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201605233
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7/3/2017 5:40:20 PM
Creation date
8/12/2016 3:50:30 PM
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DEEDS
Inst Number
201605233
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title thereto, for any automobile that I may own or hereafter acquire; <br />201605233 <br />f. Tax Powers. To prepare, sign and file joint or separate income tax returns or <br />declarations of estimated tax for any year or years; to prepare, sign and file any <br />claim for refund of any tax and to otherwise represent me before any office of the <br />Internal Revenue Service (with power of substitution of any other attorneys at law <br />chosen by said Agent) for any federal tax matter. <br />g. Safety Deposit Boxes. To have access at any time or times to any safe deposit box <br />rented by me, wheresoever located and to remove all or any part of the contents <br />thereof. <br />2. APPOINTMENT OF SUCCESSOR ATTORNEY IN FACT FOR DURABLE, <br />GENERAL POWER OF ATTORNEY. In the event my Attorney in Fact, PHYLLIS DIBBERN, <br />is unable or unwilling to act, then in such event, I hereby appoint RICHARD VAN ZYL, whose <br />address is 3111 Brentwood Blvd., Grand Island, NE 68801, telephone 308 -381 -1781, as <br />Successor Attorney in Fact and Agent, with the same powers and authority conferred upon my <br />primary Attorney in Fact. <br />3. PROTECTIVE PROCEEDINGS. In the event that protective proceedings are <br />hereafter commenced to appoint a Conservator /Guardian over my estate and person, then it is my <br />express wish and I hereby nominate PHYLLIS DIBBERN, being the Attorney in Fact named in this <br />Durable Power of Attorney, as Conservator /Guardian of my estate and person. In the event that <br />PHYLLIS DIBBERN should be unable to serve in such capacity for any reason whatsoever, either <br />prior to or after appointment, then I hereby nominate RICHARD VAN ZYL as Successor <br />Conservator /Guardian. I have the utmost confidence in the ability, honesty and integrity of the <br />person nominated as Conservator /Guardian and Successor Conservator /Guardian and direct that <br />either of them be permitted to serve in such capacity without bond. <br />4. POWER OF ATTORNEY FOR HEALTH CARE. I further appoint the above - <br />named Attorney in fact, PHYLLIS DIBBERN, as Attorney in Fact for my health care. If PHYLLIS <br />DIBBERN is unable or unwilling to act as my Attorney in Fact for my health care, then I nominate <br />and appoint RICHARD VAN ZYL, as my Successor Attorney in Fact, and I authorize said <br />Attorney in Fact appointed by this document to make health care decisions for me, after <br />consultation with my physician or physicians, when I am incapable . of making my own health care <br />decisions. For the purposes of this document, I understand health care decisions to mean the <br />consent, refusal of consent, or withdrawal of consent to health care, and shall apply to any <br />treatment, procedure or intervention to diagnose, care for, or treat the effects of disease, injury, and <br />degenerative conditions. The authority conferred herein shall be exercisable only when I am <br />incapable of making my own decisions regarding any health care matter, such determination of my <br />incapacity to be confirmed in writing by my attending physician as required by law. <br />Regarding the withholding or withdrawal of life sustaining procedures or treatments, I <br />-2- <br />
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