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202102875
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Last modified
4/9/2021 11:41:28 AM
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4/9/2021 11:39:11 AM
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202102875
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0� <br />20210287-0 <br />NEBRASKA <br />STATUTORY FORM POWER OF ATTORNEY <br />IMPORTANT INFORMATION <br />This power of attorney authorizes another person (your agent) to make decisions concerning your <br />property for you (the principal). Your agent will be able to make decisions and act with respect to <br />your property (including your money) whether or not you are able to act for yourself. The meaning <br />of authority over subjects listed on this 'form is explained in the Uniform Power of Attorney Act, <br />Neb. Rev. Stat. §§ 30-4001, et seq. <br />This power of attorney does not authorize the agent to make health-care decisions for you. <br />You should select someone you trust to serve as your agent. Unless you specify otherwise, generally <br />the agent's authority will continue until you die or revoke the power of attorney or the agent resigns <br />or is unable to act for you. <br />Your agent is entitled to reasonable compensation unless you state otherwise in the Special <br />Instructions. <br />This form provides for designation of one agent. If you wish to name more than one agent you may <br />name a coagent in the Special Instructions. Coagents are not required to act together unless you <br />include that requirement in the Special Instructions. <br />If your agent is unable or unwilling to act for you, your power of attorney will end unless you have <br />named a successor agent. You may also name a second successor agent. <br />This power of attorney becomes effective immediately unless you state otherwise in the Special <br />Instructions. <br />If you have questions about the power of attorney or the authority you are granting to your <br />agent, you should seek legal advice before signing this form. <br />DESIGNATION OF AGENT <br />I, ARLENE J. BROCKMAN (name of principal), name the following person as my agent: <br />Name of Agent: Douglas C. Brockman <br />Agent's Address: 105 Arapahoe, Grand Island, NE 68803 <br />Agent's Telephone Number: (308) 258-0437 <br />
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