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202400316 <br />If my Successor agent is unable or unwilling to act for me, I name as my successor agent: <br />Name of Successor Agent: Bart Sheffield <br />Successor Agent's Address: 1911 Belmont Ave. <br />Prior Lake, MN 55379 <br />Successor Agent's Telephone Number: (612) 889-2800 <br />Release of Information: <br />I agree to, authorize, and allow full release of information, by any governmental agency, <br />business, creditor, or third party who may have information pertaining to my assets or income, to <br />my agent named herein. <br />GRANT OF GENERAL AUTHORITY <br />I grant my agent and any successor agent general authority to act for me with respect to <br />the following subjects as defined in the Nebraska Uniform Power of Attorney Act: <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 of <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 />( ) Personal and. Family Maintenance <br />( ) Retirement Plans <br />( ) Taxes <br />(VI) All Preceding Subjects <br />GRANT OF SPECIFIC AUTHORITY (OPTIONAL) <br />My agent MAY NOT do any of the following specific acts for me UNLESS I have <br />INITIALED the specific authority listed below: <br />Page 2 of 6 <br />