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99 109722 <br /> STATE OF NEBRASKA ) <br /> ) SS . AFFIDAVIT <br /> County of �i �, ) <br /> COMES NOW the undersigned, � ��t�yv��.� �, /✓j��w;�/�" , and after <br /> being duly sworn deposes and states as follows : <br /> l . That affiant is a licensed physician in the State of <br /> Nebraska, and is famili r with and has examined Christian Wicht; <br /> most recently on �' y�'��j9 <br /> 2 . That it is affiant ' s professional medical opinion that <br /> Christian Wicht is not fully competent to manage business affairs <br /> generally or other specific business matters that may be <br /> specified in any Power of Attorney or Durable Power of Attorney, <br /> and that the aforementioned person should be considered <br /> incapacitated and disabled for such purposes . <br /> Further affiant says not . <br /> s <br /> Dated this ��day of August, 1999 . <br /> Name ,,/ <br /> Subscribed and sworn to before me this ��day of <br /> August, 1999. <br /> �/ � � <br /> ��li,�,;�Q,����, f j'C�-a 7 1�-�✓ i <br /> Notar public <br /> RDS :dw <br /> G: \re99\3646 . 001 <br /> � =�--��-- <br /> �� At1'�•�:'''•: MARCr4RET A.VAN HORN <br /> °°"`q"`;*: MY COMMISSION EXPIRES <br /> ' �NOII,P��: <br /> '�.'::�s'�;,��.�'` March 21,2002 <br /> � <br />