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20�203603 <br />ACKNOWLEDGMENT OF RECEIPT <br />Pursuant to and in compliance with the provisions of Neb. Rev. Stat. §30-2352(b) (Reissue <br />2008), the undersigned, being all of the transferors of the interest being renounced and disclaimed by <br />Frances A. Harders, hereby acknowledges receipt of the foregoing Renunciation and Disclaimer. <br />Dated:�q zDf Z.. <br />(.� �LJi„pL-�%� <br />Frances A. Harders, Personal Representative <br />AFFIDAVIT OF MAILING NOTICE <br />STATE OF NEBRASKA <br />COUNTY OF BUFFALO <br />) <br />) ss: <br />) <br />AFFIANT, being first duly sworn on oath, states: <br />1. Affiant is the attorney for Frances A. Harders, the personal representative of the Estate <br />of Lyle L. Harders, Deceased. <br />Z. On May I,2012, Affiant sent by United States Mail, pursuant to and in compliance with <br />the provisions of Neb. Rev. Sta.t. §30-2352(e) of the Nebraska Probate Code, a copy of this <br />Renunciation and Disclaimer to the following parties addressed as shown below and describing the <br />interest or potential interest such person shall receive as a result of the renunciation: <br />Name <br />Frances A Harders <br />Ronald L. Harders <br />William L. Harders <br />Jolene F. Peters <br />Mailing Address <br />5275 South McGuire Rd. <br />Wood River, NE 68883 <br />PO Box 551 <br />Wood River, NE 68883 <br />525 Narth 150th <br />Wood River, NE 68883 <br />2658 North 130th Rd. <br />Cairo, NE 68824 <br />Interest or Potential Interest <br />Life Estate Interest <br />�/3 Remainder Interest <br />'/3 Remainder Interest <br />1 /3 Remainder Interest <br />3. Further Affiant states that, after diligent and reasonable investigation and inquiry, Affiant <br />and the personal representative of the Estate of Lyle L. Harders, Deceased, were unable to ascertain <br />Form 390 <br />§ 30-2352 & I.RC. §2518 & §2046 <br />Rev. 10/09 <br />RENUNCIATION AND DISCLAIlVIER <br />Page 3 <br />