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Note to Clerk - Please index under: <br />Grantor: <br />David Coltrin <br />Grantee: <br />Mortgage Electronic Registration Systems, Inc as <br />nominee and Amerisave Mortgage Corporation <br />Please Cross -Reference: <br />Mortgage: Dated November 4, 2021 and Recorded <br />November 5, 2021 with instrument number <br />202109417 in the official records of Hall County, <br />Nebraska <br />County of Hall <br />State of Nebraska <br />Prepared by/Return to: <br />Amerisave Mortgage Corporation <br />3525 Piedmont Road NE <br />8 Piedmont Center, Suite 600 <br />Atlanta, GA 30305 <br />Property of: <br />David Coltrin <br />8544 N SKY PARK RD <br />SAINT LIBORY, NE 68872 <br />AFFIDAVIT RELATING TO LAND <br />Scrivener's Affidavit <br />Personally appeared before me, the undersigned attesting authority duly authorized by law to <br />administer oaths, the undersigned affiant, who, being first duly sworn, deposes and upon oath says <br />that this affidavit relates to the property of the owner designated in the caption hereof as the same is <br />described fully, to -wit: <br />The South half of the Southeast quarter of the Northeast quarter of Section 3, Township 12 North, <br />Range 9 West of the 6th P.M., Hall County, Nebraska <br />Deponent makes the following statement under oath as being relevant and material to the ownership <br />of said property: <br />That the undersigned acted as scrivener for the Deed of Trust in connection with the land referenced <br />above, that the undersigned has reviewed the file with respect to the said transaction, and that in <br />connection with the said transaction the undersigned prepared the Mortgage. <br />Page Ilof2 <br />1N3wn111sNi SY o3a31N3 <br />