Laserfiche WebLink
201807288 <br />RELEASE OF INFORMATION <br />I 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 />GRANT OF GENERAL AUTHORITY <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 over all of the subjects you may initial "All Preceding <br />Subjects" instead of initialing each subject.) <br />( <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 />( ) 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 <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 />Create or change a beneficiary designation <br />Delegate to another person to exercise the authority granted under this <br />power of attorney <br />Waive the principal's right to be a beneficiary of a joint and survivor <br />annuity, including a survivor benefit under a retirement plan <br />2 <br />