[§551E‑52] Agent's certification. The following optional form may be used by an agent to certify facts concerning a power of attorney.
AGENT'S CERTIFICATION AS TO THE VALIDITY OF POWER OF ATTORNEY AND AGENT'S AUTHORITY
State of ___________________________________________
County of _________________________________
I,_______________________________ (Name of Agent), certify under penalty of perjury that
_____________________________________ (Name of Principal)
granted me authority as an agent or successor agent in a power of attorney dated_______________________ .
I further certify that to my knowledge:
SIGNATURE AND ACKNOWLEDGMENT
_________________________________ __________________
This document was acknowledged before me on
________________________________ ,
(Date)
by______________________________________.
(Name of Agent)
_________________________________ (Seal, if any)
Signature of Notary
My commission expires: _________________________
This document prepared by:
_________________________________________________________
[L 2014, c 22, pt of §1]