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201708337
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Last modified
12/9/2019 6:42:47 PM
Creation date
12/8/2017 4:46:29 PM
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DEEDS
Inst Number
201708337
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201708337 <br />( ) Create or change a beneficiary designation <br />( ) Delegate to another person to exercise the authority granted under this <br />power of attorney <br />( ) Waive the principal's right to be a beneficiary of a joint and survivor <br />annuity, including a survivor benefit under a retirement plan <br />( ) Exercise fiduciary powers that the principal has authority to delegate <br />( ) Renounce or disclaim an interest in property, including a power of <br />appointment <br />LIMITATION ON AGENT'S AUTHORITY <br />Except as otherwise authorized by the Power of Personal and Family <br />Maintenance, an agent MAY NOT use my property to benefit the agent or a person to <br />whom the agent owes an obligation of support unless I have included that authority in <br />the Special Instructions or the Grant of Specific Authority. <br />SPECIAL INSTRUCTIONS <br />You may give special instructions on the following lines: <br />All other previous Durable Powers of Attorney are hereby revoked. <br />EFFECTIVE DATE <br />This power of attorney is effective immediately unless I have stated otherwise in <br />the Special Instructions. <br />NOMINATION OF CONSERVATOR AND /OR GUARDIAN <br />If it becomes necessary for a court to appoint a conservator of my estate and /or <br />guardian of my person, I nominate the following person(s) for appointment: <br />Name of Nominee for conservator and /or guardian: Jennifer John <br />Nominee's Address: 1009 N. Howard Ave, Grand Island, Ne 68803 <br />Nominee's Telephone Number: (308) 379 -0385 <br />Name of Nominee for conservator and /or guardian: Tyrell Johnson <br />Nominee's Address: 2820 W. Koenig St., Grand Island, Ne 68801 <br />Nominee's Telephone Number: (308) 227 -9540 <br />
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