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1 agree to, authorize, and allow full release of information, by any governmental <br />agency, business, creditor, or third party who may have information pertaining to my <br />assets or income, to my agent named herein. <br />I grant my agent and any successor agent general authority to act for me with <br />respect to the following subjects as defined in the Nebraska Uniform Power of Attorney <br />Act: <br />(INITIAL each subject you want to include in the agent's general authority. If you <br />wish to grant general authority overall of the subjects you may initial "All Preceding <br />Subjects" instead of initialing each subject.) <br />Real Property <br />Tangible Personal Property <br />Stocks and Bonds <br />Commodities and Options <br />Banks and Other Financial Institutions <br />Operation of Entity or Business <br />Insurance and Annuities <br />Estates, Trusts, and Other Beneficial Interests <br />) Claims and Litigation <br />Personal and Family Maintenance <br />Benefits from Governmental Programs or Civil or Military Service <br />) Retirement Plans <br />Taxes <br />( ) Ali Preceding Subjects <br />RELEASE OF INFORMATION <br />GRANT OF GENERAL AUTHORITY <br />GRANT OF SPECIFIC AUTHORITY <br />201708337 <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 <br />distributed at your death. INITIAL ONLY the specific authority you WANT to give your <br />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 <br />Attorney Act and any special instructions in this power of attorney <br />( ) Create or change rights of survivorship <br />2 <br />