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GRANT OF SPECIFIC AUTHORITY <br />201608180 <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 actions that <br />could significantly reduce your property or change how your property is distributed at your <br />death. INITIAL ONLY the specific authority you WANT to give your agent.) <br />Create, amend, revoke, or terminate an inter vivos trust <br />Make a gift, subject to the limitations of the Nebraska Uniform Power of Attorney Act <br />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 Power of Attorney <br />Waive the principal's right to be a beneficiary of a joint and survivor annuity, including a <br />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 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 <br />You may give special instructions on the following lines: <br />I declare that this Power of Attorney shall become effective upon my disability or incapacity, but <br />not until then. <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 <br />If it becomes necessary for a court to appoint a Conservator of my estate or Guardian of <br />my person, I nominate the following person(s) for appointment: <br />Name of Nominee for Conservator of my estate/ <br />Guardian of my person: DAVID T. HERMAN <br />Nominee's Address: 9936 Ledge Stone Terrace <br />Austin, Texas 78737 -1133 <br />Nominee's Telephone Number: (312) 560 -2085 <br />3 of <br />