Statutory Power Of Attorney Page 3

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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.
(INITIAL each subject you want to include in the agent’s general authority. If you wish
to grant general authority over all the subjects, you may initial “All Preceding Subjects”
instead of 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
3

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