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201508495 <br />1 9P/ 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 />(CAUTION: Granting any of the following will give your agent the authority to take <br />actions that could significantly reduce your property or change how your property is distributed <br />at your death. INITIAL ONLY the specific authority you WANT to give your agent.) <br />Cre. -, amend, revoke, or terminate an inter vivos trust <br />Make . • ubject to the limitations of the Nebraska U • : Power of Attorney <br />Act and any specia ' I structions in this power of • • . ey <br />Create or change rights o survivorship <br />Create or change a benefici • de ation ( ) I / / <br />Delegate to another person : ex ise the authority granted un er th s power of <br />attorney <br />Waive the princ s right to be a benefici a joint and survivor annuity, <br />including s Ivor benefit under a retirement pla <br />Exerci fiduciary powers that the principal has authorit • delegate <br />Re ' ounce or disclaim an interest in property, including a po of appointment <br />LIMITATION ON AGENT'S AUTHORITY <br />Except as otherwise authorized by the Power of Personal and Family Maintenance, an <br />agent MAY NOT use my property to benefit the agent or a person to whom the agent owes an <br />obligation of support unless I have included that authority in the Special Instructions or the Grant <br />of Specific Authority. <br />SPECIAL INSTRUCTIONS (OPTIONAL): <br />*(Give special instructions here) <br />EFFECTIVE DATE <br />This power of attorney is effective immediately unless I have stated otherwise in the <br />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 estate or <br />(guardian) of my person, I nominate the following person(s) for appointment: <br />Name of Nominee for (conservator or guardian) of my estate: Jack Granstrom <br />