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201506395
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Last modified
11/5/2015 9:11:30 PM
Creation date
9/18/2015 4:34:27 PM
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201506395
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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 />ra <br />vi <br />COUNTY OF <br />STATE OF NEBRASKA <br />) SS: <br />I further certify that to my knowledge: <br />Dated: 6 HS <br />m <br />-n <br />C <br />z <br />n <br />n> <br />(5) Other relevant statements, if any , are as follows: <br />,20/5. <br />Theresa Krajicek <br />Agent's Name: Theresa Krajicek <br />Agent's Address: 314 Remington Rd <br />Papillion, NE 68046 <br />Agent's Phone 402 -597 -6367 <br />I GENERAL NOTARY SLIE - State of Nebraska <br />LE <br />My Comm. Exp. April 17, 2018 <br />(seal) <br />My commission expires: <br />Notary Public <br />Z-0/71« <br />C) <br />N) <br />w <br />AGENT'S CERTIFICATION AS TO THE VALIDITY OF POWER OF ATTORNEY <br />AND AGENT'S AUTHORITY <br />I, Theresa Krajicek, Agent, certify under penalty of perjury that James Joseph Krajicek, Principal, <br />granted me authority as an agent or successor agent in a power of attorney dated June 12, 2013, <br />which is attached hereto. <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 Seventeen (17), Capital Heights Sixth Subdivision, in the City <br />of Grand Island, Hall County, Nebraska. <br />The foregoing instrument was acknowledged before me on ' j4 1,Lf - (5 , 2015 <br />by Theresa M. Krajicek. <br />
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