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V-4 <br />LIJ <br />200401639 <br />STATE OF NEBRASKA <br />COUNTY OF HALL <br />AFFIDAVIT OF MARITAL STATUS <br />The undersigned, JIMMY L. GEWECKE, does hereby state and <br />represent that JIMMY L. GEWECKE was A SINGLE PERSON at the time <br />JIMMY L. 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 />W ,'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 JIMMY L. <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 V% - day of <br />14 2C L4 Q w , <br />on t is 234 day of <br />Subscribed and sworn to before me <br />C4 rQQ '&4 2004. <br />QC!Klim•8"dI.I. I* <br />MARTHAA. MA�w <br />(i= L f. N.30. iii <br />2004. <br />c <br />a 0l <br />No ary Public <br />M <br />M <br />= <br />D <br />C.) U <br />C <br />rn <br />to <br />0 <br />M <br />o �u <br />`_ <br />CL <br />CD <br />C=) =S <br />rn <br />C <br />C7-) <br />CD <br />CD <br />CJ <br />cCn <br />0 <br />AFFIDAVIT OF MARITAL STATUS <br />The undersigned, JIMMY L. GEWECKE, does hereby state and <br />represent that JIMMY L. GEWECKE was A SINGLE PERSON at the time <br />JIMMY L. 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 />W ,'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 JIMMY L. <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 V% - day of <br />14 2C L4 Q w , <br />on t is 234 day of <br />Subscribed and sworn to before me <br />C4 rQQ '&4 2004. <br />QC!Klim•8"dI.I. I* <br />MARTHAA. MA�w <br />(i= L f. N.30. iii <br />2004. <br />c <br />a 0l <br />No ary Public <br />