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C" <br />RETURN TO: Zachary Butz <br />308 N. Locust St. Ste. 501 <br />Grand Island, NE 68801 <br />STATE OF NEBRASKA <br />COUNTY OF HALL <br />AFFIDAVIT OF IDENTITY <br />SS: <br />Affiant, Somsay Sengsom, being first duly sworn on his oath, deposes and states as <br />follows: <br />That I was the spouse of and familiar with Phimmasone Sengsom and acknowledge that <br />she was one and the same person as Phimmasone Phanthavong, after she changed her name on <br />September 16, 2016. Phimmasone Sengsom died May 28, 2021, and a certified copy of her death <br />certificate is attached hereto. <br />That I am one and the same person as Khamdeng Phanthavong, having changed my name <br />on July 2, 2004. <br />This Affidavit of Identity is provided with respect to the following described property: <br />Lot Eight (8), Block Ten (10), John Voitle's Addition to the City of Grand Island, <br />Hall County, Nebraska <br />Further Affiant sayeth not: <br />SUBSCRIBED and SWORN TO before me this a \ day of September, 2022. <br />