Prepared by, recording requested by and
return to:
----------------------Above this Line for Official Use Only---------------------Name:
Company:
Address:
City:
State: Zip:
Phone:
Fax:
SPECIAL POWER OF ATTORNEY
FOR CLOSING REAL ESTATE TRANSACTION
(Agent for Purchaser)
CAUTION TO THE PRINCIPAL: YOUR POWER OF ATTORNEY IS AN
IMPORTANT DOCUMENT. AS THE "PRINCIPAL," YOU GIVE THE PERSON
WHOM YOU CHOOSE (YOUR "AGENT") AUTHORITY TO SPEND YOUR MONEY
AND SELL OR DISPOSE OF YOUR PROPERTY DURING YOUR LIFETIME
WITHOUT TELLING YOU. YOU DO NOT LOSE YOUR AUTHORITY TO ACT EVEN
THOUGH YOU HAVE GIVEN YOUR AGENT SIMILAR AUTHORITY.
WHEN YOUR AGENT EXERCISES THIS AUTHORITY, HE OR SHE MUST
ACT ACCORDING TO ANY INSTRUCTIONS YOU HAVE PROVIDED OR, WHERE
THERE ARE NO SPECIFIC INSTRUCTIONS, IN YOUR BEST INTEREST.
"IMPORTANT INFORMATION FOR THE AGENT” AT THE END OF THIS
DOCUMENT DESCRIBES YOUR AGENT'S RESPONSIBILITIES.
YOUR AGENT CAN ACT ON YOUR BEHALF ONLY AFTER SIGNING THE
POWER OF ATTORNEY BEFORE A NOTARY PUBLIC.
YOU CAN REQUEST INFORMATION FROM YOUR AGENT AT ANY TIME.
IF YOU ARE REVOKING A PRIOR POWER OF ATTORNEY BY EXECUTING THIS
POWER OF ATTORNEY, YOU SHOULD PROVIDE WRITTEN NOTICE OF THE
REVOCATION TO YOUR PRIOR AGENT(S) AND TO THE FINANCIAL
INSTITUTIONS WHERE YOUR ACCOUNTS ARE LOCATED.
YOU CAN REVOKE OR TERMINATE YOUR POWER OF ATTORNEY AT
ANY TIME FOR ANY REASON AS LONG AS YOU ARE OF SOUND MIND. IF YOU
ARE NO LONGER OF SOUND MIND, A COURT CAN REMOVE AN AGENT FOR
ACTING IMPROPERLY.
YOUR AGENT CANNOT MAKE HEALTH CARE DECISIONS FOR YOU. YOU
MAY EXECUTE A "HEALTH CARE PROXY" TO DO THIS.
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THE LAW GOVERNING POWERS OF ATTORNEY IS CONTAINED IN THE
NEW YORK GENERAL OBLIGATIONS LAW, ARTICLE 5, TITLE 15. THIS LAW IS
AVAILABLE AT A LAW LIBRARY, OR ONLINE THROUGH THE NEW YORK
STATE SENATE OR ASSEMBLY WEBSITES, WWW.SENATE.STATE.NY.US OR
WWW.ASSEMBLY.STATE.NY.US.
IF THERE IS ANYTHING ABOUT THIS DOCUMENT THAT YOU DO NOT
UNDERSTAND, YOU SHOULD ASK A LAWYER OF YOUR OWN CHOOSING TO
EXPLAIN IT TO YOU.
STATE OF NEW YORK
COUNTY OF ________________
KNOW ALL MEN BY THESE PRESENT, THAT I, ____________________ , whose address is
________________________________________________________________________ ,
__________________________ (City), __________________________ (State),
_________________ (Zip), and currently residing in ____________________ , County,
________________ , desiring to execute a SPECIAL POWER OF ATTORNEY, hereby appoint,
______________________ , of _______________ County, ____________ , as my Attorney-in-
Fact to act as follows, GRANTING unto my Attorney-in-Fact full power to:
To do all things necessary to close on the purchase of the property described below,
commonly known as ________________________________ (address), with full power
and authority for me and in my name to sign, seal, execute, acknowledge, and deliver and
accept any and all documents necessary to effect the purchase and settlement on said
property from the owner thereof, including but not limited to, sales contracts and
addendum thereto, negotiable instruments, deeds, deeds of trust, or other instruments,
disclosure statements, closing or settlement statements, etc. FURTHER GRANTING full
power and authority to pay any funds for the purchase and the execution of any and all
documents in connection therewith, including, but not limited to notes, deeds of trust or
mortgages.
The legal description of the property is as follows, to-wit:
See Legal Description Attached as Exhibit A incorporated by reference as though set forth in
full
Legal Description:
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I hereby ratify and confirm all that said attorney-in-fact shall lawfully do or cause to be done by
virtue of this Power of Attorney and the rights and powers herein granted.
All acts done by means of this power shall be done in my name, and all instruments and
documents executed by my Attorney hereunder shall contain my name, followed by that of my
attorney and the description "Attorney-in-Fact", excepting however any situation where local
practice differs from the procedure set forth herein, in that event local practice may be followed.
This SPECIAL POWER OF ATTORNEY shall be valid and may be relied upon by any third
parties until such time as any revocation is recorded in the recorder's office of the county where
the land is located.
SIGNATURE AND ACKNOWLEDGMENT:
In Witness Whereof I have hereunto signed my name on
____________________________________ , 20 .
PRINCIPAL signs here: ► __________________________________________
Individual Capacity within the State of New York
State of New York, County of __________________ , ss
On the ______ day of __________________ in the year ____________ before me, the
undersigned, personally appeared ________________________ , personally known to me or
proved to me on the basis of satisfactory evidence to be the individual whose name is subscribed
to the within instrument and acknowledged to me that he executed the same in his capacity , and
that by his signature on the instrument, the individual , or the person upon behalf of which the
individual acted, executed the instrument.
Signature and Office of Person Taking
Acknowledgement
Type/Print Name: __________________________
Individual Capacity Outside the State of New York
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State of __________________ , County of __________________ , ss
On the ______ day of __________________ in the year ____________ before me, the
undersigned, personally appeared ______________________________ , personally known to me
or proved to me on the basis of satisfactory evidence to be the individual whose name is
subscribed to the within instrument and acknowledged to me that he executed the same in his
capacity , and that by his signature on the instrument, the individual , or the person upon behalf of
which the individual acted, executed the instrument and that such individual made such
appearance before the undersigned in the ________________________ (insert the city or other
political subdivision and the State or country or other place the acknowledgment was taken).
Signature and Office of Person Taking
Acknowledgement
Type/Print Name: __________________________
IMPORTANT INFORMATION FOR THE AGENT:
When you accept the authority granted under this Power of Attorney, a special legal
relationship is created between you and the principal. This relationship imposes on you legal
responsibilities that continue until you resign or the Power of Attorney is terminated or revoked.
You must:
(1) act according to any instructions from the principal, or, where there are no
instructions, in the principal's best interest;
(2) avoid conflicts that would impair your ability to act in the principal's best interest;
(3) keep the principal's property separate and distinct from any assets you own or
control, unless otherwise permitted by law;
(4) keep a record or all receipts, payments, and transactions conducted for the
principal; and
(5) disclose your identity as an agent whenever you act for the principal by writing or
printing the principal's name and signing your own name as "agent" in either of
the following manners: (Principal's Name) by (Your Signature) as Agent,
or (your signature) as Agent for (Principal's Name).
You may not use the principal's assets to benefit yourself or anyone else or give gifts to
yourself or anyone else unless the principal has specifically granted you that authority in this
document, which is either a statutory gifts rider attached to a statutory short form power of
attorney or a non-statutory power of attorney. If you have that authority, you must act according
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to any instructions of the principal or, where there are no such instructions, in the principal's best
interest. You may resign by giving written notice to the principal and to any co-agent, successor
agent, monitor if one has been named in this document, or the principal's guardian if one has
been appointed. If there is anything about this document or your responsibilities that you do not
understand, you should seek legal advice.
Liability of agent:
The meaning of the authority given to you is defined in New York's General Obligations
Law, Article 5, Title 15. If it is found that you have violated the law or acted outside the
authority granted to you in the Power of Attorney, you may be liable under the law for your
violation.
AGENT'S SIGNATURE AND ACKNOWLEDGMENT OF APPOINTMENT:
It is not required that the principal and the agent(s) sign at the same time, nor that
multiple agents sign at the same time.
I , ________________________________________________________________________ ,
have read the foregoing Power of Attorney. I am the person identified therein as agent for the
principal named therein.
I acknowledge my legal responsibilities.
Agent signs here: ►
__________________________________________
Type or Print Name
__________________________________________
Type or Print Name
Individual Capacity within the State of New York
State of New York, County of __________________ , ss
On the ______ day of __________________ in the year ____________ before me, the
undersigned, personally appeared ________________________ , personally known to me or
proved to me on the basis of satisfactory evidence to be the individual whose name is subscribed
to the within instrument and acknowledged to me that he executed the same in his capacity , and
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that by his signature on the instrument, the individual , or the person upon behalf of which the
individual acted, executed the instrument.
Signature and Office of Person Taking
Acknowledgement
Type/Print Name: __________________________
Individual Capacity Outside the State of New York
State of __________________ , County of __________________ , ss
On the ______ day of __________________ in the year ____________ before me, the
undersigned, personally appeared ______________________________ , personally known to me
or proved to me on the basis of satisfactory evidence to be the individual whose name is
subscribed to the within instrument and acknowledged to me that he executed the same in his
capacity , and that by his signature on the instrument, the individual , or the person upon behalf of
which the individual acted, executed the instrument and that such individual made such
appearance before the undersigned in the ________________________ (insert the city or other
political subdivision and the State or country or other place the acknowledgment was taken).
Signature and Office of Person Taking
Acknowledgement
Type/Print Name: __________________________
SUCCESSOR AGENT'S SIGNATURE AND ACKNOWLEDGMENT OF
APPOINTMENT:
It is not required that the principal and the successor agent(s), if any, sign at the same time, nor
that multiple successor agents sign at the same time. Furthermore, successor agents can not use
this power of attorney unless the agent(s) designated above is/are unable or unwilling to serve.
I/ we, ________________________ have read the foregoing power of attorney. I am/we are the
person(s) identified therein as Successor agent(s) for the principal named therein.
Successor agent(s) sign(s) here:==> ___________________________
Successor agent(s) sign(s) here:==> ___________________________
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Individual Capacity within the State of New York
State of New York, County of __________________ , ss
On the ______ day of __________________ in the year ____________ before me, the
undersigned, personally appeared ________________________ , personally known to me or
proved to me on the basis of satisfactory evidence to be the individual whose name is subscribed
to the within instrument and acknowledged to me that he executed the same in his capacity , and
that by his signature on the instrument, the individual , or the person upon behalf of which the
individual acted, executed the instrument.
Signature and Office of Person Taking
Acknowledgement
Type/Print Name: __________________________
Individual Capacity Outside the State of New York
State of __________________ , County of __________________ , ss
On the ______ day of __________________ in the year ____________ before me, the
undersigned, personally appeared ______________________________ , personally known to me
or proved to me on the basis of satisfactory evidence to be the individual whose name is
subscribed to the within instrument and acknowledged to me that he executed the same in his
capacity , and that by his signature on the instrument, the individual , or the person upon behalf of
which the individual acted, executed the instrument and that such individual made such
appearance before the undersigned in the ________________________ (insert the city or other
political subdivision and the State or country or other place the acknowledgment was taken).
Signature and Office of Person Taking
Acknowledgement
Type/Print Name: __________________________
SIGNATURES OF WITNESSES:
By signing as a witness, I acknowledge that the principal signed this document in my presence
and the presence of the other witness, or that the principal acknowledged to me that the
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principal’s signature was affixed by him or her or at his or her direction. I also acknowledge that
the principal has stated that this document reflects his or her wishes and that he or she has signed
it voluntarily.
___________________________ _________________________
Signature of witness 1 Signature of witness 2
__________________________ __________________________
Date Date
__________________________ __________________________
Print name Print name
__________________________ __________________________
Address Address
__________________________ __________________________
City, State, Zip code City, State, Zip code
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EXHIBIT A
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