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201403980 <br /> Nebraska Power of Attorney <br /> DESIGNATION OF AGENT <br /> L. ML <br /> IN <br /> Michael Andrade (your name)name the following person as my agent(individual <br /> with power of attorney): PMA <br /> /M. <br /> Agent: Paula Andrade <br /> Address: 564 E 20th Street Grand Island, Ne 68801 <br /> Telephone Number: (308)227-1610 <br /> DESIGNATION OF SUCCESSOR AGENT(S) OPTIONAL <br /> ( ) <br /> If my agent is unable or unwilling to act for me,I name as my successor agent: <br /> Name of Successor Agent: N/A <br /> Address: N/A <br /> Telephone Number: N/A <br /> If my successor agent is unable or unwilling to act for me, I name as my second successor <br /> agent(OPTIONAL): <br /> Name of Second Successor Agent: N/A <br /> Address: N/A <br /> Telephone Number: N/A <br /> RELEASE OF INFORMATION <br /> I agree to, autltorize,and allow full release of information,by any governmental agency, <br /> business, creditor, or third party who may have information pertaining to my assets or income,to <br /> my agent named on this form. <br /> GRANT OF GENERAL AUTHORITY <br /> I grant my agent and any successor agent general authority to act for me with respect to <br /> the following subjects(as defined in the Nebraska Uniform Power of Attorney Act): <br /> (CHECK each subject you want to include in the agent's general authority. If you wish to <br /> grant general authority over all of the subjects you may check'All Preceding Subjects"instead <br /> of checking each subject.) <br /> (E)Real Property <br /> (0)Tangible Personal Property <br /> Page 1 of 4 <br /> Power of Attorney,DC 6:12 PSC,Rev. 08/12 §30-4041 <br />