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GRANT OF GENERAL AUTHORITY <br />201404287 <br />I grant my agent and any successor agent general authority to act for me with respect to the <br />following subjects as defined in the Nebraska Uniform Power of Attorney Act: <br />(INITIAL each subject you want to include In the agent's general authority. If you wish to grant <br />general authority over all of the subjects you may initial "All Preceding Subjects" instead of initialing <br />each subject.) <br />( ) Real Property <br />( -) Tangible Personal Property <br />( ) Stocks and Bonds <br />( ) Commodities and Options <br />( ) .Banks and Other Financial institutions <br />( ) Operation of Entity or Business <br />( ),Insuranceand- Annuities <br />( ) Estates, Trusts, and Other Beneficial Interests <br />( ) Claims and Litigation <br />( ) Personal and Family Maintenance <br />( ) Benefits from Governmental Programs or Civil or Military Service <br />( ) Retirement Plans <br />( ) Taxes <br />(� t ) All Preceding Subjects <br />GRANT OF SPECIFIC AUTHORITY (OPTIONAL) <br />My agent MAY NOT dow of the following specific acts for me UNLESS 1 have INITIALED the <br />specific authority listed below: <br />(CAUTION: Granting any of the following will give your agent the authority to take actions that could <br />significantly reduce your property or change how your property is distributed at your death. INITIAL <br />ONLY the specific authority you WANT to give your agent.) <br />( ) Create, amend, revoke, or tsrninate an inter vivos trust <br />(' "tt' ) Make a gift, subjectto%the =limitations of the Nebraska Uniform Power of Attorney Act and any <br />special instructions in this power of attorney <br />( C ) Create or change rights of survivorship <br />( :se ) Create or change a beneficiary designation <br />( ;)_Delegate to another person to exercise the authority granted under this power of attorney <br />( ) Waive the principal's right to be a beneficiary of a joint and survivor annuity, including a <br />benefit under a retirement plan <br />( s t )'Exercise fiduclarry powers that the principal has author yie delegate <br />) i e�nounce or disclaim an Interest In property, including a power of appointment <br />LIMITATION-ON-AGENTS AUTHORFFY <br />Except as otherwise authorized by the Power of Personal <br />NOT use my pro to benefit . e a it . _.= i- • I t• . � _ <br />, support unless l have included that aunt 'Authority: :. <br />In the S <br />and Family Maintenance, an agent MAY <br />gent.owes_ansabligatlon -of <br />instructions or the Grant of Specific <br />SPECIAL INSTRUCTIONS (OPTIONAL) <br />You may give special instructions on the following lines: <br />