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0-00 <br />A�O4. <br />ro <br />�N� Z <br />Z _ <br />STATE OF NEBRASKA <br />COUNTY OF HALL <br />CD --a <br />Z <br />0 <br />s. s. <br />AFFIDAVIT <br />200311357 <br />1, Betty Jackson, being first duly sworn upon oath, hereby state as follows: <br />1. I am the widow of Paul Edwin Jackson who passed away April 27, 2003. <br />2. Attached hereto is a copy of the Certificate of Death associated with the late Mr. <br />Jackson. // <br />o-v <br />3. Paul Jackson and I are owners of real estate legally described as: <br />West One -Half (WI/2) of Lots One (1) and Three (3), Block Twenty -One (21 ), of <br />University Place Addition to the City of Grand Island, Hall County, Nebraska. <br />4. The aforesaid real estate was owned by us at joint tenants with rights of survivorship. <br />Further affiant saith not. <br />SUBSCRIBED and sworn to before me this <br />GENERAL NOTARY-State Nebraska <br />III JAMES H. TRUELL <br />_ My Comm. Exp. April 4, 2006 <br />Betty Ja so <br />43 day of _ J-4 , 2003. <br />Not ublic <br />_' c <br />c> cn O <br />O <br />o -� M <br />M <br />M n <br />i <br />i -- r <br />r rt ( <br />(fl O <br />O <br />n <br />CL <br />N c <br />c? J <br />J J <br />N ~ <br />~ <br />� � <br />u' 2 <br />• c <br />can � <br />� u <br />2 <br />O <br />w <br />O w <br />v C <br />Cn <br />O N <br />N <br />s. s. <br />AFFIDAVIT <br />200311357 <br />1, Betty Jackson, being first duly sworn upon oath, hereby state as follows: <br />1. I am the widow of Paul Edwin Jackson who passed away April 27, 2003. <br />2. Attached hereto is a copy of the Certificate of Death associated with the late Mr. <br />Jackson. // <br />o-v <br />3. Paul Jackson and I are owners of real estate legally described as: <br />West One -Half (WI/2) of Lots One (1) and Three (3), Block Twenty -One (21 ), of <br />University Place Addition to the City of Grand Island, Hall County, Nebraska. <br />4. The aforesaid real estate was owned by us at joint tenants with rights of survivorship. <br />Further affiant saith not. <br />SUBSCRIBED and sworn to before me this <br />GENERAL NOTARY-State Nebraska <br />III JAMES H. TRUELL <br />_ My Comm. Exp. April 4, 2006 <br />Betty Ja so <br />43 day of _ J-4 , 2003. <br />Not ublic <br />