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201602712
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Last modified
5/17/2016 12:56:36 PM
Creation date
5/3/2016 2:14:41 PM
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DEEDS
Inst Number
201602712
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( ) Create, amend, revoke, or terminate an inter vivos trust <br />( ) Make a gift, subject to the limitations of the Uniform Power of Attomey Act set forth <br />in section 15 -14 -740, Colorado Revised Statutes, and any special instructions in this <br />power of attomey <br />( ) Create or change rights of survivorship <br />(_) Create or change a beneficiary designation <br />( ) Authorize another person to exercise the authority granted under this power of <br />attomey <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 />() Exercise fiduciary powers that the principal has authority to delegate <br />�) Disclaim, refuse, or release an interest in property or a power of appointment <br />(—) Exercise a power of appointment other than: (1) The exercise of a general power of <br />appointment for the benefit of the principal which may, if the subject of estates, <br />trusts, and other beneficial interests is authorized above, be exercised as provided <br />under the subject of estates, trusts, and other beneficial interests; or (2) the exercise <br />of a general power of appointment for the benefit of persons other than the principal <br />which may, if the making of a gift is specifically authorized above, be exercised <br />under the specific authorization to make gifts <br />�) Exercise powers, rights, or authority as a partner, member, or manager of a partner- <br />ship, limited liability company, or other entity that the principal may exercise on <br />behalf of the entity and has authority to delegate excluding the exercise of such <br />powers, rights, and authority with respect to an entity owned solely by the principal <br />which may, if operation of entity or business is authorized above, be exercised as <br />provided under the subject of operation of the entity or business <br />LIMITATION ON AGENT'S AUTHORITY <br />An agent that is not my ancestor, spouse, or descendant MAY NOT use my property to <br />benefit the agent or a person to whom the agent owes an obligation of support unless I have <br />included that authority in the special instructions. <br />SPECIAL INSTRUCTIONS (OPTIONAL) <br />You may give special instructions on the following lines: <br />EFFECTIVE DATE <br />STATE OF COLORADO STATUTORY FORM POWER OF ATTORNEY Page 3 of 6 <br />201602712 <br />This power of attomey is effective immediately unless I have stated otherwise in the special <br />instructions. <br />
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