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201403980
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Last modified
10/29/2014 3:30:03 PM
Creation date
7/2/2014 8:39:29 AM
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DEEDS
Inst Number
201403980
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2O14O398O <br /> ((l) Stocks and Bonds <br /> (1:1)Commodities and Options <br /> (II✓ )Banks and Other Financial Institutions <br /> (II)Operation of Entity or Business <br /> (II)Insurance and Annuities <br /> (II) Estates,Trusts, and Other Beneficial Interests <br /> (D✓ ) Claims and Litigation <br /> (jf✓ )Personal and Family Maintenance <br /> (n)Benefits from Governmental Programs or Civil or Military Service <br /> (0)Retirement Plans <br /> El Taxes <br /> ( ✓ )All Preceding Subjects(includes all items listed above) <br /> GRANT OF SPECIFIC AUTHORITY(OPTIONAL) <br /> My agent MAY do any of the following specific acts for me IF I have CHECKED the specific <br /> authority listed below: <br /> (CAUTION: Granting any of the following will give your agent the authority to take actions that <br /> could significantly reduce your property or change how your property is distributed at your <br /> death. CHECK ONLY the specific authority you WANT to give your agent.) <br /> (M)Create, amend, revoke, or terminate an inter vivos trust <br /> (0)Make a gift, subject to the limitations of the Nebraska Uniform Power of Attorney <br /> Act and any special instructions in this power of attorney <br /> (J✓, Create or change rights of survivorship <br /> (0)Create or change a beneficiary designation <br /> (0)Delegate to another person to exercise the authority granted under this power of <br /> attorney <br /> (. ✓) Waive the principal's right to be a beneficiary of a joint and survivor annuity, <br /> including a survivor benefit under a retirement plan <br /> (Fa Exercise fiduciary powers that the principal has authority to delegate <br /> (j )Renounce or disclaim an interest in property, including a power of appointment <br /> Page 2 of 4 <br /> Power of Attorney,DC 6:12 PSC,Rev.08/12 §30-4041 <br />
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