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r.w5? <br />z <br />? ; <br />N.) 6c; 7 r <br />tap o prop <br />ccnn N 16 <br />8 <br />r <br />INST 2023 03252 <br />HAL <br />2023 <br />CASH <br />CHECK lG O <br />REFUNDS: <br />CASH <br />CHECK <br />`3 <br />k E-: ' r7 <br />AFFIDAVIT OF DISINTERESTED WITNESS <br />I Andrea Holtzen being first duly sworn, deposes and says: <br />1. Affiant is a disinterested witness as defined in Neb. Rev. Stat. § 76-3402. <br />2. On June 20 2023, I witnessed Gerain L. Spatz and Laura M. Spatz, Owners <br />execute a Transfer on Death Deed naming her beneficiaries as follows: <br />Gerain L. Spatz and Laura M. Spatz, as trustees of the Spatz Family Trust Dated <br />June 20, 2023, as it may be amended from time to time. <br />3. On the date of execution of the aforementioned Revocable Transfer on Death <br />Deed, I am not a designated beneficiary or an heir, a child, or a spouse of the <br />designated beneficiary. <br />4. Revocable Transfer on Death Deed relates to real property described as: <br />Lot five (5), Centura Hills Subdivion, an Addition to the Village of Cairo, Hall <br />County, Nebraska (also known as 408 Hillside Drive, Cairo, Nebraska <br />68824). <br />Date: June 20, 2023 <br />STATE OF NEBRASKA ) <br />) ss <br />LANCASTER COUNTY ) <br />4 <br />Andrea oltz <br />Subscribed and sworn to before me on the 20th day of June, 2023. <br />