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202004671
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7/6/2020 4:10:57 PM
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7/6/2020 4:10:56 PM
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202004671
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MAY/20/2020/WED 12:07 PM <br />FAX No. P. 011 <br />L) 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 SPEUINC AUTHORITY (OPTIONAL) <br />202004671 <br />My agent MAY NOT do any of the following specific acts for me UNLESS I have INITIALED <br />the specific authority listed below; <br />(CAUTION: Granting any of the following will give your agent theauthority 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 />(_J Create, amend, revoke, or terminate an inter vivos trust <br />�) Make a gift, subject to the limitations of the Nebraska Uniform Power of Attorney Act <br />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 Attorney <br />(J Waive the principal's right to be a beneficiary of a joint and survivor annuity, including a <br />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 OF AGENT'S AUTHORITY <br />Except as otherwise authorized by the Power of Personal and Family Maintenance, an agent <br />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 of the Grant <br />of Specific Authority. <br />
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