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If my successor agent is unable or unwilling to act for me, I name as my second <br />successor agent: <br />Name of Second Successor Agent: NONE <br />Second Successor Agent's Address: <br />Second Successor Agent's Telephone Number: <br />RELEASE OF INFORMATION <br />GRANT OF GENERAL AUTHORITY <br />20150239; <br />I agree to, authorize, and allow full release of information, by any governmental <br />agency, business, creditor, or third party who may have information pertaining to my <br />assets or income, to my agent named herein. <br />I grant my agent and any successor agent general authority to act for me with <br />respect to the following subjects as defined in the Nebraska Uniform Power of Attorney <br />Act: <br />(INITIAL each subject you want to include in the agent's general authority. If you <br />wish to grant general authority over all of the subjects you may initial "All Preceding <br />Subjects" instead of initialing each subject.) <br />3 C <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 />( ) Estates, 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 />( ) Retirement Plans <br />( ) 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 <br />INITIALED the specific authority listed below: <br />(CAUTION: Granting any of the following will give your agent the authority to take <br />actions that could significantly reduce your property or change how your property is <br />distributed at your death. INITIAL ONLY the specific authority you WANT to give your <br />agent.) <br />2 <br />