201607291 - Laserfiche WebLink

Browse

(CAUTION: Granting any of the following will give your agent the authority to take actions that could significantly reduce your property or change how your property is distributed at your death. INITIAL ONLY the specific authority you WANT to give your agent.) Create, amenN, revoke, or terminate an inter vivos trust Make a gift, s k,•jectto th imitations of the Nebraska Uniform Power of Attorney Act and any sp ial in actions in this power of attorney Create or chang- rig's of survivorship Create or change's .eneficiary designation Delegate to anot person to exercise the authority granted under this power of attorney Waive the p ncipal right to be a beneficiary of a joint and survivor annuity, including • survivor enefit under a retirement plan Exercise .'fiduciary pc) ers that the principal has authority to delegate Renou e or disclaim interest in property, including a power of appointment LIMITATION ON AGENT'S AUTHORITY SPECIAL INSTRUCTIONS (OPTIONAL): *(Give special instructions here) EFFECTIVE DATE 201607291 Except as otherwise authorized by the Power of Personal and Family Maintenance, an agent MAY NOT use my property to benefit the agent or a person to whom the agent owes an obligation of support unless I have included that authority in the Special Instructions or the Grant of Specific Authority. This power of attorney is effective immediately unless I have stated otherwise in the Special Instructions. NOMINATION OF (CONSERVATOR OR GUARDIAN) (OPTIONAL) If it becomes necessary for a court to appoint a (conservator or guardian) of my estate or (guardian) of my person, I nominate the following person(s) for appointment: Name of Nominee for (conservator or guardian) of my estate: Cynthia K. Lindley Nominee's Address: 3123 West 14 Street -Grand Island, NE 68803 Nominee's Telephone Number: (308) 227 -9440 Name of Nominee for (guardian) of my person: Cynthia K. Lindley Nominee's Address: 3123 West 14th Street -Grand Island, NE 68803 Nominee's Telephone Number (308) 227 -9440