HomeMy WebLinkAbout08-09-13 (2) ` � THE U�JDERSIGNED,AN A7"TdRNEY DLJLY
AD�}ITTED �'0 �Fif,CTIC� I�I THE
COURTS GF N�W YORK CERTlF{ES THAT
NE HAS CaMPRRED THIS C{}PY WlTH
'ME EiIGINAL ANp FI{VDS IT TO BE A
�"RU Q C PLEt`E GO .
,!�; New York 5tate Bar Association ,. ` ;� .,•: ;:;
�¢.� ;�.' __._"'.:z»
Statuiory Shark Form Durabie Pawer af Attomey,7l28109 � ;
Power �f Attorney New York Statu#ory Short Form
{1) CAUTIQN TO THE P1tINCIPAL: Y�UR POWER QF ATTOItNEY IS AN IMPORTANT
DOCUMENT. AS THE "PRINCIFAL," YOU GIVE THE PERSON WHOM YOU CHOOSE (YOUR
"AGENT"} AUTHORITY TQ SPEND YdUR MONEY AND SELL t?R DISPOSE OF YOUIt PRQPERTY
DURING YOUR LIFETIME WITHCfUT TELLING YOU. YOU DO NOT LOSE YOUR AUTHORITY TO
ACT EVEN THQUGH YOU HAVE GIVEN YOUR AGENT SIMILAR AUTHQRITY.
WHEN YOUR AGENT EXERCISES THIS AUTHORITY, HE OR SHE MUST ACT A�CORDING
TC3 ANX INSTRUG'�'�ONS YOU HAVE PR(3VIDED OR, WHERE THERE ARF. N�1 SPBCIFIC
INS�'RUCTIONS� IN XOUR BEST INTERBST. ��IMPORTANT INFCIRMATION FOR THE A�GEIVT" AT
THE ENU OF THIS DOCUMENT DESCRIBES Yt�UR AGENT'S RESPONSTBILTTIES.
Yt}UR AGENT CAN ACT flN YQUR BEHALF CJNLY AFTER SIGNIN� THE POWER OF
ATTORNBY BEFORE A NOTARY PUBLIC.
YfJU CAN REQUEST INFORMATION FROM YOUR AGENT AT AP�TY TIi'<<iB.I F YC�U ARE
REVOKING A PRIOR POWER OF ATTfJRNEY BY E?CECUTING TEIIS POWER OF ATTORNEY, YOU
SHtJULD PROVIDE WRITTEN NQTICE t7F THE REVC3CATION TtJ YOUR PRItJR AGEIriT{S}A1�TD TO
THE FINANCIAL IN5TITUTIONS WHERE YOUR AC�CIUNTS ARE LOCATED.
YOU CAN REVOKE OR TERMINATE YOUR POWER OF ATTORNEY AT ANY'TLMF FOR ANY
REASON AS LQNG AS YflU ARE C7F St)UND MIND.IF YOU ARE N�LUNGER{}F SC}UNt7�MIND,A
COURT CAN REMOVE AN AGENT FOR ACTING IMFROPERLY.
YOUR AGENT CANIVOT MAKE HEALTH CARE DECISIC►NS FOR YOU.Y�LT MAY EXECUTE
A"HEALTH CAILE PIZOXY"TO I70 THIS.
THE LAW GCIVERNIIVG POWERS OF ATTORNEY IS CONTAINEU IN THE NEW YCJRK
�ENERAL�BLIGATIQNS LAW,A RTICLE 5,T ITLE 15.T HIS LAW IS AVAIi ABLE AT A LAW
LIBRARY� OR C1IVLINE THROUGH THE NEW YORK STATE SENATB OR ASSEMBLY WEBSITES,
WWW.SENATE.STATB.NY.US OR WWW.ASSEMBLY.STATE.NY.UB.
I# there is anything about this docurnen# that you do not understand, you should ask a
lawyer of yaur own choosing to explain it ta you. ,
{b} DESIGNATION t?F AGENT{S}:
I,ET,IZABETH K. STANTON, residing at 247 I'ennsylvania Avenue,Trurnansbure,
NY 1488b,hEreby appoint:
[r�ame and address of principal]
JOHN D. STANTQN, residin� at 111 Pinewaad Place, Ithaca, NY 14850,
TANET S. STANTC7N, residing at 7934 White Mountain Lake Road, Show Low,AZ
85902, and
SARA E, STANTt}N,residing at 300 Indian Creek Drive.Mechanicsbur�LPA 17055,
as my agent(s).
[name{s) and address{es}of agent(s}]
�
IP YOD UESIGNATE MORE THAN ONE AGENT ABOVE,THEY MUST ACT TOGETHBR UNLESS YOU
INITIAL THE STATEMENT BELOW.
{��.s}NIy agents nnay act SEPAR.ATELY.
(c) DESIGNATION(JF SUCCESSOR AGENT(S): (OPTIONAL)
If every agent designated above is unable or unwiiling to serve, I appoint as rny
successar agent{s}:
[name(s) and address(es} of successor agent(s}j
Successor agents designated above must act together unless you initial the statement
below.
( )My successor agents rnay act SEPARATELY.
(d) This PCJWER OF ATT(JRNEY shall not be affected by my subsequent incapa�city
ur�less I have stated otherwise below,under"Ivlodifications",
{e) This P(JWER OF ATTORNEY REVOIGES any and all prior Powers of Attorney
executed by me unless T have stated otherwise below,urtder"Modifications".
IF YOU AItE NOT REVOKING YOUIi FRItJR Pt?WERS OF ATTClRNE'Y, APJD IF YOU ARE
GRANTING THE SAME AUTHORTTY IN TWO OR MORE POWERS OF ATTORNEY, YOU MUST
ALSQ INDICATE UNUER "MODIFICATIQNS" WHETHER THE AGENTS GIVEN THESE POWERS
ARE TO ACT TOGETHER OR SEPARATELY.
(f} GRANT QF AUTHOPITY:
T{) GRANT YC?UR AGENT SOME QR ALL OF THE AVTHC}1tITY BEL�W, EITHER {1} INTTIAL THE
BRACKET AT EACH AUTHORITY YOU GRANT, OR (2) WRITE OR TYPE THE LET'I'ERS FOR EACH
AUTHORITY YQU GRANT C}N THE BLANK LINE AT' {P), AND INITIAL THE $RACKET AT {P}. IF
YOU INITIAL(P),YOU DO NOT NEED TO INITIAL THE OTHER LINES.
I grant autharity to my agent(s} with respect to the following subjects as defined in
sections 5-15Q2A thraugh 5-1502N af the New York General Obligakions Law:
( ) (A) real estate transactions;
{ } (B} chattel and goods transactions;
( ) (C) bond, share,and cocnmodity transactians;
{ ) (D} banking transactions;
( ) (E) business operating transactions;
{ } {F} insurance transactions;
( ) (G) estate transactions;
{ ) {H} clairrr�s artd litigation;
( ) (I) personal and family maintenance;
{ } {j} benefits fram gavernmental programs or civil c�r military service;
( ) (K) health care billing and payrnent matters; records, reparts, and
statements;
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( ) (L,) retirement benefit transactions;
( ) {M} tax matters;
( ) (N) all okher matters;
{ } (O} full and unqualified authority ta my agent{s) to delegate any or all
of the foregaing powers to any persan or persans whom rny
agent{s}select;
�S) (P) EACH of the matters identified by the follawing letters
A,B,C,D, E,F,G,H,I,�.K,L,M,lrland0.
Yau need not initial the other lines if you initial line{P},
(�} MC}DIFICATIOI`�TS: (OPTIC►NAL}
IN THIS SECTI�N,X{}U MAY MAKE AL}DITIOlVAL PROVTSIONS,INCLUDING LANGUAGE
TQ LIMIT OR SUPPLEMENT AUTHORITY GRANTED TO YOUIt AGENT.HOWEVER,YOU CANNOT
USE THIS M{)DIFICATIONS SECTION 'T� GRANT YOUR AGENT AUTHORITY fit} MAKE MAjOR
GIFTS OR CHANGES TO INTERESTS IN YOUR PROI'ERTY.IF YOU WISH TO GRANT YOUIi AGENT
SUCH AUTHQRITY,YOU MUST COMPLETE THE STATUTORY MATUR GIFTS RIDER.
1. PRIC7R POWER OF ATTlJRNEY. ALTHOUGH T'HIS UOCUMENT REVOKES
ALL POWERS ClF ATTORNEY I HAVE PREVI4USLY EXECUTED, THIS L)OCUMENT SF-IALL i'+TOT
REVOKE ANY POWER OF ATTORNEY PREVIOUSLY EXECUTED BX ME FOR A SPECIFIC OR
LIMITED PURP4SE UNLESS I HAVE SPECIFIED t�THERWISE I-IEREIN. I T ALSO SHALL NOT
REVOKE A1VY POWER QF ATTQRNEY BXECUTED AS PART OP A CfJNTiiACT I SIGNELI OR FOIt
THE MANAGEMENT OF A1�tY BANK C3R SECURITIES ACCOUNT OR ANY PdWER QF ATTORNEY
FGIt ANY STATE OF FEDBRAL TAXING AUTHORITY OR AGENCY, IN ORDER TO REVOKE A
PRIOR P(JWER OF ATTORNEY FOR A SPECIFIC OR LIMITBLI PURPOSE. I WILL EXECUTE A
REV�CATION SPECIPICALLY REFERRING TO THE POWER TO BE REVC?KEL7.
2. WHENEVER TWO OR MORE POWERS OF ATTORNEY ARE VALIU AT THE SAME
TIME THE AGENTS APPC}INTED ON EACH SHALL ACT SEPARATELY, UItiTLESS SPECIFIED
DIFFERENTLY IN THE DOCUMENTS.
3. THIS POWER OF ATTORNEY SHALL Nt)T BE REVGIKED BY ANY StT�SEQUENT
P{7WER QF ATTORNEY I MAY EXECUTE, UNLESS SUCH SUBSEQLJENT PC?WER SPBCIFICALLY
PRdVIDES THAT IT REVOKES THIS FCIWER C1F ATTORNEY BY REFEItItING TO THE DATE GlF MY
EXECUTIQN OF THI$DOCUMENT.
�. ESTATE TRANSACTION. THE TERM "ESTATE TRANSACTIONS�' IN (G)
ABC3VE SHALL INCLUDE, WIT�IQUT LIMITATION, EXECUTING A DISCLAIMER ON MY BEHALF
WITH RESPECT TO ANY PROPERTY PAYABLE TO ME,EITHER OUTRIGHT OR IN TRUST,BY GIFT,
BEOUEST, OPERATI{�N UF LAW 4R C}'THERWISE TO MINIMIZE MY ESTATE TAXES OR 'FO
FACILITATE MY ESTATE PLANNING OBTECTIVES AS DETERMINED BY MY AGENT.
5. LIFETIME TRUST. THIS POWER OF ATT�RNEY AUTHC3RIZES MY AGENT TO
CREATE A TRUST OR TRU5TS IN MY BEHALF,TO FINANCE ANY SUCH TRUST,AND TU REVQKE
OTi MODIF'Y ANY SUCH TRUST (TF SUCH TRUST PERMITS SUCH ACTS BY ME) SUBTEC'T TO THE
LIMITATIQNS HEREIN.IF AND WHEN MX AGENT CREATES,REVOKES OR MODIFIES ANY SUCH
TRUST MY AGENT SHALL NOT HAVE ANY POWER TO CHANGE THE AMOUNT (OR
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PERCENTAGE) OF ANY LEGACY PASSTNG TO A BENEFICIARY UNDER MY THEN CURRENT WILL
OR ANY C�DICIL THERETC} OR UNDER ANY TRUST AGREEMENT THIN IN EFFECT IN WHICH I
AM A GRANTdR.
{h} MAJQR GIFTS AND C}T'HEIZ T'RANSFERS: STATUTQRY MAJC}R GIFTS RIL3ER
(CIPTIONAL)
IN ORDER TO AUTHOItIZE YOUR AGENT TC1 MAKE MAJOR GYFTS AND C7THER TRANSFEAS OF
YOUR PRQPERTY, YOU MUST INITIAL THE STATEMENT BEL{�W AND EXECUTE A S'TATVFORY
MAJOR GIFTS RIDER AT THE SAME TTME AS THIS INSTRUMEIV'T.INITIALING THE S"TATEMENT
BEL{}W BY ITSELF DUES N{3T AUTHORIZE YOUR AGENT T4 MAKE MAJUR GiFTS AND OTHER
TRANSPERS. THE PREPA1tATION OP THE STATUTORY MAJOR GIFTS RIDER SHOULU BE
SUPERVISED BY A LAWYER.
(���5) (SMGR) I grant rny agent autharity to make major gifts and other transfexs of
my property, in accordance with the terms and condi�ians of the Sfiatutory Major Gifts
Rider that supplements this Power of Attorney.
(i) DESIGNATION OF MONITOR(S): (OPTIONAL)
I wish to designate
whose address(es}is (are) as
monitar(s}.
LTpon the request af the monitor�s}, my agent{s} must pravide the mcrnitar{s� with a
capy of the Power of Attorney and a record of all transactions done or made on my
behalf. Third parties holding records of such transactions shali provide the records to
the monitor(s) upan request.
(j) COMPENSATICIN OF AGENT(S}: (OPTIONAL}
Ypur agent is entitled to be reirnbursed frorn your assets far reasanable expenses
incurred on your behalf. If you ALSO wish yaur agent(s) to be cornpensated from your
assets fr�r services rendered on your behalf, initial the statement below. If yau wish to
define "reasonable compensaHon",you may do so above,under "Modifications".
( } My agent(s)shall be entitled to reasonable compensation for services rendered.
{k} ACCEPTANCE BY THIRD PARTIES: I agree to indemnify the third party for any
claims that may arise against the third party because of reliance on this Power of
Attarney. I understand that any terminatian of this Power of Attorney, whether the
result of my revocation of the Power of Attorney ar otherwise, is not effective as to a
third party untii the third party has actual notice or knowledge of the termination.
{1} TERMIi'�IATION: This Power of Attorney cantinues until I revake it or it is
terrninated by my death or other event described in sectian 5-1511 of the General
Obligations Law.
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Section 5-1511 of the General Obligations Law describes the m.anner in which you rnay
revoke your Power af Attorney,and the events which terrninate the Power of Attorney.
(m} SIGNATURE AND ACKNOWLEL7GMENT:
In Wiiness Whereof I have hereunta signed mq name on j� �� � 2009,
PRINCIPAL signs here: �� '�l ����
ELI ABETH K. STANTON
STATE C?F hTE�T Y(�RK }
} ss,.
CC7UNTY�F TOMPKINS )
On the�day of �c:2�,�.6�- ,in the year 2�09,before me, the undersigned,a
Nakary Public in and far said state, personally appeared ELIZABETH IC. STANTQN,
personally known ta me or proved ta me on the basis of satisfactory evidence to be the
person whose name is subscribed to the within instrument and acknowledged ta rne
that she executed the same in her capacity,and that by her signature on the instrument,
the person or the entity upon behalf of which the person acted,executed#he instrument.
. ;
`��
Natary Public
dt�te X.C?Ilver
Nat�ry pubtiC�State of New Yo�fic
Ouafified(r+Tompktns Co. No.o10L6160��i
Commission�cpires Feb. 12,20�
5
(n) IMPORTANT INFORMATION PC7R THE AGENT:
tNhen you accept the autharity granted under this Power af Attorney, a special legal
relatic�nship is created between you and the principal. This relationship imposes on you
tegal responsibilities that continue until you resign or the Power of Attorney is
terrninated c�r revoked. You rnust:
(1) act according to any instructions frorn the principal, or, where there are no
instructions,in the principal's best interest;
{2} avoid conflicts that wouid impair yaur ability to act in the principal's best
interest;
(3} keep the principal's property separate and distinct fram any assets you own or
cantrol, unless otherwise perrnitted by law;
(4) keep a record ar all receipts, payments, and transactions conducted for the
principal;and
(5) disclose your identity as an agent whenever you act far the principal by writing
ar printing the principal's name and signing your own name as "agent" in either
of the following rnanner: (Principal's Name) by (Your Signature) as Agenk, or
(your signature} as Agent far(Principal's Name).
You may nat use fhe principal's assets to benefit yaurself or give major gifts to yourself
or anyone else unless the principal has specifically granted you that authority in this
Power af Attorney ar in a Statutory Major Gifts Rider attached to this Power of
Attorney. If you have that authority, you must act according to any instructions of the
principal or, where there are r►o such instructions, in the principal's best interest. You
may resign by giving written notice ta the principal and to any co-agent, successor
agent, manitor if one has been named in this document, or the principal's guardian if
one has been appointed. If there is anpthing about this document or your
respansibilities that you do not understand,you should seek legal advice.
Liability of agent:
The meaning of the authority given to yau is defined in New Yark`s General
Ubligations Law,Article 5,Title 15. If it is found tha�yau have violated the 1aw ar acted
outside the authority granted to yau in the Power af Attorney, you rnay be liable under
the law for your violatiQn.
(a) AGENT'S SIGNATURE AND ACKNC7WLEDGMENT OF APPOINTMENT: Tt is not
r�quired that the principal and the agent(s} sign at the same time, nar that muitiple
agents sign at the sarne time.
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I, JOHN D. STANTON, have read the foregoing Power of Attorney. I arn the person
identified therein as agent for the principai named therein.
I acknowledge my legal responsibilities.
�
Agent(s)sign(s)here:
JUHN D. STANTC}N
STATE OF NEW YORK )
�S5..
CUUN'TY flF TQMPKINS }
Qn the 18�� day of �r��,l�r , in the year o'�'9 , befare rne, the
undersigned, a Natary Public in and for said statie, personally appeared JOHN D.
STANTtJN, persanally known fa me or proved to rne on the basis of satisfactory
evidence to be the person whose name is subscribed to the within instrurnent and
acknowledged to me that she executed the same in her capaciky, and that by her
signature on the instrurnent, the person or the entity upon behalf af which the person
acted, e ed the instrument.
� ' .
Notary Public
Julie A,Olive�l
Notary Public,State ot NewYorlc
Clualf�ied tn Tampkins Co.No.0tOL61�797`
�Commission Expires Feb.12,20,,1�.
7
I, JANET S. STANTON, 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.
A,gent(s} sign(s)here: Gt�
JANET S. STANTtJN
�� ���
STATE C7F��z6�'�A )
COUNTY OF TU�'l(��'t11�S } ss.:
2p�i
On #he 3l day of in the year�889 before me, the undersigned,
ersonall a eared JANE��T��ANTtJN, ersonall known to rne or roved to me
P Y PP P Y P
on the basis of satisfactory evidence to be the individual whose name is subscribed ta
the within instrument and acknowledged to me that she executed the same in her
capacity, and that by her signature on #he instrument, the individual, or the person
upon behalf of which the individual acted, executed the instrument, and that such
individual made such appearance befare the undersigned in the
Ac t� `��l�-k- (insert the city or other political subdivision and the
sta e r cauntry or other place the acknawledgment�srvas taken}.
ROBERT J. NOLDSWOR7H,JR.
Notasy Pubiic State af New York
N ARY PUBLIC No•4755155
pualified in Tomp kms County
Commission Expires January 34.20
Qualified in �r'�{��� 0''�� County
My�ommission Expires �t � ���
8
I, SARA E. STANTON, have read the foregoing Power of Attorney. I am khe person
identified therein as agent for the principal named therein.
I acknowledge my legal responsihilities.
Agent(s) sign(s) here: ,��LJtct- �i. ����
SARA E. STANTQN
��7� a Fr At�� Yu�
cr-��,r�Rn�n n rc�n r rru n�r��r Tr.TCVr v e r.TT e �
CC7UNTYOF IZIMQK��`1` ) ss.:
I-��l
Qn the �(}�Iday of !kll�'`�'�1 in the year�899 before rne, the undersigned,
personally appeared SARA E. STANTQN,personally known to me or praved to me on
the basis af satisfactory evidence to be the individual whose name is subscribed to the
within instrument and acknowledged ta rne that she executed the same in hex capacity,
and that by her signature on the instrument, the individual, or the person upon taehalf
of which the individual acted, executed the instrurnent, and khat such individual made
such appearance befc�re the undersigned in l�e t�'�iA� .Ut:t� V{•'� {insert
the city or other political subdivision and the state or cauntry or ather place the
ae wledgment was taken).
R08ERT J. NC3LDSWORTN,JR.
N fI'ARY ' LIC NotarY Pub��c State of New York
No. 4755159 �
Oualitied in Tom�kins County
Gommission Facpires�anuary 31.20��
Qualified in � L'M„�1.jt!V� County
My Commission Expires �` 3r �'�t
2008 N.Y.Laws ch.644,§19,5-1513;�009 N.Y.Laws ch.4(arnending effective date from March 1,2009 to
September 1,2004).
S:\EPtAN15TANTONIELIZABETFt1STATUi'ORY SHt}RT FOt2M POA E�IZABET#i 12012449.Dt}C
�
THE UNDEASiGNED,AN ATl"(JRNEY bULY
, . • ADMITTED T� PR#�GTIC� I� TF►E
CI�URTS OF N�W YORK CER1'IFlES `TF�AT
HE HAS Ct?MPAR�D THlS G4PY WITH
THE ORi AL AND FINt3S f't TQ BE A
r New Yark State Bar Associa#ion �luE AN OMPL C�PY. n
t11t1 ..
"""'" Statutory Short Forrn Power of Attorney,Major Gifts Rider Authorization,712$/09. , .�w;=
Power of Attorney New York S�atutory
Authorization ta Make Major Gifts or Other Transfers
CALTTION TO THE PRINCIPAL: THIS OPTIONAL RIDER ALLOWS YUU TC► AUTHORIZE
YOUR AGENT TO MAKE MAJ�R GIFTS �R OTHER TRANSFERS QF YpUR MONEY OR OTHER
PROPERTY DUIZING YC?UR LTFE'TIM E. G RANTING ANY OF THE FOLLfJWING AUTHOItITY TC?
YOUR AGENT GIVES YOUR AGENT THE AUTHORITY Tp TAKE ACTIONS WHICH COULD
SIGNIFICANTLY REDUCE YC}UR PROPERTY(7R CHANGE HOW YOUR PRt7PERTY IS DTSTRIBUTED
AT XOUR DEATH. "MAJOR GIFTS OR OTHER TRANSFERS"ARE DESCRIBED IN SECTION 5-1514
OF THE GENERAL OBLIGATIQNS LAW. THIS MAJOR GIFTS RIDER DC?ES NC}T ItEQUIRE YOUR
AGENT TO EXERCISE GRANTED AUTHORITY, BUT WHEN HE OR SHE EXERCISES THIS
AUTH(�RITY, HE QR SHE MUST ACT ACCORDING T� ANY INSTRUCTI{�NS YUU PR{}VIDE, {�R
OTHERWISE IN YOUR BEST INTEREST.
THIS MAJOR GIFTS RTDER AND THE POWER OF ATTORNEY IT SUPPLEMENTS MUST BE READ
TOGETHER AS A SINGLE INSTRUMENT.
BEFORE SIGNING THIS DOCUMENT AUTHORIZING YOUR AGENT TO MAKE MAJOR GIFTS ANL7
fJTHER TRANSFERS, Y(JU SHOULI} SEEK LEGAL ADVICE TO ENSURE THAT YOUR INTENTIC3NS
ARE CLEARLY Al'dD PIZOPERLY EXFRESSED.
(a) GRANT OF LIMITED AUTHORITY TC7 MAKE GIFTS
GRANTING GIPTTNG AUTHORITY TO YOUR AGENT GIVES YOUR AGENT THE AUTHORITY TC7
TAKE ACTIC}NS W�IICH CC7ULD STGNIFICANTLY REDUCE YC?UR PROPERTY. IP XtJU WISH TC?.
ALLOW YQUR AGENT TO MAKE GIFTS TCl HIMSELF OR HERSELF, YC7U MUST SEPARATELY
GRANT THAT AUTHORITY IN SUBDIVISION (C} BELOW.
TO GRANT YOUR AGENT THE GIFTING AUTHORITY PROVILIED BELOW, INITIAL THE BRACKET
TO THE LEFT OF THE AUTHCIRITY.
(���;� I grant authority to my agent tc� make gifts to rrty spouse, children and more
remate descendants, not to exceed, for each donee, the annual federal gift tax exclusian
amount pursuant to the Internal Revenue Code. Far gifts to my chiZdren and mare
remate descendants, the rnaximum amount of the gift to each danee shall not exceed
twice the gift tax exc�usion amount, if my spouse agrees ta split gift treatment pursuant
to the Internal Revenue C�de. This authority must be exercised pursuant to my
instructions, or otherwise for purposes which the agent reasonably deems to be in rny
best interest.
(b) MODIFICATIONS:
USE THIS SECTION IF YOU WISH TO AUTHORIZE GIFTS IN EXCESS OP THE ABOVE AM(7UNT,
GIFTS TO QTHER BENEFICIARIES OR C?THER TYPES OF TRANSFERS. GRAhTTING SUCH
AUTHORITY TO YOUR AGENT GIVES YOUR AGENT THE AUTHORITY TO TAKE ACTIONS WHICH
1
COULD SIGNIFICANTLY REDUCE YOUR PROPERTY AND/OR CHANGE HOW YOUR PROPERTY IS
DISTRIBUTED AT YOUR DEATH.IF YOU WISH TO AUTHORIZE YOUR AGENT TO MAKE GIFTS OR
TRANSFERS TO HIMSELF OR HERSELF, YOU MUST SEPARATELY GRANT THAT AUTHOIZITY IN
SUBDIVISION (C) BELOW.
(��� I grant the following authority to my agent to make gifts or transfers pursuant to
my instructions, or otherwise for purposes which the agent reasonably deems to be in
my best interest:
1. ANY GIFT OF MY PROPERTY MAY BE TRANSFERRED IN CASH OR IN
KIND AND MAY PASS OUTRIGHT TO THE RECIPIENT OR MAY BE
TRANSFERRED TO A CUSTODIAN APPROVED BY MY AGENT UNDER THE
UNIFORM TRANSFER TO MINORS ACT WHICH MAY BE ESTABLISHED BY MY
AGENT.
2. ANY GIFT MADE OF MY PROPERTY MAY BE TRANSFERRED TO A TRUST
FOR THE BENEFIT OF THE RECIPIENT. SUCH TRUST MAY BE AN EXISTING
TRUST OR A TRUST WHICH CAN BE CREATED BY MY AGENT FOR THE
BENEFIT OF THE RECIPIENT.
3. IN MAKING GIFTS OF MY PROPERTY, MY "BEST INTEREST" SHALL
INCLUDE GIFTS WHICH WOULD BE LIKELY TO CAUSE A REDUCTION IN
ESTATE TAX DUE OR WHICH WOULD CARRY OUT A PLAN FOR THE
PROTECTION OF MY ASSETS AGAINST THE COSTS OF NURSING HOME
CARE IN THE FORESEEABLE FUTURE.
4. MY AGENT MAY TRANSFER ANY PROPERTY, REAL, PERSONAL, OR
MIXED AND WHEREVER SITUATED TO A TRUST CREATED FOR MY LIFETIME
BENEFIT; PROVIDED, THAT IF MY AGENT CREATES ANY SUCH TRUST, MY
AGENT SHALL NOT HAVE ANY POWER TO CHANGE THE AMOUNT (OR
PERCENTAGE) OF ANY LEGACY PASSING TO A BENEFICIARY UNDER MY
THEN CURRENT WILL OR ANY CODICIL THERETO OR UNDER ANY TRUST
AGREEMENT THEN IN EFFECT IN WHICH I AM A GRANTOR.
5. SEE PARAGRAPHS (c) 6 AND 7 BELOW.
(c) GRANT OF SPECIFIC AUTHORITY FOR AN AGENT TO MAKE MAJOR GIFTS OR
OTHER TRANSFERS TO HIMSELF OR HERSELF: (OPTIONAL)
IF YOU WISH TO AUTHORIZE YOUR AGENT TO MAKE GIFTS OR TRANSFERS TO HIMSELF OR
HERSELF, YOU MUST GRANT THAT AUTHORITY IN THIS SECTION, INDICATING TO WHICH
AGENT(S)THE AUTHORIZATION IS GRANTED,AND ANY LIMITATIONS AND GUIDELINES.
(��s) I grant specific authority for the following agent(s) to make the following major
gifts or other transfers to herself or himself:
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6. EXCEPT AS OTHERWISE AUTHORIZED IN PARAGRAPH (c) 7 BELOW, I
AUTHORIZE EITHER OF MY AGENTS TO MAKE GIFTS TO THEMSELVES NOT
TO EXCEED THE ANNUAL FEDERAL GIFT TAX EXCLUSION AMOUNT
PURSUANT TO THE INTERNAL REVENUE CODE THEN IN EFFECT;
PROVIDED WHEN A CHILD OF MINE ACTS AS AGENT HEREUNDER THE
AGENT/CHILD SHALL BE PROHIBITED FROM MAKING ANY GIFT TO
HIMSELF OR HERSELF THAT EXCEEDS THE LEAST AMOUNT WHICH IS
GIFTED TO A SIBLING OF THE AGENT OR TO THE DESCENDANTS
COLLECTIVELY, OF ANY DECEASED SIBLING.
7. I SPECIFICALLY AUTHORIZE ALL OF MY AGENTS, ACTING JOINTLY,
TO TRANSFER AS A GIFT TO THEMSELVES EITHER AS TENANTS IN
COMMON OR AS TOINT TENANTS WITH RIGHT OF SURVIVORSHIP, A
REMAINDER INTEREST IN MY REAL PROPERTY LOCATED AT 247
PENNSYLVANIA AVENUE VILLAGE OF TRUMANSBURG TOMPKINS
COUNTY NEW YORK WHICH IS CURRENTLY IDENTIFIED BY THE
TOMPKINS COUNTY REAL PROPERTY TAX ASSESSOR AS TAX PARCEL
NUMBER 9.-2-1-18, TOGETHER WITH ANY IMPROVEMENTS THEREON;
PROVIDED THAT ANY SUCH TRANSFER RETAINS A LIFE ESTATE IN SAID
PROPERTY FOR ME. TO EFFECTUATE ANY SUCH TRANSFER, MY AGENTS
ARE AUTHORIZED TO EXECUTE A DEED OR OTHER INSTRUMENT
REQUIRED TO TRANSFER SAID REMAIDER INTEREST AND RECORD ANY
DOCUMENTS IN ANY GOVERNMENTAL OFFICE, DEPARTMENT OR AGENCY.
MY AGENTS' SIGNATURES ON ANY SUCH DOCUMENT SHALL BE
CONCLUSIVE PROOF OF THE VALID AND AUTHORIZED EXERCISE OF THE
POWER GRANTED BY THIS INSTRUMENT.
This authority must be exercised pursuant to my instructions, or otherwise for purposes
which the agent reasonably deems to be in my best interest.
(d) ACCEPTANCE BY THIRD PARTIES: I agree to indemnify the third party for any
claims that may arise against the third party because of reliance on this Major Gifts
Rider.
(e) SIGNATURE OF PRINCIPAL AND ACKNOWLEDGMENT:
In Witness Whereof I have hereunto signed my name on �� 2009.
PRINCIPAL signs here:
����-r� � ����
ELIZABETH K. STANTON
3
STATE OF NEW YORK )
) ss.:
COUNTY OF TOMPKINS )
On the (� day of December, in the year 2009, before me, the undersigned, a
Notary Public in and for said state, personally appeared ELIZABETH K. STANTON,
personally known to me or proved to me on the basis of satisfactory evidence to be the
person whose name is subscribed to the within instrument and acknowledged to me
that she executed the same in her capacity, and that by her signature on the instrument,
the per r the entity upon behalf of which the person acted, executed the instrument.
,111-�1
[Notary Public]
dulie A. Oliver
Notary Public, State of New York
Quafified in Tompkins Co.No.01 OL6160�97
Commission Expires Feb. 12, 201L
4
. ,
(f) SIGNATURES OF WITNESSES:
By signing as a witness, I acknowledge that the principal signed the Major Gifts Rider in
my presence and the presence of the other witness, or that the principal acknowledged
to me that the 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 Major Gifts Rider reflects his or
her wishes and that he or she has signed it voluntarily. I am not named herein as a
permissible recipient of major gifts.
� � / .
/�
Signature of witness 1 Si ture of witness 2
�°��gl�� ao.c��,l�r- I s, aoo`i
Date Date
�/���2,�¢ � ��-,/�S�`.'�a� -S���e R. �I,�e,�
Print Name Print Name
ao° CA��� �-%s- �.�- �5 c�.��, s-�-��+-
Address Address
L,7�r�� �1/ /`��5d M�.l.�o,r,. t�y 13I��
City, State, Zip co e City, State, Zip code
(g) This document prepared by:
HOL SWORTH LAW OFFICE
Robe t J. Holdsworth,Jr., Esq, of counsel
i
2008 N.Y. Laws ch. 644,� 19,5-1514;2009 N.Y. Laws ch.4 (amending eEfective date from March 1,2009 to
September 1,2009).
S:\EPLAN\STANTON\ELIZABETH\MAJOR GIFTS RIDER ELIZABETH 123012009.DOC
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