Form Statutory Power Of Attorney - State Of Colorado (Page 2 of 4) in pdf

3. 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", part 7 of article 14 of title 15, Colorado Revised Statutes:

(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 of initialing each subject.)

_____ A. Real property

_____ B. Tangible personal property

_____ C. Stocks and bonds

_____ D. Commodities and options

_____ E. Banks and other financial institutions

_____ F. Operation of entity or business

_____ G. Insurance and annuities

_____ H. Estates, trusts, and other beneficial interests

_____ I. Claims and litigation

_____ J. Personal and family maintenance

_____ K. Benefits from governmental programs or civil or military service

_____ L. Retirement plans

_____ M. Taxes

_____ N. All preceding subjects

4. 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.)

_____ A. Create, amend, revoke, or terminate an inter vivos trust

_____ B. Make a gift, subject to the limitations of the "Uniform Power of Attorney Act" set forth in section

15-14-740, Colorado Revised Statutes, and any special instructions in this power of attorney

_____ C. Create or change rights of survivorship

_____ D. Create or change a beneficiary designation

_____ E. Authorize another person to exercise the authority granted under this power of attorney

_____ F. Waive the principal's right to be a beneficiary of a joint and survivor annuity, including a survivor benefit

under a retirement plan

_____ G. Exercise fiduciary powers that the principal has authority to delegate, including powers to participate in

the designation or changing of a fiduciary and powers to participate in the direction of a fiduciary in the

exercise of the fiduciary's powers

_____ H. Disclaim, refuse, or release an interest in property or a power of appointment

_____ I. Exercise a power of appointment other than: (1) The exercise of a general power of appointment for

the benefit of the principal which may, if the subject of estates, trusts, and other beneficial interests is

authorized above, be exercised as provided under the subject of estates, trusts, and other beneficial

interests; or (2) the exercise of a general power of appointment for the benefit of persons other than the

principal which may, if the making of a gift is specifically authorized above, be exercised under the

specific authorization to make gifts

_____ J. Exercise powers, rights, or authority as a partner, member, or manager of a partnership, limited liability

company, or other entity that the principal may exercise on behalf of the entity and has authority to

delegate excluding the exercise of such powers, rights, and authority with respect to an entity owned

solely by the principal which may, if operation of entity or business is authorized above, be exercised

as provided under the subject of operation of the entity or business

Form Statutory Power Of Attorney - State Of Colorado Page 2

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