New York Power of Attorney Template
This Power of Attorney document is governed by the laws of the State of New York, specifically pursuant to the New York General Obligations Law § 5-1501, et seq.
This form allows the Grantor to designate an Attorney-in-Fact to handle financial and legal matters. Please fill in the necessary information in the blanks provided.
1. Grantor Information:
Name: ______________________________________
Address: ____________________________________
City, State, Zip: _____________________________
Date of Birth: ________________________________
2. Attorney-in-Fact Information:
Name: ______________________________________
Address: ____________________________________
City, State, Zip: _____________________________
Relationship to Grantor: ______________________
3. Powers Granted:
The Grantor grants the Attorney-in-Fact the authority to act on their behalf in the following matters (please check all that apply):
- Manage bank accounts and transactions
- Handle real estate transactions
- Make investments
- File taxes
- Manage business interests
- Access and manage retirement accounts
- Make healthcare decisions (if necessary)
4. Effective Date:
This Power of Attorney is effective immediately upon execution unless specified otherwise:
Date: ________________________________________
5. Signature and Acknowledgment:
By signing below, the Grantor confirms the appointment of the Attorney-in-Fact under the terms stated above.
Grantor’s Signature: __________________________
Date: ________________________________________
6. Notary Public Acknowledgment:
State of New York
County of ___________________________
On this ______ day of ___________, 20__, before me, the undersigned, a Notary Public in and for said State, personally appeared ______________________, known to me to be the individual described in and who executed the foregoing instrument, and acknowledged to me that they executed the same.
Notary Public Signature: _____________________
My Commission Expires: _____________________