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201500579
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Last modified
4/14/2015 11:53:03 AM
Creation date
1/29/2015 3:20:33 PM
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DEEDS
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201500579
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IN THE COUNTY COURT OF HALL COUNTY, NEBRASKA <br />IN THE MATTER OF THE ESTATE <br />OF <br />ROBERT W. LOWRY, DECEASED <br />Form 390 <br />§ 30 -2352 & I.R.C. §2518 & §2046 <br />Rev. 10/09 <br />201500579 <br />FILED <br />Exhibk <br />Case No. PR15- 14 <br />JAN 262015 <br />RENUNCIATION AND DISCLAIMER <br />The undersigned, Iva B. Lowry, as a beneficiary under the Robert W. Lowry Trust <br />Agreement dated May 30, 2013 (hereinafter referred to as the "Robert W. Lowry Trust "), hereby <br />states, declares, and acknowledges as follows: <br />1. That the decedent, Robert W. Lowry, died on April 26, 2014, a resident of Hall County, <br />Nebraska. <br />2. That I have consulted with legal counsel of my own choosing regarding the execution of <br />this document. <br />3. That to the extent such legal counsel represents any other person or entity in any manner <br />which might give rise to a situation of dual representation or potential conflict of interest, I hereby <br />represent that I have been informed of such fact by such legal counsel and I prevailed upon such legal <br />counsel to represent me in this regard after such disclosure. <br />4. That I am renouncing and disclaiming something which might be of substantial value to <br />me, but I do not expect to, nor have I, received any consideration in money or otherwise for the <br />execution of this document. <br />5. That I do not expect to, nor have I, controlled, directed, or selected, the person or entity <br />who shall receive, possess, or enjoy, the interest or power hereby renounced and disclaimed. <br />6. That I intend this document to constitute an irrevocable renunciation and disclaimer, and <br />in that regard I acknowledge that I have relied upon certain assumptions regarding factual matters <br />which I realize may not be correct, but I assume this risk and intend this document to be effective <br />nevertheless. <br />7. That I have not accepted any interest in the foregoing power or interest which is the <br />subject of this renunciation or disclaimer or any benefits therefrom, nor have I made any transfer <br />thereof, nor have I accepted any delivery of such power or interest, nor have I exerted any dominion <br />of any kind over such power or interest, and no such power or interest has been either sold or <br />disposed of pursuant to judicial process therefor. <br />11111111 <br />RENUNCIATION AND DISCLAIlVIER <br />Page 1 <br />
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