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TITLE ORDER NO. <br />= D <br />rn con <br />n s <br />rn <br />c� <br />N <br />0 <br />s <br />O <br />--,7 <br />rn O <br />M <br />0 <br />0 <br />200403398 <br />ESCROW NO. APN NO. <br />AFFIDAVIT OF DEATH OF JOINT TENANT <br />STATE OF NEBRASKA <br />COUNTY OF: '7`fQ-(` } SS <br />DOUGLAS J GORDON, of legal age, being first duly sworn, and deposes and says: <br />n U) <br />o--4 <br />C � <br />Z <br />M <br />-G C7 <br />O � <br />S rT1 <br />a co <br />r � <br />f D <br />a <br />Cn <br />Cn <br />That MARY LINDA GORDON , the decedent mentioned in the attached certified copy of Certificate of <br />Death, is the same person as MARY LINDA GORDON named as one of the parties in that certain <br />SURVIVORSHIP WARRANTY DEED dated 01/17/1996 executed by WARREN A CONNELL AND <br />ENID K CONNELL, to DOUGLAS J GORDON & MARY LIND GORDON as joint tenants, recorded <br />as Instrument No. 96- 104908 on 06/25/1996, in Book , Page of Official Records of HALL <br />County, HALL covering the following described property situated in the County, State of NEBRASKA: <br />LEGAL DESCRIPTION ATTACHED HERE TO AS EXHIBIT "A" <br />That the value of all real and personal property owned by said decedent at date of death, including the full <br />value of the property above described, did not exceed the sum of $ Ay�� 600 ° <br />DOUGLAO GO ON <br />bscribed and sworn before me <br />this day , 20 6 <br />Notary Public Commissioned for said County and State <br />GENERAL. NOTARY - State of Nebraska <br />J"ET ZMHOM <br />Ay Comm. E>�, Dee. 12, <br />(this area for notarial sea]) <br />co rn <br />tV <br />O <br />O CL <br />1 <br />C—) <br />W <br />W <br />CD <br />o <br />v <br />/ y.sp <br />x <br />C <br />z <br />RECORDING REQUESTED BY <br />Z <br />C> <br />0 <br />m <br />D <br />r) <br />N_ <br />AND WHEN RECORDED MAIL TO <br />Recording requested by: LSI <br />NAME When recorded return to: <br />Custom Recording Solutions <br />ADDRESS <br />2550 N. Redhill Ave. <br />CITY Ana, CA. 92705 <br />STATE & ZIP 8007 56 -3524 ext. 5011 U1 <br />TITLE ORDER NO. <br />= D <br />rn con <br />n s <br />rn <br />c� <br />N <br />0 <br />s <br />O <br />--,7 <br />rn O <br />M <br />0 <br />0 <br />200403398 <br />ESCROW NO. APN NO. <br />AFFIDAVIT OF DEATH OF JOINT TENANT <br />STATE OF NEBRASKA <br />COUNTY OF: '7`fQ-(` } SS <br />DOUGLAS J GORDON, of legal age, being first duly sworn, and deposes and says: <br />n U) <br />o--4 <br />C � <br />Z <br />M <br />-G C7 <br />O � <br />S rT1 <br />a co <br />r � <br />f D <br />a <br />Cn <br />Cn <br />That MARY LINDA GORDON , the decedent mentioned in the attached certified copy of Certificate of <br />Death, is the same person as MARY LINDA GORDON named as one of the parties in that certain <br />SURVIVORSHIP WARRANTY DEED dated 01/17/1996 executed by WARREN A CONNELL AND <br />ENID K CONNELL, to DOUGLAS J GORDON & MARY LIND GORDON as joint tenants, recorded <br />as Instrument No. 96- 104908 on 06/25/1996, in Book , Page of Official Records of HALL <br />County, HALL covering the following described property situated in the County, State of NEBRASKA: <br />LEGAL DESCRIPTION ATTACHED HERE TO AS EXHIBIT "A" <br />That the value of all real and personal property owned by said decedent at date of death, including the full <br />value of the property above described, did not exceed the sum of $ Ay�� 600 ° <br />DOUGLAO GO ON <br />bscribed and sworn before me <br />this day , 20 6 <br />Notary Public Commissioned for said County and State <br />GENERAL. NOTARY - State of Nebraska <br />J"ET ZMHOM <br />Ay Comm. E>�, Dee. 12, <br />(this area for notarial sea]) <br />co rn <br />tV <br />O <br />O CL <br />1 <br />C—) <br />W <br />W <br />CD <br />o <br />v <br />/ y.sp <br />x <br />