal in the following matters (check all that apply):
- Real estate transactions
- Banking transactions
- Investment transactions
- Insurance transactions
- Estate transactions
- Personal and family maintenance
- Health care decisions
The Principal intends for this Durable Power of Attorney to remain in effect even if the Principal becomes incapacitated.
Executed this ____ day of __________, 20__.
_______________________________
Principal's Signature
_______________________________
Witness Signature
_______________________________
Witness Printed Name
State of New York
County of _______________________________
On this ____ day of __________, 20__, before me, a Notary Public, personally appeared the Principal and ____________________ (Witness), known to me or satisfactorily proven to be the persons whose names are subscribed to this instrument, and acknowledged that they executed the same for the purpose therein contained.
_______________________________
Notary Public Signature