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<br /> �� • � � UNI'I'ED GENERAL
<br /> T1TL� INSUItANCE COMPANY
<br /> 'fitle No.: 981202G 1
<br /> Tax Affidavit ��— 1�9�
<br /> ,a -
<br /> (I,We)the undexsigned borrower(s)do l�oreby swear depose and say as follows:
<br /> 1) That(I,We)are the Certified Owners of the property being mortgaged herein as shown in the above
<br /> numbered title search;
<br /> 2) That either,the first mortgagee pays all applicable taxes,water and sewer charges,that are liens on our real
<br /> praperty or we pay said taxes,water and sewer chazges and thcy are current;
<br /> 3) In the event that said taxes,��va�er and sewer chsrges are not curtent wc hereby undertalce personal liability
<br /> and responsibility t�come forward and pay said taxes,water and sewer charges with any penalty and interest
<br /> now due and owing and will thereby indemnify and hold harmless Realty Repo�s, Inc.and
<br /> Title Insur�ance Company.
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<br /> � / SS#�O� � !�o ` 7.U�fL
<br /> 1032 South Plum Street
<br /> Grand Island,Nebraska G8801
<br /> Premises Address
<br /> ,�Sworn before me this��day of �, 19�_.
<br /> �NERAI NOIARY•Stde oi N�Er�sM�
<br /> I PRICILLA A.BFt00KS
<br /> Mr Comm.E�p.Ibr.11,2W0
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