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I <br />YES NO <br />YES NO <br />YES NO <br />YES NO <br />YES NO <br />YES NO <br />YES NO <br />AYES NO <br />202402679 <br />Operation of Entity or Business <br />Insurance and Annuities <br />Estates, Trusts, and Other Beneficial Interests Claims <br />and Litigation <br />Personal and Family Maintenance <br />Benefits from Governmental Programs or Civil or <br />Military Service <br />Retirement Plans <br />Taxes <br />All Preceding Subjects (includes all items listed <br />above) <br />GRANT OF SPECIFIC AUTHORITY (OPTIONAL) <br />My agents MAY do any of the following specific acts for me IF I have CHECKED the <br />specific authority listed below: <br />(CAUTION: Granting any of the following will give your agent the authority to take <br />actions that could significantly reduce your property or change how your property is <br />distributed at your death. CHECK YES AND INITIAL ONLY the specific authority you <br />WANT to give your agent. NOTE: If you do not mark yes and initial the authority, the <br />authority is not granted.) <br />Check one: Initials: <br />YES NO <br />YES NO <br />YES NO <br />YES NO <br />YES NO <br />YES NO <br />YES NO <br />YES NO <br />Create, amend, revoke, or terminate an inter vivos trust <br />Make a gift, subject to the limitations of the Nebraska <br />Uniform Power of Attorney Act and any special <br />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 <br />granted under this power of attorney <br />Waive the principal's right to be a beneficiary of a joint <br />and survivor annuity, including a survivor benefit <br />under a retirement plan <br />Exercise fiduciary powers that the principal has <br />authority to delegate <br />Renounce or disclaim an interest in property, including <br />a power of appointment <br />