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CO <br />CO <br />CO <br />Record and return to: <br />Ronald S. Depue <br />308 N. Locust, Ste. 501 <br />Grand Island, NE 68801 <br />(I C1 <br />S D <br />ni <br />0 <br />V <br />0 <br />AFFIDAVIT OF MARITAL STATUS <br />STATE OF NEBRASKA <br />SS: <br />COUNTY OF HALL <br />r ) <br />CI <br />-a N <br />rn O <br />CJJ <br />•-e". CO <br />M <br />C:7 O <br />-r0 w�> C) <br />11) CO <br />Q U"I CO <br />Thonglam Manivong ("Affiant"), being first duly sworn on oath, deposes and states as <br />follows: <br />1. Affiant and Patthana Manivong ("Patthana") were married on July 21, 2014, and <br />continued to be married until Patthana's death on June 14, 2018. <br />2. This Affidavit is provided with respect to the following described real estate: <br />The Easterly Sixty -Six Feet (66') of Lot Eight (8), Block One (1), <br />Claussen Country View Addition to the City of Grand Island, Hall <br />County, Nebraska <br />Further Affiant sayeth not. <br />Thon <br />°nAl g <br />gl.d' Manivong <br />SUBSCRIBED AND SWORN to before me this day of Octo , 2018. <br />My commission expires <br />GENERAL NOTARY - State of Nebraska <br />RONALD S. DEPUE <br />My Comm. Exp. September 26, 2019 <br />Notary ublic <br />ON 1N3WtlUJ.SN <br />