Louisiana'S Military Power Of Attorney Page 2

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YES ____
NO ____ (D) Banking and other financial institution transactions.
YES ____
NO ____ (E) Business operating transactions.
YES ____
NO ____ (F) Insurance and annuity transactions.
YES ____
NO ____ (G) Estate, trust, and other beneficiary transactions.
YES ____
NO ____ (H) Claims and litigation.
YES ____
NO ____ (I) Personal and family maintenance.
YES ____
NO ____ (J) Care, custody, and control of a minor child.
YES ____
NO ____ (K) Benefits from social security, Medicare, Medicaid, or other
governmental programs, or civil or military service.
YES ____
NO ____ (L) Retirement plan transactions.
YES ____
NO ____ (M) Tax matters.
YES ____
NO ____ (N) ALL OF THE POWERS LISTED ABOVE.
YOU NEED NOT INITIAL ANY OTHER LINES IF YOU INITIAL IN THE APPROPRIATE
COLUMN ("YES" OR "NO") OF LINE (N).
II. POWERS AFFECTING IMMOVABLE PROPERTY
TO GRANT THE POWER TO AFFECT IMMOVABLE OR REAL PROPERTY WHICH YOU
OWN, SUCH AS SELL, LEASE, OR MORTGAGE REAL ESTATE, INITIAL IN THE
APPROPRIATE COLUMN ("YES" OR "NO") OF LINE (P) AND PROVIDE LOCATION OF
PROPERTY.
YES ____
NO____ (P) Real property transactions affecting the following property:
____________________________________________________________________________
____________________________________________________________________________
III. SPECIAL INSTRUCTIONS
ON THE FOLLOWING LINES YOU MAY GIVE SPECIAL INSTRUCTIONS LIMITING OR
EXTENDING THE POWERS GRANTED TO YOUR AGENT.
____________________________________________________________________________
____________________________________________________________________________
UNLESS YOU DIRECT OTHERWISE ABOVE, THIS POWER OF ATTORNEY IS EFFECTIVE
IMMEDIATELY AND WILL CONTINUE UNTIL IT IS REVOKED.

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