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rn = <br />� M cn <br />n z _ <br />M D <br />�s <br />M <br />ca cn <br />c N O. <br />n t CD <br />r <br />AFFIDAVIT , CD CD <br />N <br />CIO Z <br />STATE OF NEBRASKA) "� 0 <br />(ss: <br />COUNTY OF HALL ) <br />DORSEY F. ADAMS, being first duly sworn upon oath, deposes and says: <br />1. He is one of the Grantees in respect to a certain Survivorship Warranty Deed <br />dated May 24, 1965, in Book 148 of Deeds at Page 13 in the office of the Register of <br />Deeds of Hall County, Nebraska, wherein Dorsey F. Adams and Frances L. Adams were <br />identified as Grantees in respect to that real estate described as follows: <br />Lot Seven (7), Block Two (2), Boggs & Hill's Addition to the City of <br />Grand Island, Hall County, Nebraska <br />2. Affiant, an unremarried widower, is the sole surviving joint tenant in respect to <br />the described real estate on the date of the execution of this Affidavit; in that, Frances L. <br />Adams, the former spouse of Affiant, died March 8, 1997. A true and correct copy of his <br />Certificate of Death is attached hereto as Exhibit "A" and is incorporated herein by this <br />reference. <br />FURTHER AFFIANT SAITH NOT. <br />Dorsey F. Adafns <br />Subscribed and sworn to before me this day of '2004. <br />GENERAL NOTARY - State of Nebraska <br />AREND R. BAACK <br />My Comm. Up. June 29, 2005 Notary Public <br />My commission expires: z F a <br />186- 5/105227 <br />c <br />