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( <br />( <br />Insurance and Annuities <br />Create or change a beneficiary designation <br />2O1 iOOi_0O <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 />( ) All Preceding Subjects <br />GRANT OF SPECIFIC AUTHORITY (OPTIONAL): <br />My agent MAY NOT do any of the following specific acts for me UNLESS I have <br />INITIALED the specific authority listed below: <br />( ) Create, amend, revoke, or terminate an inter vivos trust <br />( ) Make a gift, subject to the limitations of the Nebraska Uniform Power of <br />Attorney Act and any special instructions in this Power of Attorney <br />( ) Create or change rights of survivorship <br />( ) Delegate to another person to exercise the authority granted under this <br />Power of Attorney <br />