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20210109_5 <br />Affidavit <br />The undersigned being first duly sworn on oath hereby states that the transfer of <br />the property is made under such circumstances as to come within one of the exemptions <br />specified in this section and that evidence supporting the exemption is maintained by the <br />person signing the statement and is available for inspection by the Nebraska Department <br />of Revenue. <br />Further your affiant sayeth not. <br />DATED this 27 day of January, 2021. <br />Diane . Bade <br />Owner <br />SUBSCRIBED AND SWORN to before me this 7 day of January, 2021. <br />State of Nebraska — General Notary <br />AVIS R. ANDREWS <br />My Commission Expires <br />November 9, 2022 <br />WITNESSED by me to be the voluntary act and signature of Diane C. Bade, on <br />this Al day of January, 2021. <br />Witness Witness <br />