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<br /> ~~) <br /> f:;)'I~ ;:ItJ I on <br /> 1-) ~ ~ I'll !:R :J:)> <br /> (N:---'~ c: m CI'J <br /> ~~~<;:) ~ Z O::t <br /> z ~ 0 ~ <br /> '>\~ <br />t'0 \'T\ I'r) ();) m 0 <br />(') en <br />s . "'-Jf:>)::, ~ ::I: <br />s <br />m 6""'-1) <br />s Co l) lJ..b <br />s "'Q ...... ('. <br />W ~ ft, It." <br />-......J <br />m {'-' ~ <br /> <br /> <br /> <br /> r-...:> <br /> <"..::..=to o (/l om <br /> <== <br /> >~. C>'::> o -4 :3 <br /> c::l> <br /> c_ :z:-4 Nfit <br />~~ = <br />Z "'"-1fT1 ~~ <br />-<0 <br />~'O{ I-" 0'""11 <br />~ c..v '""11z: CJ)~ <br />0::::> r :c rrl <br />fTl -1:) l>CD 0- <br /> ~ <br />fTl ::3 r :u ~g <br />Cl rt>- <br />(f) (/l <br /> -t: :::-:. <br /> l> -J~ <br /> I---' .................. <br /> I-" (f) 0)..... <br /> (f) <br /> """,",. ;.;: <br /> <br />AFFIDA VIT <br /> <br />STATE OF NEBRASKA) <br />(ss: <br />COUNTY OF HALL ) <br /> <br />RALPH H. SHOLES, being first duly sworn upon oath, deposes and says: <br /> <br />1. He is one of the Grantees in respect to a certain Survivorship Warranty Deed <br />dated March 27, 1978, as recorded on June 5, 1978, as Document No. 78-003469 in the <br />office of the Register of Deeds of Hall County, Nebraska, wherein Ralph H. Sholes and <br />Margaret 1. Sholes were identified as Grantees in respect to that real estate described as <br />follows: <br /> <br />Lot Thirty (30), Block One (1), in Brentwood Subdivision in the City of <br />Grand Island, Hall County, Nebraska <br /> <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, Margaret 1. <br />Sholes, the former spouse of Affiant, died October 28,2005. A true and correct copy of <br />her Certificate of Death is attached hereto and is incorporated herein by this reference. <br /> <br />FURTHER AFFIANT SAITI-I NOT. <br /> <br />fr:~!7At H, S ~A:J <br />Ralph 1'l. Sholes <br /> <br />Subscribed and sworn to before me this d.f.y of~rlUa.;;I ,2006. <br /> <br /> <br />tJ!:f7014tFx;ff~~ <br />otary Publ' <br /> <br />My commission expires: /0 -/.:J ---?J 8 <br /> <br /> <br />GENERAL NOTARY. State of NebrasIla <br />BRENDA J. BICKFORD <br />Comrn. Exp, Ott. 13, 2008 <br /> <br />186-5/85818 <br />