Fill and Sign the Power of Attorney Hereby Appoint Form

Prepared by, recording requested by and return to:Name: Company: Address: City: State: Zip: Phone: Fax: SPECIAL POWER OF ATTORNEY FOR CLOSING REAL ESTATE TRANSACTION (Agent for Seller) STATE OF NEBRASKACOUNTY OF _________________ KNOW ALL MEN BY THESE PRESENT, THAT I ___________________________,whose address is ________________________ , ________________________ (City), _________________ (State), _________________ (Zip), desiring to execute a SPECIAL POWER OF ATTORNEY, hereby appoint, ____________________________________, of ________________________ County, Nebraska, as my Attorney-in-Fact to act as follows, GRANTING unto my Attorney-in-Fact full power to:To do all things necessary to close on the sale of the property described below, commonly known as ___________________________________________ (address), with full power and authority for me and in my name to execute any and all documents necessary to effect the sale, conveyance and settlement on said property to any person or persons of his choosing, including but not limited to, deeds, checks, receipts, releases, warranties, affidavits, contracts, addenda, settlement statements, loan commitments and disclosure statements, truth-in- lending statements, all forms of commercial papers, endorsements to checks, or the like, and any such other instrument or instruments in writing of whatever kind, character and nature as may be necessary to complete the sale, financing arrangements, and the settlement process. FURTHER GRANTING full power ----------------------Above this Line for Official Use Only--------------------- and authority to collect and receive any funds or proceeds of said sale in any manner which, in his sole discretion, he sees fit.The legal description of the property is as follows, to-wit:[INSERT DESCRIPTION OR ATTACH EXHIBIT]I hereby ratify and confirm all that said attorney-in-fact shall lawfully do or cause to be done by virtue of this Power of Attorney and the rights and powers herein granted.All acts done by means of this power shall be done in my name, and all instruments and documents executed by my Attorney hereunder shall contain my name, followed by that of my attorney and the description "Attorney-in-Fact", excepting however any situation where local practice differs from the procedure set forth herein, in that event local practice may be followed. This SPECIAL POWER OF ATTORNEY shall be valid and may be relied upon by any third parties until such time as any revocation is recorded in the recorder's office of the county where the land is located.DATED this the ________ day of ___________________, 20____.________________________________ SignaturePrint Name: ________________________ STATE OF NEBRASKACOUNTY OF ________________________ The foregoing instrument was acknowledged before me this ________________________ (date) by ___________________________________ (name of person acknowledged). ______________________________Notary PublicPrinted Name: _________________ My Commission Expires: _____________________ Principal Name and AddressAttorney-in-Fact Name and AddressName:Name:Address:Address:City:City:State: Zip:State: Zip:Phone:Phone: