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20.900009 <br />RELEASE OF INFORMATION <br />I agree to, authorize and allow full release of information, by any governmental agency, business, <br />creditor, or third party who may have information pertaining to my assets or income, to my agent <br />named herein. <br />GRANT OF GENERAL AUTHORITY <br />I grant my agent and any successor agent general authority to act for me with respect to the following <br />subjects as defined in the Uniform Power of Attorney Act, Nebraska Revised Statutes Sections 30- <br />4001, et seq. <br />(INITIAL each subject you want to include in the agent's general authority. If you wish to grant <br />general authority over all of the subjects you may initial "All Preceding Subjects" instead on <br />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 />U Estates, Trusts, and Other Beneficial Interests <br />O Claims and Litigation <br />() Personal and Family Maintenance <br />(� Benefits from Governmental Programs or Civil or Military Service <br />L� Retirement Plans <br />(XiTaxes <br />All Preceding Subjects <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 <br />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 death. <br />INITIAL ONLY the specific authority you WANT to give your agent.) <br />() Create, amend, revice, or terminate an intervivos trust <br />(, Make a gift, s e t imitations of the Uniform Power of Authority Act [insert citation <br />to Section 217 of the a ] any specific Instructions in this power of attorney <br />