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202208650
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Last modified
12/16/2022 4:40:44 PM
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12/16/2022 4:40:43 PM
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202208650
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• <br />Create, amend, revoke, or terminate an. inter <br />vivos trust • • - • • <br />( ) Make a gift, subject to the limitations of the <br />. Nebraska Unfform'power of • • <br />• Attorney Act and anyspec lad instrucflons in this <br />power of attorney <br />( •) Create or change•rights•of survivorship <br />( ') Create or. change a beneficiarydeslgnation <br />202208650 <br />G . ' ) Delegate to another•person io exercise the • . <br />• • authority granted under this•power Of.attorney <br />( ) Waive the principal's right to•be.a beneficiary of a . <br />• pint and survivor annuity, including -a survivor <br />benefit under a retirement plan • • • . '. <br />• (_)• Exercise fiduciary powers that the principal has • <br />. authority to delegate . <br />() Renounce or disclaim an• Interest in.property, <br />- Including a power of appointment • <br />. • LIMITATIONON AGENT'S AUTHORITY: Except as otherwise authorized bythe Power of Personal and Family <br />Maintenance, an agent MAY NOT use my.property t� benefitthe 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 Authority. <br />. :. SPECIAL INSTRUCTIONS (OPTIONAL): You may.glve special Instructions on the following lines: <br />EFFECTIVE DATE: This power of attorney is effective immediately. <br />• <br />NOMINATION OF CONSERVATOR OR GUARDIAN: if it becomes necessary for a court to appoint a conservator of my <br />estate or guardian of my person, 1 nominate the following person(s)'for appointment, Kay M. Carpenter and Ann C. Bentley. <br />RELIANCE ON THIS POWER OF ATTORNEY: Any person, including my agent, may rely tipon'the validity Of this power of <br />attorney or a copy of it unless that person knows it has terminated or is invalid. • <br />"7"1/4.444z...moi, <br />ThePrincipal <br />. SIGNATURE AND ACKNOWLEDGMENT <br />Date <br />STATE OF NEBRASKA ) <br />) ss: <br />COUNTY OF HALL ) ' <br />This.document was acknowledged before me on A/eve././e-r r l <br />My commission expires: <br />GENERAL NOTARY • State of Nebraska <br />SUSAN M. KOENIO <br />lay terata. Jan. 31, 2010 <br />20 /--3. by Marian M. Hensley, <br />MAYER BURNS KOENIG & JANULEWICZ, 308 N. Locust Street, Suite 306, PO box 2300, Grand Island, NE 68802 <br />Page 2 <br />.• I <br />
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