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201801500
<br />( (J) Personal and family maintenance. To hire accountants, attorneys at law, consultants,
<br />clerks, physicians, nurses, agents, servants, workmen, and others and to remove them, and to ap-
<br />point others in their place, and to pay and allow the persons so employed such salaries, wages, or
<br />other remunerations, as my Agent shall deem proper.
<br />(at ) (K) Benefits from Social Security, Medicare, Medicaid, or other governmental programs,
<br />or military service. To prepare, sign and file any claim or application for Social Security, unemploy-
<br />ment or military service benefits; sue for, settle or abandon any claims to any benefit or assistance
<br />under any federal, state, local or foreign statute or regulation; control, deposit to any account, collect,
<br />receipt for, and take title to and hold all benefits under any Social Security, unemployment, military
<br />service or other state, federal, local or foreign statute or regulation; and, in general, exercise all pow-
<br />ers with respect to Social Security, unemployment, military service, and governmental benefits, in-
<br />cluding but not limited to Medicare and Medicaid, which the Principal could exercise if present and
<br />under no disability.
<br />( KO) (L) Retirement plan transactions. To contribute to, withdraw from and deposit funds in any
<br />type of retirement plan (which term includes, without limitation, any tax qualified or nonqualified
<br />pension, profit sharing, stock bonus, employee savings and other retirement plan, individual retire-
<br />ment account, deferred compensation plan and any other type of employee benefit plan); select and
<br />change payment options for the Principal under any retirement plan; make rollover contributions from
<br />any retirement plan to other retirement plans or individual retirement accounts; exercise all invest-
<br />ment powers available under any type of self - directed retirement plan; and, in general, exercise all
<br />powers with respect to retirement plans and retirement plan account balances which the Principal
<br />could if present and under no disability.
<br />( 1441) (M) Tax matters. To prepare, to make elections, to execute and to file all tax, Social Security,
<br />unemployment insurance, and informational returns required by the laws of the United States, or of
<br />any state or subdivision thereof, or of any foreign government; to prepare, to execute, and to file all
<br />other papers and instruments which the Agent shall think to be desirable or necessary for safeguard-
<br />ing of me against excess or illegal taxation.or against penalties imposed for claimed violation of any
<br />law or other governmental regulation; and to pay, to compromise, or to contest or to apply for refunds
<br />in connection with any taxes or assessments for which I am or may be liable.
<br />( lGti{ ) (N) ALL OF THE MATTERS LISTED ABOVE. YOU NEED NOT INITIAL ANY OTHER LINES IF
<br />YOU INITIAL LINE (N).
<br />Grant of Specific Authority (Optional)
<br />My Agent MAY NOT do any of the following specific acts for me UNLESS I have INITIALED the spe-
<br />cific authority listed below:
<br />(CAUTION: Granting any of the following will give your Agent the authority to take actions that could
<br />significantly reduce your property or change how your property is distributed at your death. INITIAL
<br />ONLY the specific authority you WANT to give your Agent.)
<br />(l ±) Create, amend, revoke or terminate. an inter vivos trust.
<br />(Make a gift.
<br />( i(M) Create or change rights of survivorship.
<br />La) Create or change a beneficiary designation.
<br />(X L.) Authorize another person to exercise the authority granted under this Durable Power of At-
<br />torney.
<br />©SmartLegaForms LF205 Durable Power of Attorney 6-15, Pg. 4 of 7
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