Laserfiche WebLink
POWER OF ATTORNEY <br />I, Donald H. Muhs, a domiciliary of Grand Island, Hall County, Nebraska, Principal, <br />desiring and intending to establish a Power of Attorney operative under the Nebraska Short <br />Form Act, do hereby appoint, constitute, and designate Dolores S. Muhs (and if she cannot or <br />will not serve, I then appoint David J. Muhs and Douglas J. Muhs, jointly, as successor. If <br />either cannot or will not serve, I then appoint the other as sole successor) Agent, the lawful and <br />true Agent and attorney in fact for Principal; and Principal does hereby further provide and <br />stipulate in connection therewith as follows: <br />1. This Power of Attorney is, as marked, a <br />( ) Durable Power of Attorney and a <br />( ) Contingent Durable Power of Attorney, upon the contingency of, <br />( ) Incompetence of Principal, or <br />( ) Other Contingency: , or <br />Present Durable Power of Attorney <br />Nondurable Power of Attorney. <br />(X) <br />( ) <br />2. By this Power of Attorney, Principal confers upon and grants to Agent plenary <br />power, plenary power subject to limitations, or all and each of the listed general powers as <br />individually marked: <br />(X) Plenary Power; or <br />( ) <br />LAURITSEN, BROWNELL, BROSTROM, <br />STEHLIK, MYERS & DAUGHERTY, PC, LLO <br />P. O. BOX 400 <br />GRAND ISLAND, NE 68801 <br />(308) 382 -8010 <br />Plenary Power Subject to Limitations, exclusive of General Powers for <br />Domestic and Personal Concerns and for Fiduciary Relationships and <br />No Other Restrictions, or <br />Other Restrictions: <br />Genera <br />Genera <br />Genera <br />Genera <br />Genera <br />Genera <br />Genera <br />Genera <br />Genera <br />Genera <br />Genera <br />Genera <br />; or <br />Power for Bank and Financial Transactions. <br />Power for Business Interests. <br />Power for Chattels and Goods. <br />Power for Disputes and Litigation. <br />Power for Domestic and Personal Concerns. <br />Power for Fiduciary Relationships. <br />Power for Governmental and Other Benefits. <br />Power for Insurance Coverages and Policies. <br />Power for Proprietary Interests and Materials. <br />Power for Real Estate. <br />Power for Securities. <br />Power for Records, Reports, and Statements. <br />3. By this Power of Attorney, Principal makes the following additional provision or <br />provisions: My Agent as my Personal Representative is authorized to execute any and all <br />releases required by health care providers and health plans under HIPAA. <br />4. This Power of Attorney revokes and supersedes all prior executed instruments <br />of like import and remains operative until revoked. <br />EXECUTED AT Grand Island, NE, on s3cc y ;' ,S' , 2004. <br />eit4.61 /-101,41 <br />Donald H. Muhs <br />STATE OF NEBRASKA ) <br />) ss. <br />COUNTY OF HALL ) <br />The foregoing instrument was acknowledged before me on <br />by the Principal Donald H. Muhs. <br />Notary Put <br />Vttl 7f , 2004, <br />201700597 <br />GENERAL NOTARY - State of Nebraska <br />CHERYL l KOSMICKI <br />My Comm. Exp. Match 5, 2006 <br />