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CASH 42 '(D <br />CHECK _ <br />REFUNDS: <br />CASH <br />CHECK <br />1.) <br />RECORDED <br />es <br />HALL C;O._' N++Ty NE <br />—= INST 7"713 0 2 13 1 <br />2E6 APR - P 2: 31 <br />REGfS T Er; OF DEEDS <br />AFFIDAVIT <br />(Sworn Statement) <br />Date: April 6, 2026 <br />My Legal name is Tracy J Rhoads ("Affiant"), and I give this affidavit being of legal age and sound <br />competence. My mailing address is: 119 West 12th Street Grand Island, NE 68801. <br />Being duly sworn, I hereby swear under oath that: <br />In December 2005,1 purchased my house under my married name, Tracy J. Vorhees. I have since been <br />divorced and would like to change my name on the Deed to my home to my maiden name, Tracy J, <br />Rhoads. My house is: <br />Lot Four (4) in Block Forty One (41), in Russell Wheeler's Addition to the City of Grand Island, Hall <br />County, Nebraska. <br />Dated April 6th, 2026 <br />Tracy J Rhoads <br />119 West 12th Street <br />Grand Island, NE 68801 <br />Under penalty of perjury, I hereby declare and affirm that the above mentioned statement is, to the <br />best of my knowledge, true and correct. <br />Affiant's Signature. 11Le w q,6 ht I1c± Date of Signature Lk 1-1 lap <br />