[Power Of Attorney] Nebraska

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POWER OF ATTORNEY
a domiciliary of

a domiciliary of
County, Nebraska, Principal desiring and intending to establish a Power of Attorney operative under the Nebraska Short Form Act, does hereby appoint, constitute,

County, Nebraska, Principal desiring and intending to establish a Power of Attorney
operative under the Nebraska Short Form Act, does hereby appoint, constitute,
and designate a

and designate a
of or with an office in

County, Nebraska, Agent, the lawful and true Agent and attorney in fact for Principal;
and Principal does hereby further provide and stipulate in connection therewith as
follows:
1. This Power of Attorney is, as marked, a
Durable Power of Attorney and a
Contingent Durable Power of Attorney, upon the contingency of,
Incompetence of Principal, or
Other
Contingency
or
Present Durable Power of Attorney
Nondurable Power of Attorney
2. By this Power of Attorney, Principal confers upon and grants to Agent plenary power, plenary power subject to limitations, or all and each of the listed general powers as individually marked:
Plenary Power; or
Plenary Power Subject to Limitations, exclusive of General Powers for
Domestic and Personal Concerns and for Fiduciary Relationships and
No Other Restrictions, or
Other Restrictions
Or
General Power for Bank and Financial transactions.
General Power for Business Interests.
General Power for Chattels and Goods.
General Power for Disputes and Litigation.
General Power for Domestic and Personal Concerns.
General Power for Fiduciary Relationships.
General Power for Governmental and Other Benefits.
General Power for Insurance Coverages and Policies.
General Power for Proprietary Interests and Materials.
General Power for Real Estate.
General Power for Securities.
General Power for Records, Reports, and Statements.
3. By this Power of Attorney, Principal makes the following additional provision or provisions:

[Power Of Attorney] Nebraska

Step 1 of 2

POWER OF ATTORNEY

or

Or