Statutory Form Power Of Attorney - State Of Colorado (Page 3 of 6) in pdf

(___) Create, amend, revoke, or terminate an inter vivos trust

(___) 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

(___) Create or change rights of survivorship

(___) Create or change a beneficiary designation

(___) Authorize another person to exercise the authority granted under this power of

attorney

(___) Waive the principal’s right to be a beneficiary of a joint and survivor annuity,

including a survivor benefit under a retirement plan

(___) Exercise fiduciary powers that the principal has authority to delegate

(___) Disclaim, refuse, or release an interest in property or a power of appointment

(___) 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

(___) Exercise powers, rights, or authority as a partner, member, or manager of a partner-

ship, 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

LIMITATION ON AGENT'S AUTHORITY

An agent that is not my ancestor, spouse, or descendant MAY NOT use my property to

benefit the agent or a person to whom the agent owes an obligation of support unless I have

included that authority in the special instructions.

SPECIAL INSTRUCTIONS (OPTIONAL)

You may give special instructions on the following lines:

EFFECTIVE DATE

This power of attorney is effective immediately unless I have stated otherwise in the special

instructions.

STATE OF COLORADO STATUTORY FORM POWER OF ATTORNEY

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