NEW YORK STATUTORY SHORT FORM POWER OF ATTORNEY

General Durable Power of Attorney

NOTICE TO THE PRINCIPAL

YOUR RIGHTS AND RESPONSIBILITIES

This Power of Attorney authorizes another person (your "agent") to make decisions concerning your property for you (the "principal"). Your agent will be able to make decisions and act with respect to your property (including your money) whether or not you are able to act for yourself.

The powers granted by this document are broad and sweeping. You should select someone you trust to serve as your agent.

You have the right to revoke this Power of Attorney at any time as long as you are competent.

DESIGNATION OF AGENT

I, ___________________________________________________________________________,

(Name of Principal)

Name the following person as my agent:

Name of Agent: _______________________________________________________________

Agent's Address: _______________________________________________________________

Agent's Telephone Number: ___________________________________________________

DESIGNATION OF SUCCESSOR AGENT(S) (OPTIONAL)

If my agent resigns, dies, becomes incapacitated, or is unable or unwilling to serve, I name as my successor agent:

Name of Successor Agent: _____________________________________________________

Successor Agent's Address: ___________________________________________________

Successor Agent's Telephone Number: ___________________________________________

If my successor agent is unable or unwilling to act for me, I name as my second successor agent:

Name of Second Successor Agent: ______________________________________________

Second Successor Agent's Address: _____________________________________________

Second Successor Agent's Telephone Number: ____________________________________

GRANT OF GENERAL AUTHORITY

I grant my agent and any successor agent general authority to act for me with respect to the following subjects as defined in N.Y. General Obligations Law § 5-1502A, subject to any limitations contained in this document:

[ ] Real Estate Transactions — To buy, sell, exchange, rent, lease, mortgage, manage, and otherwise deal with real property

[ ] Stock and Bond Transactions — To buy, sell, exchange, and deal in stocks, bonds, and other securities

[ ] Commodity and Option Transactions — To buy, sell, exchange, and deal in commodities and options

[ ] Banking Transactions — To continue, modify, and terminate banking accounts and transactions

[ ] Business Operating Transactions — To operate, buy, sell, and close businesses

[ ] Insurance Transactions — To buy, sell, and deal in insurance and annuities

[ ] Benefit Transactions — To deal with retirement plans, government benefits, and military benefits

[ ] Estate Transactions — To make gifts, create trusts, disclaim interests, and deal with estate matters

[ ] Claims and Litigation — To assert and defend claims, and to handle lawsuits

[ ] Family Maintenance — To deal with personal and family maintenance matters

[ ] Benefits from Governmental Programs or Civil or Military Service — To deal with government benefits

[ ] Records, Reports, and Statements — To prepare and file tax returns and other documents

[ ] Retirement Plan Transactions — To deal with retirement plans and accounts

[ ] Authority to Transfer Property to a Trust — To transfer property to a trust I created

[ ] Full and Complete Grant of Authority — I grant my agent ALL of the powers listed above

STATUTORY GIFTS RIDER

(Required if agent is authorized to make gifts to himself/herself or others)

Under N.Y. General Obligations Law § 5-1514, if I wish to authorize my agent to make gifts to himself/herself or to others, I must complete this Statutory Gifts Rider:

Agent's Authority to Make Gifts:

[ ] I AUTHORIZE my agent to make gifts to the following persons (including the agent):

________________________________________________________________________________

[ ] Maximum gift amount per recipient per calendar year: $________________________

[ ] I AUTHORIZE my agent to make gifts to himself/herself up to: $___________________ per calendar year

[ ] I AUTHORIZE my agent to create, modify, or revoke a trust for my benefit

EFFECTIVE DATE

[ ] This Power of Attorney is effective IMMEDIATELY

[ ] This Power of Attorney becomes effective upon the following event:

________________________________________________________________________________

DURABILITY

This Power of Attorney shall NOT be affected by my subsequent disability or incompetence. This is a DURABLE Power of Attorney.

REVOCATION

I hereby revoke all prior Powers of Attorney I have executed, except:

________________________________________________________________________________

THIRD-PARTY RELIANCE

Any third party who receives a duly executed copy of this Power of Attorney may rely upon it without further inquiry. Any third party who acts in good faith reliance on this Power of Attorney is protected from liability.

SIGNATURE OF PRINCIPAL

____________________________________________ ________________________

Signature of Principal Date

______________________________________________________________________________

Name of Principal (Print)

______________________________________________________________________________

Address

______________________________________________________________________________

Telephone Number

STATUTORY NOTICE TO THIRD PARTIES

Pursuant to N.Y. General Obligations Law § 5-1503:

A third party may require an agent to provide the following:

1. A copy of this Power of Attorney
2. A certification that this Power of Attorney has not been revoked
3. An English translation of this Power of Attorney if it is not in English

A third party that conducts a transaction with an agent in good faith reliance on this Power of Attorney is protected from liability.

NOTARY ACKNOWLEDGMENT

STATE OF NEW YORK

COUNTY OF _________________________________________________

On __________________________, before me personally came _________________________

(Date) (Name of Principal)

known to me to be the person described in and who executed the foregoing instrument, and acknowledged that [he/she/they] executed the same.

____________________________________________

(SEAL)

Notary Public Signature

My commission expires: _____________________

WITNESS ATTESTATION (OPTIONAL BUT RECOMMENDED)

The foregoing Power of Attorney was subscribed and sworn to (or affirmed) before me on the date written above by ____________________________________________ (Name of Principal), who is personally known to me or who has produced _____________________________ as identification.

____________________________________________

Witness Signature

______________________________________________________________________________

Witness Name (Print)

______________________________________________________________________________

Witness Address

______________________________________________________________________________

FILING INSTRUCTIONS

Execution Requirements (N.Y. General Obligations Law §§ 5-1501B, 5-1513)

A New York Power of Attorney must be:

1. In writing and signed by the principal (or by another person at the principal's direction and in the principal's presence)
2. Acknowledged by the principal before a notary public or other authorized officer
3. Signed by the agent (recommended but not strictly required for validity)

Optional but Recommended:

• Two witnesses (helps prevent challenges to validity)
• Statutory Gifts Rider if agent may make gifts (required for gifts to agent or over $500/year)

Recording:

• If this Power of Attorney will be used for real estate transactions, record it in the county clerk's office where the property is located
• Recording is optional but recommended for real estate matters

Copies:

• Make copies for your agent, successor agents, and financial institutions
• Keep the original in a safe place (safe deposit box, attorney's office, or home safe)
• Banks may require their own Power of Attorney forms in addition to this document

Revocation:

• To revoke this Power of Attorney, execute a written revocation and provide copies to your agent and any institutions that have accepted the original
• You may revoke at any time while you are competent
• Send a copy of the revocation to all parties who may have relied on the Power of Attorney

Key Statutory References:

• N.Y. General Obligations Law § 5-1501 — Definitions
• N.Y. General Obligations Law § 5-1502A — Powers of agent
• N.Y. General Obligations Law § 5-1503 — Validity; third-party reliance
• N.Y. General Obligations Law § 5-1513 — Statutory short form power of attorney
• N.Y. General Obligations Law § 5-1514 — Statutory gifts rider

Legal Aid Resources:

• Legal Aid Society (NYC): (212) 577-3300
• LawHelpNY: https://www.lawhelpny.org
• NYC Bar Legal Referral Service: (212) 626-7373
• NYSBA Lawyer Referral Service: (800) 342-3661
• LSC Finder: https://www.lsc.gov/about-lsc/what-legal-aid/find-legal-aid

Court Locations by Major County:

• New York County (Manhattan): 60 Centre Street, New York, NY 10007
• Kings County (Brooklyn): 360 Adams Street, Brooklyn, NY 11201
• Queens County: 88-11 Sutphin Boulevard, Jamaica, NY 11435
• Bronx County: 851 Grand Concourse, Bronx, NY 10451
• Richmond County (Staten Island): 26 Central Avenue, Staten Island, NY 10301

County Clerk Offices for Recording:

• New York County: New York County Clerk, 60 Centre Street, Room 161, New York, NY 10007
• Kings County: Kings County Clerk, 360 Adams Street, Room 189, Brooklyn, NY 11201
• Queens County: Queens County Clerk, 88-11 Sutphin Boulevard, Jamaica, NY 11435

______________________________________________________________________________

Jurisdiction-correct document templates. Not legal advice.

Document Version: NY-POA-2026-01

Last Updated: March 2026

Statutory Reference: N.Y. General Obligations Law §§ 5-1501 to 5-1514