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rn ss <br />z x <br />N n N Vf <br />0 � 1 . 1 . 1 <br />Nebraska. <br />GENERAL NOTARY - State of r c, <br />JOHA!A M. BROST Lt 11_I5 <br />My Cam. Exp. Aur,Iist 7, 201 a <br />My commission expires: <br />8 /7 /‘ <br />J' <br />Terry Curtiss <br />Subscribed and sworn to before me on /(CeA-e ., , 2017. <br />(The above space for use of Register of Deeds) <br />AFFIDAVIT <br />,,,PLEASE RETURN TO: Terry Curtiss, Curtiss, Moravek & Curtiss, PC, LLO, 416 Niobrara Ave., Alliance, Nebraska 69301 <br />STATE OF NEBRASKA, County of Box Butte: ss. <br />Terry Curtiss, being first duly sworn on oath, states: <br />1. William Lyle Lore died July 23, 2017, a resident of and domiciled in Box Butte County, <br />2. At the date of death of William Lyle Lore, he held a life estate in the following described <br />real estate: <br />The Easterly 33 feet of Fractional Lot 6 and All of Fractional Lot 7 in Ftlfctional Block 143, <br />Union Pacific Railway Co. S Second Addition, and the complements thereto, being the East <br />33 feet of Fractional Lot 7, and All of Fractional Lot 8, in Fractional Block 11 in Russell <br />Wheeler's Addition, all in the City of Grand Island, Hall County, Nebraska. <br />3. Attached hereto is a certified copy of the death certificate issued by the State of South <br />Dakota, Department of Health. <br />FURTHER AFFIANT SAYETH NOT. <br />( OO <br />