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202500044 <br />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 />Amber Woitaszewski <br />3734 S. 90th Rd., Wood River, NE 68883 <br />(308) 383-3015 <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: <br />Successor Agent's Address: <br />Successor Agent's Telephone Number: <br />Bradley S. Kulus <br />15952 Bauman Ave., Omaha, NE 68116 <br />(515) 238-4386 <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 act for me with respect to the <br />following subjects as defined in the Uniform Power of Attorney Act, Nebraska Revised Statutes <br />Sections 30-4001, et seq. <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 />) Retirement Plans <br />Taxes <br />All Preceding Subjects <br />