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201406251
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201406251
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Last modified
11/21/2014 9:01:18 AM
Creation date
10/1/2014 4:12:36 PM
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DEEDS
Inst Number
201406251
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SPECIAL INSTRUCTIONS (OPTIONAL) <br />You may give special instructions on the following lines: <br />20140625 <br />Make a gift, subject to the limitations of the Nebraska Uniform Power of Attorney Act <br />and any special instructions in this Power of Attorney <br />Create or change rights of survivorship <br />Create or change a beneficiary designation <br />Delegate to 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 authority to delegate <br />Renounce or disclaim an interest in property, including a power of appointment <br />LIMITATION ON AGENT'S AUTHORITY <br />Except as otherwise authorized by the Power of Personal and Family Maintenance, an <br />agent MAY NOT use my property to benefit the agent or a person to whom the agent owes an <br />obligation of support unless I have included that authority in the Special Instructions or the Grant <br />of Specific Authority. <br />EFFECTIVE DATE <br />This Power of Attorney is effective immediately unless I have stated otherwise in the <br />Special Instructions. <br />NOMINATION OF [CONSERVATOR OR GUARDIAN] (OPTIONAL) <br />If it becomes necessary for a court to appoint a conservator or guardian of my estate or <br />guardian of my person, I nominate the following person(s) for appointment: <br />Name of Nominee for conservator or guardian of my estate: Dennis R. Salmon <br />Nominee's Address: 846 Williams Ave. <br />Hastings, Nebraska 68901 <br />Nominee's Telephone Number: (402) 463 -9493 <br />Name of Nominee for guardian of my person: Dennis R. Salmon <br />Nominee's Address: 846 Williams Ave. <br />Hastings, Nebraska 68901 <br />Nominee's Telephone Number: (402) 463 -9493 <br />RELIANCE ON THIS POWER OF ATTORNEY <br />Any person, including my agent, may rely upon the validity of this Power of Attorney or <br />a copy of it unless that person knows it has terminated or is invalid. <br />3 of 5 <br />
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