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201608180
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Last modified
7/3/2017 5:40:32 PM
Creation date
12/5/2016 4:08:16 PM
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DEEDS
Inst Number
201608180
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DESIGNATION OF SUCCESSOR AGENTS <br />If my Agent is unable or unwilling to act for me, I name as my Successor Agent: <br />Name of Successor Agent: ROBERT P. HERMAN <br />Successor Agent's Address: 13531 W. White Cloud Road <br />Cairo, Nebraska 68824 <br />Successor Agent's Telephone Number: (308) 380 -2706 <br />2 01608180 <br />If my Successor Agent is unable or unwilling to act for me, I name as my Second Successor <br />Agent: <br />Name of Second Successor Agent: JOHN C. HERMAN <br />Second Successor Agent's Address: 11813 S. 150th Road <br />Wood River, Nebraska 68883 <br />Second Successor Agent's Telephone Number: (308) 380 -2705 <br />RELEASE OF INFORMATION <br />I agree to, authorize, and allow full release of information, by any governmental agency, <br />business, creditor, or third party who may have information pertaining to my assets or income, to <br />my agent named herein. <br />GRANT OF GENERAL AUTHORITY <br />I grant my agent and any successor agent general authority to act for me with respect to <br />the following subjects as defined in the Nebraska Uniform Power of Attorney Act: <br />(INITIAL each subject you want to include in the agent's general authority. If you wish to grant <br />general authority over all of the subjects you may initial "All Preceding Subjects" instead of <br />initialing each subject.) <br />Real Property <br />Tangible Personal Property <br />Stocks and Bonds <br />Commodities and Options <br />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 Governmental Programs or Civil or Military Service <br />Retirement Plans <br />Taxes <br />` t1 _ All Preceding Subjects <br />2 of 6 <br />
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