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201908074 INSTRUCTIONS: READ THIS ENTIRE DOCUMENT BEFORE SIGNING. If any statement is not accurate, insert a note directing attention to the reverse side and set forth an accurate statement on the reverse side, and NOTIFY THE TITLE COMPANY OF ANY ADDITIONS PRIOR TO CLOSING. RESIDENTIAL AFFIDAVIT File No. 1906580 In order to induce First American Title Insurance Company to issue its policy of title insurance on the property legally described as: Lot Three (3), Strawberry Lane Subdivision, an Addition to the City of Grand Island, Hall County, Nebraska. with an address of 1315 E. 6th St., Grand Island, NE the undersigned, hereinafter referred to as affiant (whether one or more), being of lawful age and being first duly sworn upon oath, states to the best of affiant's knowledge that: 1. Affiant has owned the described property exclusively and continuously for more than six months immediately preceding the date hereof. 2. The property is located in a platted subdivision and that there is located thereon a single-family dwelling which has been completed for at least six months. 3. No one is in possession of said property other than the affiant, except (if none, state "None"): NONE. 4. There are no unrecorded contracts, leases, easements, agreements, documents, or notices of claims relating to the property, other than (if none, state "None"): NONE. 5. There are no unpaid bills for labor, services or materials for construction of improvements, alterations or repairs to the property during the last six months. 6. There has been no work in the immediate vicinity in the last six months for matters such as: grading, repairing or paving of streets or sidewalks; installation of repair of sewer, water or electrical line; installation of street lights; etc. 7. The affiant has received no notices of future public improvements which might result in special assessments or charges against the property. 8. The affiant has not been notified of any violations of local setback or building restriction regulations. 9. There have been no disputes with neighbors over fence or boundary lines, driveways, walks, street or alley locations, encroachments of buildings or improvements, or violations of covenants and restrictions. 10. The affiant has no knowledge of any underground pipes, cables, conduits, ditches or drain tiles crossing the property. 11. There are no poles, wires or lines crossing the property which serve other property. 12. There are no shared driveways or party walls except (if none, state "None"). File No. 1906580