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v <br />H� <br />rn <br />v\rn <br />rn <br />c" <br />H Clausen died on April 1, 2020. <br />rn <br />m <br />c <br />z <br />v <br />r T1 N <br />AFTER RECORDING RETURN TO: <br />Advantage Title Services <br />503 W. Koenig St. <br />Grand Island, NE 68801 <br />GI16759 <br />nn <br />AFFIDAVIT OF DEATH <br />STATE OF NEBRASKA <br />) SS <br />COUNTY OF HALL ) <br />P1 <br />G44, J. Clausen, being first duly sworn upon oath, deposes and states as follows: <br />1. That Affiant, along with Theresa M. Clausen, were the owners as joint <br />tenants, of the following described real estate: <br />Lot Six (6), in Block Two (2) of Ponderosa Lake Estates Fifth Subdivision, Grand Island, <br />Hall County, Nebraska <br />2. That Affiant knows o his/hr own personal knowledge that Theresa M. <br />FURTHER AFFIANT SAYETH NOT. <br />Dated this 13114 - <br />day of <br />, 2020. <br />l/L G4ia`w <br />eurtis Clausen <br />Cure <br />/t L� <br />JSUBSCRIBED in my presence and sworn to <br />r l , 2020. <br />File No. GI16759 <br />GENERAL NOTARY - State of Nebraska <br />LINDA M GLAUSE <br />My Comm. Exp. December 2, 202? <br />ore me this I01 a of <br />rY\' <br />otary Public <br />