Arkansas Statutory Form Power Of Attorney Page 2

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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.]
IV. LIMITATION ON AGENT'S AUTHORITY
My agent MAY NOT do any of the following specific acts for me:
[THESE ARE THE ITEMS
THAT CLIENT DID NOT SELECT TO GRANT AGENT AUTHORITY TO DO, IF
NONE, THEN ONLY THE LAST PARAGRAPH WILL BE IN PLACE:
Amend, revoke, or terminate an inter vivos trust;
Make a gift, subject to the limitations of Ark. Code Ann. § 28-68-217 of the Uniform Power
of Attorney Act 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.]
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 listed below.
V.
SPECIAL INSTRUCTIONS
[CLIENT CAN LIST ANY SPECIAL INSTRUCTIONS HERE]
[ALSO, CLIENT HAS OPTION OF SELECTING ONE OF THE FOLLOWING,
HAVE THESE ITEMS IN BOLD, IF POSSIBLE:
This power of attorney is effective
immediately and shall not be affected by my subsequent disability or incapacity.] OR
[This power of attorney shall become effective only upon my disability or incapacity
and shall endure through such events.]
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