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201702311
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Last modified
7/3/2017 5:40:53 PM
Creation date
4/12/2017 4:10:13 PM
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DEEDS
Inst Number
201702311
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201 <br /> 702311 <br /> DESIGNATION OE 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: <br /> Successor Agent's Address: <br /> Successor Agent's Telephone Number: <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 /> (INITIAL each subject you want to include in the agent's general <br /> authority. If you wish to grant general authority over all of the subjects <br /> you • may initial "All Preceding Subjects" instead of initialing each <br /> 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 />
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