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202500044 <br />GRANT OF SPECIFIC AUTHORITY (OPTIONAL) <br />My agent MAY NOT do any of the following specific acts for me UNLESS ah ve INITIALED <br />the specific authority listed below: <br />(CAUTION: Granting any of the following will give your ag- the authority to take actions that <br />could significantly reduce your property or change how : property is distributed at your death. <br />INITIAL ONLY the specific authority you T we your agent.) <br />( ) Create, amend, revoke, or termin an intervivos trust <br />( ) Make a gift, subject to the itations of the Uniform Power of Authority Act [insert <br />citation to Section 217 of the act d any specific Instructions in this power of attorney <br />( ) Create or change ri s of survivorship <br />( ) Create or cha beneficiary designation <br />( ) Delegate t. other person to exercise the authority granted under this power of attorney <br />( ) Waiv- e principal's right to be a beneficiary of a joint and survivor annuity, including a <br />survivor b- efit 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 />