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M <br />rn <br />c <br />� n � <br />fro n Cn <br />7C = <br />I <br />STATE OF NEBRASKA ) <br />ss. <br />COUNTY OF HALL ) <br />n� <br />rn <br />n <br />AFFIDAVIT <br />C <br />r— <br />s <br />3 <br />h-� <br />0 <br />co <br />200406910 <br />c-> u) <br />O -+ <br />Gn <br />z r <br />� o <br />o �n <br />r � <br />r D <br />U� <br />D <br />Rebecca Jean Schupp, being first duly sworn upon oath, deposes and states as follows: <br />1. My mother, Diana Lynne Schupp, passed away on September 14, 2003. <br />2. I am her daughter and only heir. I was born October 14, 1981. <br />3. No proceedings for probate of her estate have been filed and none are expected. <br />4. Other than personal belongings which have very little monetary value, the only <br />property my mother owned at the time of her death was her house located at 811 North Pine, <br />Grand Island, NE. <br />5. The legal description is: <br />The North 44 feet of Lot 5, Block 136, in Union Pacific Railway <br />Company's Second Addition to the City of Grand Island, Hall County <br />Nebraska. <br />6.I agree to be responsible for and hold harmless Heritage Bank and whoever purchases <br />said property from Heritage Bank for any Federal Estate Tax or Nebraska Inheritance Tax which <br />may be a lien against said property by reason of my mother's passing. <br />Further, Affiant sayeth naught. <br />Rebecca Jean Schupp <br />Affiant <br />Subscribed and sworn to before me on the <br />2004. <br />Notary Public <br />Prepared by: <br />Richard E. Gee, #11465 <br />Attorney at Law <br />916 West First Street <br />Grand Island, NE 68801 <br />308 - 382 -1235 <br />day of <br />GENERA!. NOTARY - State of Nebra ska <br />PAULA M MAYFIELD <br />My Comm. EV. Oct 2, 2005 <br />rn <br />o � <br />N <br />o C. <br />O (� <br />s � <br />o <br />C5 <br />o Z <br />O <br />G <br />