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201608458 <br />DESIGNATION OF SUCCESSOR AGENT(S) (OPTIONAL) <br />If my agent is unable or unwilling to act for me, I name as my successor <br />agent: <br />Name of Successor Agent: Tori L. Kouma <br />Successor Agent's Address: 7640 Spring Glade Road, Loveland Co 80538 <br />Successor Agent's Telephone Number: 907 - 691 -1902 <br />If my successor agent is unable or unwilling to act for me, I name as my <br />second successor agent: <br />Name of Second Successor Agent: <br />Second Successor Agent's Address: <br />Second Successor Agent's Telephone Number: <br />Release of Information I agree to, authorize, and allow full release of <br />information, by any governmental agency, business, creditor, or third <br />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 <br />with respect to the following subjects as defined in the Nebraska Uniform <br />Power of Attorney Act: <br />1. Real Property <br />2. Tangible Personal Property <br />3. Stocks and Bonds <br />4. Commodities and Options <br />5. Banks and Other Financial Institutions <br />6. Operation of Entity or Business <br />7. Insurance and Annuities <br />8. Estates, Trusts, and Other Beneficial Interests <br />9. Claims and Litigation <br />10. Personal and Family Maintenance <br />11. Benefits from Governmental Programs or Civil or Military Service <br />