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GRANT OF GENERAL AUTHORITY <br /> I grant my agent and any successor agent general authority to act for me with respect to the <br /> following subjects as defined in the"Uniform Power of Attorney Act", part 7 of article 14 of title <br /> 15, Colorado Revised Statutes: <br /> (INITIAL each subject you want to include in the agent's general authority. If you wish to grant general <br /> authority over all of the subjects you may initial "All preceding subjects" instead of initialing each <br /> subject.) <br /> Real property <br /> ( )Tangible personal property <br /> ( )Stocks and bonds <br /> Commodities and options <br /> Banks and other financial institutions <br /> Operation of entity or business <br /> ( _ )Insurance and annuities <br /> (�t )Estates,trusts,and other beneficial interests <br /> (� )Claims and litigation <br /> ( ,Personal and family maintenance <br /> {� l Benefits from governmental programs or civil or military service <br /> O Retirement plans <br /> (f )Taxes <br /> (�)All preceding subjects <br /> GRANT OF SPECIFIC AUTHORITY(OPTIONAL) <br /> My agent MAY NOT do any of the following specific acts for me UNLESS I have INITIALED <br /> the specific authority below: <br /> (CAUTION: Granting any of the following will give your agent the authority to take actions that could <br /> significantly reduce your property or change how your property is distributed at your death. INITIAL <br /> ONLY the specific authority you WANT to give your agent.) <br /> ( }Create,amend,revoke, or terminate an inter vivos trust <br /> ( ) Make a gift, subject to the limitations of the "Uniform Power of Attorney Act" set forth in <br /> section 15-14-740, Colorado Revised Statutes, and any special instructions in this power of <br /> attorney <br /> Create or change rights of survivorship <br /> Create or change a beneficiary designation <br /> Authorize another person to exercise the authority granted under this power of attorney <br /> �) Waive the principal's right to be a beneficiary of a joint and survivor annuity, including a <br /> survivor benefit under a retirement plan <br /> Exercise fiduciary powers that the principal has the authority to delegate <br /> ( )Disclaim,refuse, or release an interest in property or a power of appointment <br /> Exercise a power of appointment other than: (1) The exercise of a general power of appointment <br /> for the benefit of the principal which may, if the subject of estates, trusts, and other beneficial <br /> interests is authorized above, be exercised as provided under the subject of estates, trusts, and <br /> other beneficial interests; or(2) the exercise of a general power of appointment for the benefit of <br /> persons other than the principal which may, if the making of a gift is specifically authorized <br /> above,be exercised under the specific authorization to make gifts <br /> Exercise powers, rights, or authority as a partner, member, or manager of a partnership, limited <br /> liability company, or other entity that the principal may exercise on behalf of the entity and has <br /> authority to delegate excluding the exercise of such powers, rights, and authority with respect to <br /> an entity owned solely by the principal which may, if operation of entity or business is <br /> authorized above, be exercised as provided under the subject of operation of the entity or <br /> business <br /> 1 <br /> Principal's initials and date Page 2 of 5 <br />