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20190 '7061 NEBRASKA LIMITED POWER OF ATTORNEY FORM I. NOTICE - This legal document grants you (Hereinafter referred to as the "Principal") the right to transfer limited financial powers to someone else (Hereinafter referred to as the "Attorney -in -Fact"), limited financial powers are described as: any specific financial act legal under law. The Principal's transfer of limited financial powers to the Attorney -in -Fact are granted upon authorization of this agreement, and ONLY remains in effect until the completion of said act, unless the Principal becomes incapacitated (incapacitation is described in Paragraph II). This agreement does not authorize the Attorney -in -Fact to make medical decisions for the Principal. The Principal continues to retain every right to all their financial decision making power and may revoke this Limited Power of Attorney Form at anytime. The Principal may include restrictions or requests pertaining to the financial decision making power of the Attorney -in -Fact. It is the intent of the Attorney -in -Fact to act in the Principal's wishes put forth, or, to make financial decisions that fit the Principal's best interest. All parties authorizing this agreement must be at least 18 years of age and acting under no false pressures or outside influences. Upon authorization of this Limited Power of Attorney Form, it will revoke any previously valid Limited Power of Attorney Form. II. INCAPACITATION - The powers granted to the Attorney -in -Fact by the Principal in this Limited Power of Attorney Form DO NOT stay in effect upon incapacitation by the Principal, incapacitation is describes as: A medical physician stating verbally or in writing that the Principal can no longer make decisions for them self. III. REVOCATION - The Principal has the right to revoke this Limited Power of Attorney Form at anytime. Any revocation will be effective if the Principal: A. Authorizes a new Limited Power of Attorney Form. B. Authorizes a Power of Attorney Revocation Form. IV. WITNESS Et NOTARY - This document is not valid as a Limited Power of Attorney unless it is acknowledged before a notary public or is signed by at least two adult witnesses who are present when the Principal signs or acknowledges the Principal's signature. It is recommended to have this Limited Power of Attorney Form notarized.