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202004366 <br />NOMINATION OF (CONSERVATOR OR GUARDIAN) (OPTIONAL) <br />If it becomes necessary for a court to appoint a conservator or guardian of my estate or of <br />my person, I nominate the following person(s) for appointment: <br />Name of Nominee <br />Nominee's Address: <br />Nominee's Telephone Number: <br />Bethany Gutschow <br />1508 Post Place <br />Grand Island, NE 68801 <br />308/325-3629 <br />RELIANCE ON THIS POWER OF ATTORNEY <br />Any person, including my agent, may rely upon the validity of this power of attorney or a <br />copy of it unless that person knows it has terminated or is invalid. <br />SIGNATURE AND ACKNOWLEDGMENT <br />Printed Name <br />Address <br />Telephone Number <br />// ..3re ' <br />Date <br />John Gutschow <br />1508 Post Place, Grand Island, NE 68801 <br />308/746-2917 <br />STATE OF NEBRASKA, COUNTY OF HALL ) ss: <br />This document was acknowledged before me on <br />John Gutschow. <br />GENte of Nebraska <br />ERAL <br />B MCtDERMO <br />My Comm. Exp. March 22, 2022 <br />dadif 24,V1 <br />Nota ,Public <br />This document prepared by: <br />John B. McDermott <br />SHAMBERG, WOLF, McDERMOTT & DEPUE <br />308 N. Locust St., Suite 501 <br />Grand Island, NE 68801 <br />(308) 384-1635 <br />jmcdermott@giattorneys.com <br />by <br />Page 3 of 3 <br />