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201708817
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Last modified
12/9/2019 6:38:41 PM
Creation date
12/27/2017 4:11:16 PM
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DEEDS
Inst Number
201708817
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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 />All Preceding Subjects <br />GRANT OF SPECIFIC AUTHORITY <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 />This Power of Attorney is effective immediately upon its execution <br />NOMINATION OF CONSERVATOR OR GUARDIAN <br />If it becomes necessary for a court to appoint a conservator of my estate or guardian of my <br />person, I nominate, nominate Linda J. Atkins, to serve in this capacity. If my nominated <br />conservator or guardian is unable or unwilling to serve, I nominate Jeanne A. Mettenbrink, to <br />serve as successor conservator of my estate and as successor guardian of my person. In the event <br />3 of 6 <br />201708817 <br />
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