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DESIGNATION OF SUCCESSOR AGENT(S) (OPTIONAL) <br />Limy agent is unable or unwilling to act for me, I name as my successor 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 second successor agent: <br />Name of Second Successor Agent: <br />Successor Agent's Address: <br />Successor Agent's Telephone Number: <br />Michael R. Owen <br />527 Holcomb St, Grand Island, NE 68801 <br />(308) 384 -6762 <br />Marilyn L Hider <br />4513 l4' St. Drive, Greeley, CO 80634 <br />(970) 381-8124 <br />RELEASE OF INFORMATION <br />I agree to, authorize and allow full release of information, by any governmental agency, business, <br />creditor, or third party who may have information pertaining to my assets or income, to my agent <br />named herein. <br />GRANT OF GENERAL AUTHORITY <br />1 grant my agent and any successor agent general authority to act for me with respect to the following <br />subjects as defined in the Uniform Power of Attorney Act, Nebraska Revised Statutes Sections 30- <br />4001, et seq. <br />(INITIAL each subject you want to include in the agent's general authority. If you wish to grant <br />general authority over all of the subjects you may initial "All Preceding Subjects" instead on <br />initialing each 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 />{ ) Personal and Family Maintenance <br />( ) Benefits from Governmental Programs or Civil or Military Service <br />( ) Retirement PIans <br />{ ) Taxes <br />( v ) All Preceding Subjects <br />