Fillable Printable Affidavit as to Power of Attorney Being in Full Force - New York

Affidavit as to Power of Attorney Being in Full Force - New York

AFFIDAVIT AS TO POWER OF ATTORNEY BEING IN FULL FORCE

STATE OF NEW YORK )

COUNTY OF ) ss:

, being duly sworn, deposes and says:

THAT , as principal, who resides at

, did in writing under date of ,

200 , appoint me [his/her] true and lawful attorney, and that annexed hereto, and hereby

made part hereof, is a copy of said power of attorney.

THAT, as attorney in fact of said principal and under and by virtue of the said

power of attorney, I have this day executed the following described instrum ent(s):

THAT at the time of executing the above-described instrument(s), I had no actual

knowledge or actual notice of revocation or termination of the aforesaid power of

attorney by death of said principal or otherwise, or notice of any facts indicating the

same.

THAT I hereby represent that the said principal is now alive; has not, at any time

revoked or repudiated the said power of attorney; and the said power of attorney still is in

full force and effect.

THAT I make this affidavit for the purpose of inducing

to accept delivery of the above-described instrument(s), as executed by me in my

capacity of attorney in fact of the said principal, with the full knowledge that the above-

names parties in accepting the execution and delivery of the aforesaid instrument and in

paying a good and valuable consideration therefore, will rely upon this affidavit.

____________________________________

Sworn to before me this day

of , 20 .

_______________________________________

Notary Public