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STATE OF NEBRASKA <br />COUNTY OF LAN C 'P- <br />G <br />The undersigned, JOHN E. GEWECKE, does hereby state and <br />represent that JOHN E. GEWECKE was A SINGLE PERSON at the time <br />JOHN E. GEWECKE executed the Joint Tenancy Warranty Deed dated <br />November 18, 1995, and recorded December 13, 1995 as document <br />#95- 108536 conveying <br />The Southerly Forty and Six Tenths (40.6) feet of Lot Eight <br />(8), in Block Four (4), Koehler Place, an Addition to the City <br />of Grand Island, Hall County, Nebraska, subject to an easement <br />over the Northerly Four(4) feet together with an easement over <br />the Southerly Four(4) feet to the Northerly Twenty -Five and <br />Four tenths (25.4) feet of said Lot Eight(8) for a driveway. <br />to Jerald A. Myers and Ruby A. Myers, husband and wife and <br />Laurie A. Myers, an unmarried person. <br />The undersigned further states and affirms that JOHN E. <br />GEWECKE understands this affidavit is being relied upon by ATI <br />TITLE COMPANY and its underwriter to insure the title to the <br />above described property. <br />Dated this - day of �P,yr'.Kliy 2004- <br />Subscribed and sworn to before, me on this day of <br />\o ._....,, 2004. <br />;1 <br />GENNW.HrRY NOTARY- rrE NNeE <br />(SEAL) CNEgri BTE ANEIZ <br />MY <br />Notary Public <br />C <br />D <br />m to <br />r <br />n m <br />o <br />ii <br />D <br />t —q <br />U-i <br />0 <br />I <br />y <br />GJ <br />N <br />d <br />N <br />v v <br />W <br />rt <br />200401638 <br />0 <br />AFFIDAVIT <br />OF MARITAL STATUS <br />- <br />- <br />-- - <br />STATE OF NEBRASKA <br />COUNTY OF LAN C 'P- <br />G <br />The undersigned, JOHN E. GEWECKE, does hereby state and <br />represent that JOHN E. GEWECKE was A SINGLE PERSON at the time <br />JOHN E. GEWECKE executed the Joint Tenancy Warranty Deed dated <br />November 18, 1995, and recorded December 13, 1995 as document <br />#95- 108536 conveying <br />The Southerly Forty and Six Tenths (40.6) feet of Lot Eight <br />(8), in Block Four (4), Koehler Place, an Addition to the City <br />of Grand Island, Hall County, Nebraska, subject to an easement <br />over the Northerly Four(4) feet together with an easement over <br />the Southerly Four(4) feet to the Northerly Twenty -Five and <br />Four tenths (25.4) feet of said Lot Eight(8) for a driveway. <br />to Jerald A. Myers and Ruby A. Myers, husband and wife and <br />Laurie A. Myers, an unmarried person. <br />The undersigned further states and affirms that JOHN E. <br />GEWECKE understands this affidavit is being relied upon by ATI <br />TITLE COMPANY and its underwriter to insure the title to the <br />above described property. <br />Dated this - day of �P,yr'.Kliy 2004- <br />Subscribed and sworn to before, me on this day of <br />\o ._....,, 2004. <br />;1 <br />GENNW.HrRY NOTARY- rrE NNeE <br />(SEAL) CNEgri BTE ANEIZ <br />MY <br />Notary Public <br />