WPC  C,hrG1]"k'9>Țmk>e|o[pcΗ_rǠ{*x褬N0"rGDtu~<hkW,._<,Co9јFK}C*ɪ.՝4=mϒhEч[ONŪûDbF{c?"z&O&Gàa<ٓVЗU6lh{jU;!#-50{3W bVm7a#zU> 0* 0:#UN % M ( N9 ^ ; wG 4K _ ma U@x \  `&Times New Roman' DURABLE GENERAL POWER OF ATTORNEY (Connie Hertzlin(0Connie Hertzlin .   h:Default ParaDefault Paragraph FontXXX#|x(s$..      X/XXXX/XXX/hp officejet v seriesT(,,,,T(0(9 Z6Times New Roman RegularX6 {06:i+00U(mK Z(Times New Roman s!..      X/XXXX/XXX/  _X/XXX/       HH  DURABLEGENERALPOWEROFATTORNEY H NEWYORKSTATUTORYSHORTFORM . &%XX/THEPOWERS  GRANTEDBELOWCONTINUETOBEEFFECTIVE  SHOULDYOUBECOMEDISABLEDORINCOMPETENT. X     (Caution:ThisIsAnImportantDocument.ItGivesThePersonWhomYouDesignate(Your Agent) F  BroadPowersToHandleYourPropertyDuringYourLifetime,WhichMayIncludePowersToMortgage,Sell,   OrOtherwiseDisposeOfAnyRealOrPersonalPropertyWithoutAdvanceNoticeToYouOrApprovalBy    You.ThesePowersWillContinueToExistEvenAfterYouBecomeDisabledOrIncompetent.ThesePowers  w  AreExplainedMoreFullyInNewYorkGeneralObligationsLaw,Article5,Title15,Sections51502A  J  Through51503,WhichExpresslyPermitTheUseOfAnyOtherOrDifferentFormOfPowerOfAttorney. e     ThisDocumentDoesNotAuthorizeAnyoneToMakeMedicalOrOtherHealthCareDecisions.You    MayExecuteAHealthCareProxyToDoThis.     IfThereIsAnythingAboutThisFormThatYouDoNotUnderstand,YouShouldAskALawyerTo < ExplainItToYou. W   ThisisintendedtoconstituteadurablegeneralpowerofattorneypursuanttoArticle5,Title15ofthe  NewYorkGeneralObligationsLaw:    I,_____________residingat________,doherebyappoint: v.   (Singleagenthere)      (If1personistobeappointedagent,insertthenameandaddressofyouragentabove) z   (Multipleagentshere) h      (If2ormorepersonsaretobeappointedagentsbyyouinserttheirnamesandaddressesabove)  asmyattorney(s)infacttoact l! %& EditorsNote:Additionallanguagecanbeaddedtoorsubstitutedforthelanguageinthestatutoryform[GOL5 ,)4 1503(2)].Giftgivingpowercanbechangedtoreflectthecurrentgifttaxannualexclusionof$12,000or,moreoften, -l*5 tomakeevenlargergiftingoptionswithbroaderchoiceofwhosuchgiftscanbemadeto.Itcanalsolimittheagent s.++6 fromgiftingtohimselforherself. 2/+7 &%   (Ifmorethanoneagentisdesignated,CHOOSEONEofthefollowingtwochoicesbyputting H yourinitialsinONEoftheblankspaces()totheleftofyourchoice:)    ()EachagentmaySEPARATELYact. y   ()AllagentsmustactTOGETHER. g (Ifneitherblankspaceisinitialed,theagentswillberequiredtoactTOGETHER)   INMYNAME,PLACEANDSTEADinanywaywhichImyselfcoulddo,ifIwerepersonally  k  present,withrespecttothefollowingmattersaseachofthemisdefinedinTitle15ofArticle5of  >  theNewYorkGeneralObligationsLawtotheextentthatIampermittedbylawtoactthroughan Y   agent: ,    (DIRECTIONS:Initialintheblankspacetotheleftofyourchoiceofanyoneormoreofthe   followingletteredsubdivisionsastowhichyouWANTtogiveyouragentauthority.Iftheblankspacetothe ]  leftofanyparticularletteredsubdivisionisNOTinitialed,NOAUTHORITYWILLBEGRANTEDformatters x0  thatareincludedinthatsubdivision.Alternatively,thelettercorrespondingtoeachpoweryouwishtograntmay K bewrittenortypedontheblanklineinsubdivision (Q),andyoumaythenputyourinitialsintheblankspace  totheleftofsubdivision (Q)inordertogranteachofthepowerssoindicated).    ()(A) realestatetransactions; O   ()(B) chattelandgoodstransactions; =   ()(C) bond,shareandcommoditytransactions;    ()(D) bankingtransactions; A   ()(E) businessoperatingtransactions; /   ()(F) insurancetransactions;    ()(G) estatetransactions; {3!   ()(H) claimsandlitigation; ! #   ()(I) personalrelationshipsandaffairs; !%   ()(J) benefitsfrommilitaryservice; m#% '   ()(K) records,reportsandstatements; %!)   ()(L) retirementbenefittransactions; &q#+     ()(M) makinggiftstomyspouse,childrenandmoreremotedescendants,andparents, _(%-    p  nottoexceedintheaggregate$10,000toeachofsuchpersonsinanyyear; 2)%.   ()(N) taxmatters; *'0   ()(O) allothermatters; ~,6)2 6%&  ].+4 &%6   ()(P) fullandunqualifiedauthoritytomyattorney(s)infacttodelegateanyorallof 8"      p  theforegoingpowerstoanypersonorpersonswhommyattorney(s)infactshall     p  select; y   ()(Q) eachoftheabovemattersidentifiedbythefollowingletters: g    p  [A,B,C,D,E,F,G,H,I,J,K,L,M,N,O,P].     (Specialprovisionsandlimitationsmaybeincludedinthestatutoryshortformdurablepower  k  ofattorneyonlyiftheyconformtotherequirementsofsection51503oftheNewYorkGeneral  >  ObligationsLaw.) Y     (Tobeaddedbydrafter,ifdesired)       ThisdurablePowerofAttorneyshallnotbeaffectedbymysubsequentdisabilityor ]  incompetence. x0    Ifeveryagentnamedaboveisunableorunwillingtoserve,Iappoint:    (Alternateagenthere) |     ToInduceAnyThirdPartyToActHereunder,IHerebyAgreeThatAnyThirdPartyReceivingADuly j" ExecutedCopyOrFacsimileOfThisInstrumentMayActHereunder,AndThatRevocationOrTermination = HereofShallBeIneffectiveAsToSuchThirdPartyUnlessAndUntilActualNoticeOrKnowledgeOfSuch  RevocationOrTerminationShallHaveBeenReceivedBySuchThirdParty,AndIForMyselfAndForMy  Heirs,Executors,LegalRepresentativesAndAssigns,HerebyAgreeToIndemnifyAndHoldHarmlessAny n SuchThirdPartyFromAndAgainstAnyAndAllClaimsThatMayAriseAgainstSuchThirdPartyBy A ReasonOfSuchThirdPartyHavingReliedOnTheProvisionsOfThisInstrument. \   ThisDurableGeneralPowerOfAttorneyMayBeRevokedByMeAtAnyTime.    InWitnessWhereofIhavehereuntosignedmynamethis____dayof_______,____. `    (YOUSIGNHERE:)==>________________________________________ N"    p    x   NameofPrincipal ! # (Acknowledgment) !% %& '/+; 6   X/X6AFFIDAVITASTOPOWEROFATTORNEYBEINGINFULLFORCE l$   STATEOF____________________ x   )ss: 8 COUNTYOF___________________   ( )     _____________________,&%XX/Ԁbeingdulysworn,deposesandsays:     THATX/X%&______________________,&%XX/Ԁasprincipal,whoresidesat_____________________,  [  _______________________,didinwritingunderdateof_________________________appointme  A  _______________________trueandlawfulattorney,andthatannexedhereto,andherebymadeparthereof,is \  atruecopyofsaidpowerofattorney. /    THAT,asattorneyinfaceofsaidprincipalandunderandbyvirtueofthesaidpowerofattorney,Ihave   thisdayexecutedthefollowingdescribedinstrument(s):______________________> `   THATatthetimeofexecutingtheabovedescribedinstrument(s),Ihadnoactualknowledgeoractual N noticeofrevocationorterminationoftheaforesaidpowerofattorneybydeathofsaidprincipalorotherwise,or ! noticeofanyfactsindicatingthesame.    THATIherebyrepresentthatthesaidprincipalisnowalive;hasnot,atanytimerevokedorrepudiated R thesaidpowerofattorney;andthesaidpowerofattorneystillisinfullforceandeffect. m%   THATImakethisaffidavitforthepurposeofinducing______________________________to  acceptdeliveryoftheabovedescribedinstrument(s),asexecutedbymeinmycapacityofattorneyinfactofthe  saidprincipal,withthefullknowledgethattheabovenamedpartiesinacceptingtheexecutionanddeliveryof q theaforesaidinstrumentandinpayingagoodandvaluableconsiderationtherefor,willrelyuponthisaffidavit. D    p    x    (   __________________________________   Sworntobeforemeonthis________dayof ~ 6" __________________,20________ Q! # _________________________________________ "% (Signatureandofficeofindividualtakingaffidavit) # & 6%&  .[+1 Ї   # 6 AcknowledgmentbyaPersonWithinNewYorkState(RPL309a) H   StateofNewYork  ) [    p   )ss.: l$ Countyof p   ) 5 Onthe______dayof____________intheyear______beforeme,theundersigned,personally  H appeared_________________________,personallyknowntomeorprovedtomeonthebasis Y   ofsatisfactoryevidencetobetheindividual(s)whosename(s)is(are)subscribedtothewithin "   instrumentandacknowledgedtomethathe/she/theyexecutedthesameinhis/her/theircapacity(ies),    andthatbyhis/her/theirsignature(s)ontheinstrument,theindividual(s),orthepersonuponbehalfof  l  whichtheindividual(s)acted,executedtheinstrument. } 5  _______________________________________________ Y  (Signatureandofficeofindividualtakingacknowledgment) j" 6  # &%6  /+5 Ї  AcknowledgmentbyaPersonOutsideNewYorkState(RPL309b) H   ________________of_________________  ) y    p    x   )ss.: L Countyof___________________________  ) g Onthe______dayof_____________intheyear______beforeme,theundersigned,personally   appeared________________________,personallyknowntomeorprovedtomeonthebasis  k  ofsatisfactoryevidencetobetheindividual(s)whosename(s)is(are)subscribedtothewithin  >  instrumentandacknowledgedtomethathe/she/theyexecutedthesameinhis/her/theircapacity(ies), Y   andthatbyhis/her/theirsignature(s)ontheinstrument,theindividual(s),orthepersonuponbehalfof ,  whichtheindividual(s)acted,executedtheinstrumentandthatsuchindividual(s)madesuch   appearancebeforetheundersignedin________________________________.   _______________________________________________ K (Signatureandofficeofindividualtakingacknowledgment)  X/X%&#X/XXX/׹#