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Recording Requested by & " w.t'ienAecorded Return To: US Recordings, Inc. 2925 Country Drive St. Paul, MN 55117 Owner's Affidavit - Individual 217.75123 -D 1 200600237 STATE OF NEBRASKA COUNTY OF Hall FILE NO: 1693755VT Before me, the undersigned Notary Public in and for said County and State, personally appeared Manuel Dlaz Hernandez known to me and being first duly sworn, depose(s) and say(s): That Manuel Diaz Hernandez own(s) the following real property in the State of Nebraska, County of Hall 1. Being Land as described in SEE LEGAL DESCRIPTION, of said Register's Office. 2. That said owner(s) is/are in possession of said property, and there are no Tenants. 3. That all indebtedness due anyone for labor, materials, or services which might be liens on said property are fully paid, and that no improvements other than routine items of maintenance repair or replacement have been made to subject property since January 1 st of the previous calendar year. 4. That no security interest under the Uniform Commercial Code has been perfected against the improvements and/or fixtures. 5. That there are no judgments, pending litigation, executions or attachments in or from any court affecting said property of said owner(s). 6. That no bankruptcy proceeding in any Federal Court has been filed against (or by) any owner of said property. There is no outstanding contract(s) of sale, conveyance(s), easements(s) or encumbrance(s) affecting said property other than as disclosed in the current commitment issued by Title Insurance Company and/or as shown on the closing statement on this transaction. 7. That all persons who have executed or will execute instruments conveying or encumbering said property are at least 18 years old and are free from legal disability. 8. There are no boundary line dispute(s), c1aim(s), conflict(s), encroachment(s) or other fact(s) that would affect the total area of the land or the boundaries of the land to be insured. 9. That in consideration of Title Insurance Company willingness to insure the "Gap" (that period of time between the last search of the public records and the recording of the insured instruments) the undersigned agree(s) to indemnify and hold harmless said company against all loss or expense due to any intervening matter which may be recorded prior to the insured instruments. 10. That the undersigned make(s) this statement for the express purposes of inducing Title Insurance Company to insure title to said property to be free from adverse claims or liens not herein stated, and of enabling said owner(s) to receive the consideration for sale, lease or mortgage of said property. Affiant(s) guarantee and warrant the statements of fact herein, which shall be construed as a continual contractual obligation in favor of said company. 11. That in consideration of the issuance of title insurance by said company as aforesaid, the undersigned agree(s) to indemnify and hold harmless said company against all loss or expense on account of any matter or thing omitted from the foregoing factual statement, including expense of enforcing this agreement. 12. The undersigned is not a foreign Person, but rather is a "United States person" within the meaning of Section 7701 (a)(30) of the Internal Revenue Code of 1986, as amended (the "Code"), and that Seller's true and correct United States taxpayer identification number (or Social Security number) is set forth below opposite the signature of the Seller. Seller is making the statements set forth herein for the purpose of releasing the Purchaser and/or Settlement Agent from any withholding obligation which might otherwise be imposed under Section 1445(a). ~ Manuel Diaz Hernandez Subscribed and sworn to before me this date: 2Ytf:-,- O:j-, 200~ / My Commission expires: t' - 'Z-tr - 2C>c;' AOR\ANE J. WAlCH General Notal'Y State of Nebraska .f My Commission Exp1t8s Jun 21. 2009