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202102&75 <br />GRANT OF SPECIFIC AUTHORITY (OPTIONAL) <br />My agent MAY NOT do any of the following specific acts for me UNLESS I have INITI D the <br />specific authority listed below: <br />(CAUTION: Granting any of the following will give your agent the ority to take actions that <br />could significantly reduce your property or change how your pr is distributed at your death. <br />INITIAL ONLY the specific authority you WANT to give r agent.) <br />L� Create, amend, revoke, or terminate an ' ervivos trust <br />Make a gift, subject to the limitatio of the Uniform Power of Authority Act [insert citation <br />to Section 217 of the act] and any s ' is Instructions in this power of attorney <br />(� Create or change right survivorship <br />Create or change eneficiary designation <br />U Delegate to ther person to exercise the authority granted under this power of attorney <br />Waive principal's right to be a beneficiary of a joint and survivor annuity, including a <br />survivor be it under a retirement plan <br />xercise 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 AGENT'S AUTHORITY <br />Except as otherwise authorized by the Power of Personal and Family Maintenance, an agent MAY <br />NOT use my property to benefit the agent or a person to whom the agent owes an obligation of <br />support unless I have included that authority in the Special Instructions or the Grant of Specific <br />Authority. <br />SPECIAL INSTRUCTIONS (OPTIONAL) <br />You may give special instructions on the following lines: <br />EFFECTIVE DATE <br />This power of attorney is effective immediately unless I have stated otherwise in the Special <br />Instructions. <br />