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(4)Other relevant statements, if any , are as follows: <br />(seal) <br />nn <br />rt <br />Agent's Name: Jerry L. Jelinek <br />Agent's Address: rf 4a.\A ` wvx N � Nit - � v (b b <br />Agent's Phone: 306 <br />The foregoing instrument was acknowledged before me on <br />by Jerry L. Jelinek. <br />CD <br />NJ <br />Ln <br />-J <br />(1) <br />Record And Return to: <br />Grand Island Abstract, Escrow and Title Co. <br />704 W. Third Street, Grand Island, NE 68801 <br />e AGENT'S CERTIFICATION AS TO THE VALIDITY OF POWER OF ATTORNEY <br />AND AGENT'S AUTHORITY <br />STATE OF NEBRASKA <br />COUNTY OF HALL <br />I, Jerry L. Jelinek, Agent, certify under penalty of perjury that Betty Ann Jelinek, Principal, <br />granted me authority as an agent or successor agent in a power of attorney dated March 8, 2013 <br />which is attached hereto. <br />I further certify that to my knowledge: <br />The Principal is alive and has not revoked the Power of Attorney and my authority to act under the <br />Power of Attorney and the Power of Attorney has not terminated; <br />(1)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 />(2)If I was named as a successor agent, the prior agent(s) is /are no longer able or willing to <br />serve; <br />(3)The Agent is conveying Principal's interest in the following described real estate: <br />Lot Eight (8), in Sunset Third Subdivision, in the City of Grand Island, Hall County, <br />Nebraska. <br />, 2015 <br />Ns) <br />C=) <br />f-h <br />(n <br />C <br />0) <br />c0 <br />CO <br />CD <br />