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202Sfl0982 RELEASE OF INFORMATION I agree to, authorize and allow full release of information, by any governmental agency, business, creditor, or third party who may have information pertaining to my assets or income, to my agent named herein. GRANT OF GENERAL AUTHORITY I grant my agent and any successor agent general authority to act for me with respect to the following subjects as defined in the Uniform Power of Attorney Act, Nebraska Revised Statutes Sections 30-4001, et seq. (INITIAL each subject you want to include in the agent's general authority. If you wish to grant general authority over all of the subjects you may initial "All Preceding Subjects" instead on initialing each subject.) ) Real Property ) Tangible Personal Property ) Stocks and Bonds ) Commodities and Options ( ) Banks and Other Financial Institutions ( ) Operation of Entity or Business ( ) Insurance and Annuities ( ) Estates, Trusts, and Other Beneficial Interests ( ) Claims and Litigation ( ) Personal and Family Maintenance ( ) Benefits from Governmental Programs or Civil or Military Service ( ) Retirement Plans ( ) Taxes ) All Preceding Subjects GRANT OF SPECIFIC AUTHORITY (OPTIONAL) My agent MAY NOT do any of the following specific acts for me UNLESS I have INITIALED the specific authority listed below: (CAUTION: Granting any of the following will give your agent the authority to take actions that could significantly reduce your property or change how your property is distributed at your death. INITIAL ONLY the specific authority you WANT to give your agent.) ( ) Create, amend, revoke, or terminate an intervivos trust ( ) Make a gift, subject to the limitations of the Uniform Power of Authority Act [insert citation to Section 217 of the act] and any specific Instructions in this power of attorney ( ) Create or change rights of survivorship ( ) Create or change a beneficiary designation ( ) Delegate to another person to exercise the authority granted under this power of attorney