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201502397
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Last modified
4/22/2015 10:17:49 AM
Creation date
4/17/2015 4:45:32 PM
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DEEDS
Inst Number
201502397
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( ) 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 />( ) Create or change a beneficiary designation <br />( ) Delegate to another person to exercise the authority granted under this <br />power of attorney <br />( ) Waive the principal's right to be a beneficiary of a joint and survivor <br />annuity, including a survivor benefit under a retirement plan <br />( ) Exercise fiduciary powers that the principal has authority to delegate <br />( ) Renounce or disclaim an interest in property, including a power of <br />appointment <br />LIMITATION ON AGENT'S AUTHORITY <br />201502397 <br />Except as otherwise authorized by the Power of Personal and Family <br />Maintenance, an agent MAY NOT use my property to benefit the agent or a person to <br />whom the agent owes an obligation of support unless I have included that authority in <br />the Special Instructions or the Grant of Specific Authority. <br />SPECIAL INSTRUCTIONS (OPTIONAL) <br />You may give special instructions on the following lines: <br />All other previous Durable Power of Attorneys are hereby revoked. <br />EFFECTIVE DATE <br />This power of attorney is effective immediately unless I have stated otherwise in <br />the Special Instructions. <br />NOMINATION OF [CONSERVATOR OR GUARDIAN] (OPTIONAL) <br />If it becomes necessary for a court to appoint a [conservator or guardian] of my <br />estate or [guardian] of my person, I nominate the following person(s) for appointment: <br />Name of Nominee for [conservator or guardian] of my estate: Norma Juarez <br />Nominee's Address: 200 2 Avenue, Hampton IL 61256 <br />Nominee's Telephone Number: (308) 379 -9705 <br />Name of Nominee for [guardian] of my person: Norma Juarez <br />Nominee's Address: 200 2 Avenue, Hampton, IL 61256 <br />Nominee's Telephone Number: (308) 379 -9705 <br />
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