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V 200109041 AFFIDAVIT AND INDEMNIFICATION The undersigned, in consideration of issuance of a policy or policies of title insurance covering the real estate in County, State of Nebraska, legally described as: Lot Fifty One (51), Amick Acres East Subdivision, Hall County, Nebraska free and clear of the Standard Exceptions to coverage contained in the American Land Title Association Standard Owners /Mortgagees Policy, does hereby warrant, covenant and agree with and unto Grand Island Abstract, Escrow & Title Co. and its underwriting company as follows: 1. That there are no unpaid bills for materials supplied or labor furnished for the construction and erection of improvements, including site preparation, on said real estate which would be the basis for a Mechanic's, Materialman's or Construction Lien pursuant to the laws of the State of Nebraska. 2. There have been no public improvements affecting the property prior to date hereof that would give rise to a special property tax assessment against the property subsequent to the date hereof, nor has the undersigned received any notice of any pending public improvements. 3. There are presently no parties in possession of the property whose interests do not appear of record in the public records which affect the title to said real estate, except: 4. There are no other parties asserting claims adverse to the interest of the fee simple titleholders of record, or claims arising under lease, option, contract, or other instrument purporting to create any interest in the property, not appearing of record. 5. The undersigned jointly and severally agree to indemnify fully and hold harmless the said Grand Island Abstract, Escrow & Title Co. and its underwriting company from any loss which either might sustain as a result of any of the foregoing representations being untrue. Such indemnification shall include, but shall not be limited to, all costs and expenses arising from defending against, negotiating, compromising, settling or paying in full any claims against the real estate previously described. WITNESS our hands this day of , STATE OF NEBRASKA COUNTY OF The foregoing instrument was acknowledged before me this J. CLEMANS AND LAURIE A. CLEMANS O ry Yubll�� --� n WOTARY-State of Nebraga �ONI A. HeATH o ". Eli. ,law, 9, 2003 day of , 11-00 \ by DAVID Page 1 Form Software by Automated Real Estate Services, Inc. 1-1100-330-11295 01-6175/