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201505915
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Last modified
11/5/2015 9:11:29 PM
Creation date
8/28/2015 4:06:18 PM
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201505915
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Record And Return to: <br />Grand Island Abstract, Escrow and Title Co. <br />704 W. Third Street, Grand Island, NE 68801 <br />STATE OF NEBRASKA ) <br />COUNTY OF HALL ) SS: <br />99Z I OS L ON alIA <br />(5) Other relevant statements, if any , are as follows: <br />Dated: <br />ugusL- <br />Agent's Phone: 308 - 391 -1858 <br />20 15 . <br />Charles Keown <br />Agent's Name: Charles Keown and Larry Keown <br />Agent's Address: <br />C;) <br />rn <br />(. <br />AGENT'S CERTIFICATION AS TO THE VALIDITY OF POWER OF ATTORNEY <br />AND AGENT'S AUTHORITY <br />I, Charles Keown and Larry Keown, certify under penalty of perjury that Wilma Ann Keown <br />Principal, granted me authority as an agent or successor agent in a power of attorney dated <br />October 14 2013, which is attached hereto. <br />I further certify that to my knowledge: <br />(1)The Principal is alive and has not revoked the Power of Attorney and my authority to act <br />under the Power of Attorney and the Power of Attorney have not terminated; <br />(2)If the power of Attorney was drafted to become effective upon the happening of an event or <br />contingency, the event or contingency has occurred; <br />(3)If I was named as a successor agent, the prior agent(s) is /are no longer able or willing to <br />serve; <br />(4)The Agent is conveying Principal's interest in the following described real estate: <br />Lot Thirty Four (34) and the North Half (Nl /2) of Lot Thirty Three <br />(33), in West Lawn, an Addition to the City of Grand Island, Hall <br />County, Nebraska <br />m <br />--1 <br />m ay <br />m <br />0 <br />Cd) <br />CO <br />m <br />0 <br />
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