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N art <br />rn V1 <br />01 <br />Retum to: <br />Kevin A. Brostrom <br />Attomey at Law <br />P.O. Box 400 <br />Grand Island. NE 68802 -0400 <br />STATE OF NEBRASKA <br />) ss. <br />COUNTY OF HALL ) <br />AFFIDAVIT <br />Not <br />COMES NOW Terry L. Johnson, after being first duly sworn upon oath, deposes and states <br />as follows: <br />THAT I am one of the Grantors in a certain real estate transaction in which I am quitclaiming <br />Lot Two (2), Block Three (3), Jenkinson Subdivision to the City of Grand Island, Hall County, <br />Nebraska, to Terry L. Johnson and Carol L. Johnson, Trustees of the Terry L. Johnson and Carol L. <br />Johnson Revocable Trust, dated October 28, 2013; <br />THAT I am one of the Trustors of the Terry L. Johnson and Carol L. Johnson Revocable <br />Trust, dated October 28, 2013; <br />THAT this real estate transaction is exempt pursuant to Neb. Rev. Stat. § 76- 901(17) because <br />transfer of this property would be exempt if it were transferred from myself as Grantor to myself as <br />Beneficiary /Trustor of the above Trust; <br />THAT a true and correct copy of the Terry L. Johnson and Carol L. Johnson Revocable Trust, <br />dated October 28, 2013, would be made available upon request to support t e exemption. <br />TERRY L. JOHNSO <br />SUBSCRIBED and sworn to before me this ' da of October 20 3. <br />41 adAAMN <br />GENERAL VI A. BROSTROM 1 <br />My Comm. Exp. Sept. 25, 2014 <br />m <br />2 <br />