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m Z <br />Iv <br />v <br />cs <br />co Z „I stt <br />_,. <br />_. <br />STATE OF La1, prN /4 <br />COUNTY OF Sam J Net/4 <br />AFFIDAVIT FOR <br />TRUSTEE CHANGE TO REAL ESTATE <br />ss: <br />1. Name of Decedent: Nancy Lee Ray <br />Date of Death: January 31, 2016 <br />Domicile at Date of Death: San Jose, Santa Clara, California <br />Name of Surviving Spouse /Trustee: Robert John Ray <br />LT) <br />v <br />N <br />CD <br />CD <br />Cfl <br />COMES NOW, the undersigned, being duly sworn, deposes and says that the undersigned <br />knows the Decedent and that the following information is true and correct: <br />A certified copy of the Decedent's death certificate is attached hereto and incorporated by <br />reference as if fully set forth herein. <br />2. The Affiant is related to the Decedent as follows: the Affiant is the Spouse and Co- Trustee <br />of the Ray Family Trust Agreement dated on or about May 15, 2014 which is owner of real <br />estate mentioned in this Affidavit. <br />3. Title to the real estate subject to this Affidavit his held as Robert John Ray and Nancy Lee <br />Ray Co- Trustee of the Ray Family Trust Agreement dated on or about May 15, 2014 and <br />the real property is legally described as follows: See Exhibit A <br />4. I hereby request that the Register of Deeds enter this information pursuant to Nebraska <br />Law. <br />