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Additional powers, if any, granted to the Agent with respect to any power listed above and not eliminated /struck out by the Principal: , State of appointment to serve as my Guardian 201801500 () Waive the Principal's right to be a beneficiary of a joint and survivor annuity, including a survi- vor benefit under a retirement plan. (krf ) Exercise fiduciary powers that the Principal has authority to delegate. ( k-f) Disclaim or refuse an interest in property, including a power of appointment. Limitation on Agent's Authority An Agent that is not my ancestor, spouse or descendant 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 au- thority in the Special Instructions. Special Instructions (Optional) Additional powers, if any, that are not inconsistent with the other provisions of this Durable Power of Attorney: The powers granted hereinabove shall not include the following powers or shall be modified or limited in the following particulars: Special Instructions for Gifts Special instructions applicable to gifts (initial in front of the following sentence to have it apply): WU I grant my Agent the power to apply my property to make gifts to individuals, charities, or to the Agent, up to the amount of $500 per year, per individual or entity, without signature of the Principal, as the Agent determines to be in the Principal's best interest. Authorization for an Agent to make gifts or transfers of $500 or more requires the Principal to execute a Major Gifts Rider at the same time as the Durable Power of Attorney document. ( K44) I grant my Agent the power to make major gifts and transfers of my property set forth under the Major Gifts Rider. Nomination of Guardian or Conservator (Optional) In the event that a court decides that it is necessary to appoint a Guardian of my person or Con - servator of my estate, I hereby nominate ft-.1 - ft Din( ff"/41 . l y , who resides , City of C3'? tha , County of tJJ , to be considered by the court for o onservator, or in any similar representative capacity. ©SrnartLegaIPorms LF205 Durable Power of Attorney 6-15, Pg. 5 of 7