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201900347
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Last modified
1/16/2019 3:34:56 PM
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1/16/2019 3:34:56 PM
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201900347
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2.0x:; .143,61r <br />GRANT OF SPECIFIC AUTHORITY (OPTIONAL) <br />My agent MAY NOT do any of the following specific acts for me UNLESS 1 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 distributed <br />at your 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 <br />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 power of <br />attorney <br />Waive the principal's right to be a beneficiary of a joint and survivor annuity, <br />including a 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 AGENTS 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 />All prior powers of attorney are hereby revoked. <br />At) <br />EFFECTIVE DATE <br />This power of attorney is effective immediately. <br />This Power of Attorney is effective only in the event of my mental <br />incapacity and inability to make my financial decisions as confirmed <br />by my treating physician. <br />This power of attorney is effective immediately unless I have stated otherwise in the <br />Special. Instructions. <br />
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