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DESIGNATION OF SUCCESSOR AGENT(S) (OPTIONAL) <br />If my 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 />202005602 <br />Pamela S. Hipke <br />4128 Norwood Drive, Grand Island, NE 68801 <br />(308) 384-6755 <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: Ryan A. Hipke <br />Second Successor Agent's Address: 4128 Norwood Drive, Grand Island, NE 68801 <br />Second Successor Agent's Telephone Number: (308) 390-3361 <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 />I grant my agent and any successor agent general authority to <br />following subjects as defined in the Uniform Power of Attorney <br />Sections 30-4001, et seq. <br />(INITIAL each subject you want to include in the agent's general <br />general authority over all of the subjects you may initial "All <br />initialing each subject.) <br />act for me with respect to the <br />Act, Nebraska Revised Statutes <br />authority. If you wish to grant <br />Preceding Subjects" instead on <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 />( J Insurance and Annuities <br />( ) Estates, Trusts, and Other Beneficial Interests <br />( J Claims and Litigation <br />( J Personal and Family Maintenance <br />( ) Benefits from Governmental Programs or Civil or Military Service <br />( ) Retirement Plans <br />Taxes <br />All Preceding Subjects <br />