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201906985 (CAUTION: Granting any of the following will give your agent the ahonty to take actions that could significantly reduce your property or change how your pro. - , y is distributed at your death. INITIAL ONLY the specific authority you WANT to give yagent.) ( ) Create, amend, revoke, or terminate an int- -•ivos trust ( ) Make a gift, subject to the limitatio of the Uniform Power of Authority Act [insert citation to Section 217 of the act] and an > . ecific Instructions in this power of attorney ( ) Create or change rights of s, ivorship ( ) Create or change a be ciary designation ( ) Delegate to anot person to exercise the authority granted under this power of attorney ( ) Waive - = cipal's right to be a beneficiary of a joint and survivor annuity, including a survivor . erii . nder a retirement plan ( ) cise fiduciary powers that the principal has authority to delegate enounce or disclaim an interest in property, including a power of appointment LIMITATION ON AGENT'S AUTHORITY Except as otherwise authorized by the Power of Personal and Family Maintenance, an agent 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 authority in the Special Instructions or the Grant of Specific Authority. SPECIAL INSTRUCTIONS (OPTIONAL) You may give special instructions on the following lines: EFFECTIVE DATE This power of attorney is effective immediately unless I have stated otherwise in the Special Instructions. NOMINATION OF [CONSERVATOR AND/OR GUARDIAN] (OPTIONAL) If it becomes necessary for a court to appoint a [conservator and/or guardian] of my estate or [guardian] of my person, I nominate the following person(s) for appointment: Name of Nominee for [conservator and/or guardian] of my estate: