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baring brz1 ,g, 1S ' <br /> Address (line 29) <br /> Attachment: certified or authenticated copy of Death Certificate <br /> NOTARY <br /> State of Nebraska, County of /(i (( n- <br /> This document was acknowledged before me on the / day of Ar f4Uc , 20 Ht,0 , <br /> (day) oath) (year) <br /> by 70IC� M. i rrrc <br /> (name of f8ant) <br /> 4071 , (Seal, if any) fIL11fnAR1► sKleaNebraska <br /> nature of V31- 17 SONVA K.KOPER317 <br /> MY Comm.Grp.MO,2dl� <br /> My commission expires: -GC IL/ lP, O/"7 <br /> Page 2 of 2 <br /> ARldavit tor Transfer of Real Property without Probate <br /> CC i&4t Rev.01115 <br /> Pro Se Committee <br /> Neb.Rev.S&L 00-24,129 <br />