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DESIGNATION OF SUCCESSOR AGENT(S) (OPTIONAL) <br />If my agent is unable or unwilling to act for me, I name as my successor agent: <br />201300787 <br />Name of Successor Agent: /013 ER T k10 <br />Successor Agent's Address: <br />Successor Agent' s Telephone Number: a - 3 7 — 9-.3 6 — 5 <br />If my successor agent is unable or unwilling to act for me, I name as my second successor agent: <br />Name of Second Successor Agent: <br />Second Successor Agent's Address: <br />Second Successor Agent's Telephone Number: <br />RELEASE OF INFORMATION <br />I agree to, authorize and allow full release of information, by any governmental agency, business, <br />creditor, or third party who may have information pertaining to my assets or income, to my agent <br />named herein. <br />GRANT OF GENERAL AUTHORITY <br />I grant my agent and any successor agent general authority to act for me with respect to the following <br />subjects as defined in the Uniform Power of Attorney Act, Nebraska Revised Statutes Sections 30- <br />4001, et seq. <br />(INITIAL each subject you want to include in the agent's general authority. If you wish to grant <br />general authority over all of the subjects you may initial "All Preceding Subjects" instead of initialing <br />each 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 />states, Trusts, and Other Beneficial Interests <br />Claims and Litigation <br />Personal and Family Maintenance <br />Benefits from Governmental Programs or Civil or Military Service <br />etirement Plans <br />axes <br />All Preceding Subjects <br />