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201506916
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Last modified
11/5/2015 9:11:30 PM
Creation date
10/7/2015 3:56:40 PM
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DEEDS
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201506916
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DESIGNATION OF AGENT <br />1, SHIRLEY A. BRUHN, name the following person as my agent: <br />DESIGNATION OF SUCCESSOR AGENT(S): <br />If my agent is unable or unwilling to act for me, I name as my successor agent: <br />Release of Information <br />1 agree to, authorize, 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 herein. <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 />(INITIAL each subject you want to include in the agent's general authority. If you wish <br />to grant general authority over all of the subjects, you may initial "All Preceding Subjects" <br />instead of initialing each subject.) <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 Services <br />Retirement Plans <br />Taxes <br />POWER OF ATTORNEY <br />Name of Agent: Susan Lauver <br />Agent's Address: 1935 NW 46` St., Lincoln, NE 68528 <br />Agent's Telephone Number: (402) 416 -1912 <br />Name of Successor Agent: Jodie Bjorkman <br />Successor Agent's Address: 515 W. Keating Cir., Lincoln, NE 68521 <br />Successor Agent's Telephone Number: (402) 310-6640 <br />201506916 <br />
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