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<br />I\.) <br />s <br />CSl <br />m <br />CSl <br />~ <br />->. <br /><Xl <br />~ <br /> <br />~ <br />r--~<:::' <br />',~ , ~ ----:- <br />\--\ ~ -" <br />~ ~' <br />~":>.c :s <br />fI\ ~ ~"'\ \ <br />C':-- N "",,' <br />.::",~ ~ <br />~ c..' <br />c;>;; <br />'N <br /> <br />Q~ <br />m (n <br />n::c <br />;x; <br /> <br />7;) <br />r'r~ <br />.'n <br />c: <br />..~'" <br />n A." <br />X n ,;,i: ! <br />h"' "",,,,I\..'3 I' \',' <br />n {.) <br />~ ::.C. <br />! <br /> <br /> ........ <br /> <=:> o (fl <br /> C:::JiI o g-l <br /> ';::l:t.. <::7:> o -i <br /> c:::J> <br /> ::3 z-i ~I <br />;:0 ~ '. = -1m <br />no ~_ -= -<0 <br />..-:>- <br />< t- o.." <br />0 t-' "'z G: <br />.." 0) <br /> t~, :::c fTl <br />0 I> eLl c:::> ::; <br />(TI t ::0 ,::::0 <br />(TI ::3 ..c I <br />0 ,I> <br />(J) ....... (fl ........ <br /> ........ ^ <br /> I> CD <br /> r0 ---- '--' <br /> ..J:: CJ) ..r: <br /> CJ) ~ <br />200604184 2 <br /> n <br /> <br /> <br />AFFIDA VIT <br /> <br />ST A TE OF NEBRASKA <br /> <br />) <br />)ss. <br />) <br /> <br />/tJ ' ,5- () <br /> <br />COUN'fY 01; HALL <br /> <br />NORMA M. FORST, the undersigned affiant being first duly sworn upon oath, <br />deposes and states as follows: <br />1. That the undersigned affiant is the surviving spouse of MARSHALL W. <br />FORST, who died a resident of Grand Island, Hall County. Nebraska, as evidenced a <br />death certiticate attached hereto marked Exhibit "A" and incorpl)fated herein by <br />reference. <br /> <br />2. That on the date of death of MARSHALL W. FORST, the undersigned affiant, <br /> <br />NORMA M. FORST, was an owner as joint tenant with said Decedent of the following <br /> <br />described real property: <br /> <br />1734 Doreen Street, South Doreen Condominiums, in the City of Grand Island, <br />Hall County, Nebraska. <br /> <br />3. That by virtue of the death of MARSHALL W. FORST, the undersigned <br />a.ffiant being the sole surviving owner of the above described real propeny. <br /> <br />FURTHER AFFIANT SAITH NOT. <br /> <br />DATED the ---"'- day of May, 2006:..., ~h <br /> <br />IJ (,i.Jt/)"'/~ ~Vl ~ . ~4l--~ <br />Norma M. Forst, Affiant <br /> <br />Subscribed and sworn to before me the /, ~~ day of May, 2006, by NORMA M. <br />FORST. <br /> <br />4/~. L; <br />Not~ubliC 4 <br /> <br /> <br />I~ GENERAL NOTARY - State of Nebraska <br />., WILLIAM A. FRANCIS <br />My Comm. Exp. Dec. 31, 2007 <br />