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201607620 (INITIAL each subject you want to include in the agent's general authority. If you wish to grant general authority over all of the subjects you may initial "All Preceding Subjects" instead of initialing each subject.) ( ) Real Property ( ) Tangible Personal Property ( ) Stocks and Bonds ( ) Commodities and Options ( ) Banks and Other Financial Institutions ( ) Operation of Entity or Business { ) Insurance and Annuities ( ) Estates, Trusts, and Other Beneficial Interests ( ) Claims and Litigation ( •) Personal and Family Maintenance ( ) Benefits from Govemmental Programs or Civil or Military Service ( ) Retirement Plans Taxes All Preceding Subjects GRANT OF SPECIFIC AUTHORITY My agent MAY NOT do any of the following specific acts for me UNLESS I have INITIALED the specific authority listed below: (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, amend, revoke, or terminate an inter vivos trust ( ) Make a gift, subject to the limitations of the Nebraska Uniform Power of Attomey Act and any special instructions in this power of attorney ( ) Create or change rights of survivorship ( ) Create or change a beneficiary designation ( ) Delegate to another person to exercise the authority granted under this power of attorney ( ) Waive the principal's right to be a beneficiary of a joint and survivor annuity, including a survivor benefit under a retirement plan ( ) Exercise fiduciary powers that the principal has authority to delegate ( ) Renounce or disclaim an interest in property, including a power of appointment LIMITATION ON AGENT'S AUTHORITY 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.