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Upon recording, return to: <br />STATE OF NEBRASKA ) <br />) SS <br />COUNTY OF _HALL <br />I further certify that to my knowledge: <br />Dated: (J k Y\-& , 20 ) <br />5. other relevant statements, if any, are as follows: <br />My commission expires: V U , 20 <br />m <br />n� <br />n_ <br />AGENT'S CERTIFICATION AS TO VALIDITY OF <br />POWER OF ATTORNEY AND AGENT'S AUTHORITY <br />Notary Public <br />c_. <br />N <br />CD <br />I, _Tiffany M. Fay_, Agent, certify under penalty of perjury that _Brian T. Fay_, <br />Principal granted me authority as an agent or successor agent in a power of attorney <br />dated Lc - 1 ( - ) Cp , a copy of which is attached hereto. <br />Agent Name: Tiffany M. Fay <br />Address of Agent: 311 Island Dr Doniphan NE 68832 <br />Phone Number: 402 - 212 -5276 <br />1. the principal is alive and has not revoked the Power of Attorney and the Power of <br />Attorney and my authority to act under the Power of Attorney have not <br />terminated; <br />2. if the Power of Attorney was drafted to become effective upon the happening of <br />an event or 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 <br />willing to serve; <br />4. The Agent is conveying Principal's interest in the following described real estate: <br />Lot Three (3), Amick Acres West Subdivision, Hall County, Nebraska. <br />This instrument was subscribed, sworn to, and acknowledged before me on <br />,20 1 Cp ,by t'r - cA. / 1v1 • <br />GENERAL NOTARY - State of Nebraska <br />TRICIA CAMPLIN <br />My Comm. Exp. June 2, 2018 <br />