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<br /> I B eve r 1� 5 vmm.e r �your narr�Q}r�ame the fal lo�ving person as my �.ger�t�indi�i duai
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<br /> w�th po�rer af att�rn�y]: .
<br /> Agent: Fr�nk J. 5te lla
<br /> Address: $1� �e�renth Ave�zue, New Y�rk, NY 1��19 �
<br /> T�lephone�umber: C�1�� 5 81-�3 4 D
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<br /> If my agent is unab�e ar un�rilling to act for me, I name as my success�r agent:
<br /> Name of Success�r Agent: ��-
<br /> Address:
<br /> T�lephone I�umber:
<br /> If my suc��ss�r agent is unab�e �r unv�r���ing t��.ct for me, I na�me as my se�ond successor
<br /> � agent�D��'I���L}:
<br /> 1�3ame of Second Su�c�ssar Agent: ~--�-
<br /> Address:
<br /> T��ephone Num�er: �
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<br /> I agree t�,authnri2e, and al�ow fu��r�lease �f infarmati�n, by any governm�ntai a�ency,
<br /> �us�ness, cred�tor,�r third party wh�may have inf�rmat�on per�aining to rny ass�ts�r ir�come,tv
<br /> � my ag�nt named�n thi s form, .
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<br /> I grant my a.gent and an� su��essor agent g�ner�.l authvrity t�act f�r me v�rith res�ect to
<br /> the f�i�ow�ng subje�ts�as d�f ned in the I�I�braska Uniform Power of Att�rney A�t}:
<br /> ��.F��C�each su�je��you w�nt to include i�z the agent's geneYal�x�thvri�y. If you�ish t�
<br /> grant geneY�l aut�arity ouer atl�,f the s�u�jec�s�o��may check "�lt I'r�cedi�ag Su�jec�s"instead
<br /> af�heck7'ng�ach su�je�t.} .
<br /> ��Rea�Property
<br /> � Tan�ib�e Persana�Prap�r�y
<br /> Pag� 1 of 4
<br /> Power of Attorn��, D� �:��PS�,R�v. �811� �3 a-404� _
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