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20180044 / <br /> Nebraska Statutory Short Form Power of Attorney <br /> NOTICE <br /> The following statutory short form,when reproduced and used in the <br /> identical indicated words or in substantially the same or more similar than dissimilar <br /> formulation of words by means of printing,typing,writing;or other method of <br /> reproduction and use or when appropriately adapted to particular circumstances,shall <br /> be and constitute a statutory short form power of attorney and,when completed by <br /> adoption by check or other clear mark of each included, provision desired and permitted <br /> to be adopted and made operative,by deletion by line or other clear obliteration of <br /> each included provision desired and permitted to be deleted and made inoperative,by <br /> inclusion by printing,typing,writing,or other clear presentation of each provision not <br /> included but desired and permitted to be included and made operative,and by insertion <br /> by printing,typing,writing,or other clear preIentation of all additional data and <br /> information required to be included and when effectuated by execution by or for the <br /> principal,by acknowledgment by or for the principal,and by delivery by or at the <br /> express direction of the principal,to and acceptance by the agent of at least one so <br /> completed,executed,and acknowledged form,shall create and establish an agency <br /> relationship under a power of attorney in accordance with the Nebraska Short Form Act. <br /> POWER OF ATTORNEY <br /> GUN DA lsavy S a domiciliary of Aft y _ y operative <br /> Nebraska,Principal,desiring and intending to establish a Power of Attorne o erative <br /> under the Nebraska Short Form Act,does hereby appoint,constitute,and designate <br /> W' " 41' A► S ,a ; - of or with an office <br /> in ,� County,Nebraska,:. . . { -1'1.„0, I . Gape; a <br /> - - of or with an office in (t County, <br /> Ne eras : Agent;the lawful and true Agent and attorney in fact for Principal; and <br /> Principal does hereby further provide and stipulate in connection therewith as follows: <br /> 1.This Power of Attorney is,as marked,a <br /> NiDurable Power of Attorney and a <br /> (')-Contingent Durable Power of Attorney,upon the contingency of <br /> , <br /> ( ) Incompetence of Principal,or <br /> ()Other Contingency: <br /> ,or <br /> Present Durable Power of Attorney <br /> )Nondurable Power of Attorney. <br /> 2.By this Power of Attorney,Principal confers upon and grants to Agent plenary <br /> power, plenarypower subject to limitations,or all and each of the listed general powers <br /> as individually marked: <br /> (Plenary Power,or <br /> • <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 />