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<br />N <br />IS) <br />IS) <br />01 <br />...... <br />...... <br />+::. <br />01 <br />...... <br /> <br /> <br />10 --a CJ <br />t1 Q j <br />r-T') ;;.. <br />Z- V'v <br />(\\ ~ (u <br />~~j <br />~O~ <br />0;) ....-, <br />9--" if' <br /> <br />(J <br />Q <br /> <br />;lIQ <br />m <br />-n <br />c: <br />("')_Z <br />rii>~ <br />n(l) <br />~:I: <br /> <br />Q~ <br />m c.n <br />n:I: <br />'" <br /> <br />~ <br />c:::o <br />c=o <br />C;I'1 <br /> <br />~.f ~ <br />~ t ~ <br /> <br />en <br />CQ <br /> <br />O.(p <br />0-1 <br />Cl> <br />z-l <br />-1m <br />-<0 <br />o-r'l <br />-r'I:z: <br />;:x:m <br />~tp <br />1""'"::0 <br />r- )> <br />(p <br />'"' <br />> <br />-- <br /> <br /> <br />en <br />CR <br />"' <br /> <br />IN THE COUNTY COURT OF HALL COUNTY, NEBRASKA <br /> <br />IN THE MATTER OF THE ESTATE <br /> <br />CASE NO. PR 05-99 <br /> <br />OF <br /> <br />RENUNCIA TION <br /> <br />BEVERLY HARDERS, Deceased. <br /> <br />The undersigned states: <br />1. The Deceased died on February 22, 2005. <br />2. The undersigned is an heir, devisee, beneficiary, grantee, surviving joint <br />tenant. <br /> <br />3. The undersigned declares that this Renunciation is an irrevocable and <br />unqualified refusal to accept in whole or in part specific assets and interests as <br />surviving joint tenant as described on Exhibit A attached. <br />4. The undersigned has made this Renunciation under the provision of the <br />Nebraska Probate Code Section 30-2352 and under the provisions of the Internal <br />Revenue Code Section 2518. The undersigned has not accepted any interest or <br />benefit in, dominion over, and has not assigned, transferred nor waived the right to <br />renounce the disclaimed property nor has such property been sold or disposed of <br />pursuant to judicial process. <br />Dated: 1/- / 8' , 2005 <br /> <br />~ 4;//~..- <br />VERNON A. HARDERS <br /> <br />STATE OF NEBRASKA ) <br />) ss. <br />COUNTY OF HALL ) <br /> <br />The foregoing Renunciation was acknowledged before me on }../trv. /j'-#" <br />2005, by Vernon A. Harders, an interested party in the Estate of Beverly Ann Harders, <br />deceased. ~....__ ...~.. /)__.. <br />J;.. .. GENERAL NOTARY - State of Nebraska <br />Iii DENISE D YE S <br />~....:7. ' _m My Comm. Exp. <br />Notary Public <br /> <br />PREPARED BY: <br /> <br /> <br />Denise D. Myers, #20500 <br />LAURITSEN, BROWNELL, BROSTROM, <br />STEHLIK, MYERS & DAUGHERTY, PC, LLO <br />P.O. Box 400 <br />Grand Island, NE 68802 <br />(308)382-8010 <br /> <br />fTl <br /> <br />~I <br />~ar <br />~I <br /> <br />.....~ <br /> <br />~ <br />U\ <br />o <br />