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202105214
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Last modified
6/21/2021 3:49:45 PM
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6/21/2021 3:49:44 PM
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202105214
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j3V211SSY <br />m <br />rn D <br />n.. <br />Record and Return to: <br />Grand Island Abstract, Escrow and Title Co. <br />704 W. Third Street, Grand Island, NE 68801 <br />cn <br />C <br />e.) <br />AGENT'S CERTIFICATION AS TO THE VALIDITY OF POWER OF ATTORNEY AND <br />AGENT'S AUTHORITY <br />I, Benjamin Ryan Forst, certify under penalty of perjury, Laurance Sterne Gordon III granted me <br />authority as an agent or successor agent in a power of attorney dated December 30, 2020, <br />which is attached hereto. <br />I further certify that to my knowledge: <br />(1) The Principal is alive and has not revoked the Power of Attorney or my authority to <br />act under the Power of Attorney and the Power of Attorney and my authority to act <br />under the Power of Attorney have not terminated; <br />(2) If the power of Attorney was drafted to become effective upon the happening of an <br />event or contingency, the event or contingency has occurred; <br />If I was named as a successor agent, the prior agent(s) is/are no longer able or <br />willing to serve; <br />(4) Other relevant statements, if any, are as follows: <br />(3) <br />Lot Four (4), Yost Subdivision, in the City of Grand Island, Hall County, <br />Nebraska. <br />Dated: uh e. l (o , 2021. <br />Agent's Name Printed: <br />Agent's Address: <br />Agent's Phone: <br />Benja <br />in R <br />n Forst <br />Benjamin Ryan Forst <br />tD32,o nal, CJ-Ic.}- <br />Cal•om60 SPr,). C't3 <br />%1q-2(0- 7ns� <br />STATE OF CLISLOrOtotO <br />COUNTY OF E4tem <br />The foregoing instrument was acknowledged before me on <br />2021 by Benjamin Ryan Forst. <br />(Sea$ika R Kwasny <br />NOTARY PUBLIC <br />STATE OF COLORADO <br />NOTARY ID 20204025146 <br />MY COMMISSION EXPIRES JULY 21, 2024 <br />uz <br />Ot.4� �c J LL vw <br />Notary Public <br />PN 1.N3Wf1111SNI SY a31131N3 <br />
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