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7a nn <br />rn => <br />n z n= <br />=nv � <br />X = <br />N <br />bra N <br />t71 , <br />vReturn address: Michael C. Klein, P.O. Box 133, Holdrege, NE 68949 -0133 <br />AFFIDAVIT OF SURVIVING JOINT TENANT <br />Allen D. Vogt, being first duly sworn on oath, swears and affirms: <br />1. That I am of legal age and a resident of Grand Island, Hall County, Nebraska. <br />2. That I am the surviving spouse of Jeanette R. Vogt, and that Jeanette R. Vogt <br />and Allen D. Vogt were married at the time of death of Jeanette R. Vogt on October 16, <br />2017. <br />3. Attached hereto is a Certified Death Certificate of Jeanette R. Vogt, as issued by <br />the Department of Health, Bureau of Vital Statistics, State of Nebraska. <br />4. That the affiant, Allen D. Vogt, and the decedent, Jeanette R. Vogt, were on <br />October 16, 2017, the owners in joint tenancy of the following described real estate in <br />Hall County, Nebraska: <br />A tract of land in Lot Four (4) on Mainland in the Southeast Quarter (SE 1 /4) <br />of Section Ten (10), Township Nine (9) North, Range Twelve (12) West of <br />the 6th P.M., Hall County, Nebraska, more particularly described as follows: <br />Commencing at the northeast corner of Lot Four (4) on Mainland in the <br />Southeast Quarter (SE %) of Section Ten (10), Township Nine (9) North, <br />Range Twelve (12) West of the 6th P.M., Hall County, Nebraska, running <br />thence west Twelve and One -Half (12 %) Rods, South Thirteen (13) Rods, <br />East Twelve and One -half (12 1/2) Rods, North Thirteen (13), to the place of <br />beginning and containing 1 acre more or less. <br />