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201707117
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Last modified
12/9/2019 6:38:44 PM
Creation date
10/19/2017 2:49:59 PM
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DEEDS
Inst Number
201707117
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STATUTORY FORM POWER OF ATTORNEY <br />20170711"7 <br />IMPORTANT INFORMATION <br />This power of attorney authorizes another person (your agent) to make decisions concerning <br />your property for you (the principal). Your agent will be able to make decisions and act with <br />respect to your property (including your money) whether or not you are able to act for yourself. <br />The meaning of authority over subjects listed on this form is explained in the Nebraska Uniform <br />Power of Attorney Act. <br />This power of attorney does not authorize the agent to make health care decisions for you. <br />You should select someone you trust to serve as your agent. Unless you specify otherwise, <br />generally the agent's authority will continue until you die or revoke the power of attorney or the <br />agent resigns or is unable to act for you. <br />This form will not revoke a power of attorney previously executed by you unless you add that <br />the previous power of attorney is revoked or that all other powers of attorney are revoked by this <br />power of attorney. Your agent is entitled to reasonable compensation unless you state <br />otherwise in the Special Instructions. This form provides for designation of one agent. If you <br />wish to name more than one agent you may name a co -agent in the Special Instructions. Co- <br />agents are not required to act together unless you include that requirement in the Special <br />Instructions. <br />If your agent is unable or unwilling to act for you, your power of attorney will end unless you <br />have named a successor agent. You may also name a second successor agent. This power of <br />attorney becomes effective immediately unless you state otherwise in the Special Instructions. If <br />you have questions about the power of attorney or the authority you are granting to your agent, <br />you should seek legal advice before signing this form. <br />DESIGNATION OF AGENT <br />I, Rick Dahlgren, name the following person as my co- agent: <br />Name of Agent: Tiffany Dahlgren <br />Agent's Address: 1612 Lake Ave, Gothenburg, NE.69138 <br />Agent's Telephone Number: 308 - 258 -4364 <br />DESIGNATION OF SUCCESSOR AGENT <br />If my co- agent(s) are unable or unwilling to act for me, I name as my successor agent: <br />Name of Successor Agent: Rona Dahlgren <br />Successor Agent's Address: 10457 Silverock Drive, Dallas TX 75218 <br />Successor Agent's Telephone Number: 214- 415 -6793 <br />If my successor agent is unable or unwilling to act for me, I name as my 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 <br />
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