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NEBRASKA STATUTORY FORM POWER OF ATTORNEY JULIE AMBROZ IMPORTANT INFORMATION This power of attorney authorizes another person (your agent) to make decisions concerning your property for you (the principal). Your agent will be able to make decisions and act with respect to your property (including your money) whether or not you are able to act for yourself. The meaning of authority over subjects listed on this form is explained in the Nebraska Uniform Power of Attomey Act. This power of attorney does not authorize the agent to make health care decisions for you. You should select someone you trust to serve as your agent. Unless you specify otherwise, generally the agent's authority will continue until you die or revoke the power of attorney or the agent resigns or is unable to act for you. This form will not revoke a power of attorney previously executed by you unless you add that the previous power of attorney is revoked or that all other powers of attorney are revoked by this power of attorney. Your agent is entitled to reasonable compensation unless you state otherwise in the Special Instructions. This form provides for designation of one agent. If you wish to name more than one agent you may name a co -agent in the Special Instructions. Co- agents are not required to act together unless you include that requirement in the Special Instructions. If your agent is unable or unwilling to act for you, your power of attomey will end unless you have named a successor agent. You may also name a second successor agent. This power of attorney becomes effective immediately unless you state otherwise in the Special Instructions. DESIGNATION OF AGENT I, Julie Ambroz, name the following person as my agent: Name of Agent: Jane Ambroz Agent's Address' 2719 W. 24th Street #15, Kearney, NE 68845 Agent's telephone Number: 305- 224 -0591 RELEASE OF INFORMATION I agree to, authorize, and allow full release of information, by any govemmental agency, business, creditor, or third party who may have information pertaining to my assets or income, to my agent named herein. GRANT OF GENERAL AUTHORITY I grant my agent and any successor agent general authority to act for me with respect to the following subjects as defined in the Nebraska Uniform Power of Attorney Act: 2`01607620