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RETURN TO: <br />Nye, Hervert, Jorgensen & Watson, P.C., L.L.O. <br />P.O. Box 2286 <br />Kearney, NE 68848 -2286 <br />STATE OF NEBRASKA <br />COUNTY OF BUFFALO <br />My commission expires: <br />6E'•MAL NOTARY - Slate of Nebraska <br />LORRIE FOSTER <br />*Cortex Eg. Dec. 3, 2013 <br />ABOVE THIS LINE RESERVED FOR OFFICIAL USE ONLY <br />) ss <br />Subscribed and sworn to before me this a 7 day of January, 2013. <br />C1, CY3, <br />4 <br />• tr <br />AFFIDAVIT <br />Notary Public <br />C) 0) <br />w o--{ <br />C_ C A <br />Z --- <br />�. --f rn <br />FRANCES J. QUARING, being first duly sworn, upon oath deposes and says: <br />A. She, Frances Quaring, is the surviving spouse of Jerry L. Quaring a/k/a Jerry Quaring who <br />died August 10, 2011. A certified death certificate for said decedent is attached hereto. <br />B. The following property passed from said decedent to the decedent's surviving spouse, <br />FRANCES J. QUARING, as provided in N.R.R.S. § 77 -2001 through 77 -2102, to -wit: <br />The Southwest Quarter of Section 31, Township 11 North, Range 12 West of the 6 P.M., <br />Hall County, Nebraska. <br />And further affiant says not. <br />Frances J. Quarin <br />M , <br />--I <br />rrt <br />2, <br />Cn <br />Q 3"I <br />rn <br />--I <br />z <br />0 <br />rV <br />O <br />t-- <br />GJ <br />C=7 <br />Cf1 <br />C) <br />CCU <br />CO <br />