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agent: <br />DESIGNATION OF SUCCESSOR AGENT(S) (OPTIONAL) <br />If my agent is unable or unwilling to act for me, I name as my successor agent: <br />Name of successor agent: Deb McMillan <br />Successor agent's address: 2107 John St. Grand Island, NE 68803 <br />Successor agent's telephone number: 9-422 -2418 <br />Name of second successor agent: <br />Second successor agent's address: <br />Second successor agent's telephone number: <br />GRANT OF GENERAL AUTHORITY <br />201602712 <br />If my successor agent is unable or unwilling to act for me, I name as my second successor <br />I grant my agent and any successor agent general authority to act for me with respect to the <br />following subjects as defined in the Uniform Power of Attorney Act, part 7 of article 14 of title 15, <br />Colorado Revised Statutes: <br />(INITIAL each subject you want to include in the agent's general authority. If you wish to <br />grant general authority over all of the subjects you may initial All preceding subjects instead of <br />initialing each subject.) <br />(X ) Real property <br />(X ) Tangible personal property <br />( ) Stocks and bonds <br />( ) Commodities and options <br />(X ) 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 govemmental programs or civil or military service <br />( ) Retirement plans <br />(_) Taxes <br />( ) All preceding subjects <br />GRANT OF SPECIFIC AUTHORITY (OPTIONAL) <br />My agent MAY NOT do any of the following specific acts for me UNLESS I have INITIALED <br />the specific authority listed below: <br />(CAUTION: Granting any of the following will give your agent the authority to take actions that could <br />significantly reduce your property or change how your property is distributed at your death. INITIAL <br />ONLY the specific authority you WANT to give your agent.) <br />STATE OF COLORADO STATUTORY FORM POWER OF ATTORNEY Page 2 of 6 <br />