Nycers F203 Form PDF Details

Getting things in order can sometimes be complex, especially when it involves legal documentation that protects our assets and decisions. Among these essential documents, the NYCERS F203 form plays a crucial role for many individuals. This affidavit is specifically designed for people who have already granted someone the Power of Attorney more than a year ago, ensuring that this powerful legal instrument remains in effect. It's a declaration that must be presented to the New York City Employees' Retirement System (NYCERS), affirming that the Power of Attorney hasn't been revoked or terminated and that the principal – the person who granted the power – is still alive. This document assists in the smooth management of pension benefits, providing peace of mind not only to the principal but also to the authorized attorney-in-fact. Completing and submitting this form involves providing detailed pensioner information, including the last four digits of the Social Security Number, contact details, and the specific date the Power of Attorney was signed. Its importance cannot be overstated, as it safeguards the legal and financial interests of individuals, ensuring their wishes and decisions are respected and executed properly.

QuestionAnswer
Form NameNycers F203 Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesyou f203, enroll in direct deposit for nycers pension, nycers pension direct deposit, 203 power attorney

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NYCERS USE ONLY

F203

 

*203*

Affidavit That Power Of Attorney is in Full Force

This affidavit should be submitted by anyone with a Power of Attorney that was signed over one year ago. Should you have any questions regarding this affidavit, please contact our Legal Unit at (347)643-3510.

Pensioner Information

Pension Number

Last 4 Digits of SSN

Home Phone Number

( )

Work Phone Number

()

First Name

M.I.

Last Name

 

 

 

 

 

 

 

 

Address

 

 

 

Apt. Number

 

 

 

 

 

 

City

 

 

State

 

Zip Code

 

 

 

 

 

 

I, the undersigned, depose and say:

1.The Principal above did, in writing, appoint me as the Principal’s true and lawful ATTORNEY(S)-IN-FACT in the Power of Attorney dated ___________________________.

2.I have no actual knowledge or actual notice of revocation or termination of the Power of Attorney by death or otherwise, or knowledge of any facts indicating the same. I further represent that the Principal is alive, has not revoked or repudiated the Power of Attorney and the Power of Attorney still is in full force and effect.

3.I make this affidavit for the purpose of inducing NYCERS to accept delivery of this affidavit, as executed by me in my capacity as the ATTORNEY(S)-IN-FACT, with full knowledge that this affidavit will be relied upon in accepting the execution and delivery of the Power of Attorney and in paying good and valuable consideration therefor.

Signature of Power of Attorney-in-Fact

 

 

 

 

 

 

Date

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Print Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

This form must be acknowledged before a Notary Public or Commissioner of Deeds

 

 

 

 

 

 

 

 

 

 

 

 

 

 

State of

 

County of

 

 

On this

 

day of

 

 

 

2 0

 

, personally appeared

before me the above named,

 

 

 

 

 

 

, to me known, and known to

me to be the individual described in and who executed the foregoing instrument, and he or she acknowledged to me that he or she

executed the same, and that the statements contained therein are true.

If you have an official seal, affix it

Signature of Notary Public or

 

 

Commissioner of Deeds

 

 

 

 

 

 

 

 

Official Title

 

 

 

 

 

 

Expiration Date of Commission

 

 

 

 

 

 

 

 

R07/27/11

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