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<br /> ~l a=> ~ 10 Q~ ~ ~I <br /> m c:::J a (fJ <br /> ~ ~S ~ r.;=> o~ <br /> c: m tn ~ <br /> I:l- ~ Q n:t ')\... c:: :r-... <br /> n z ;'C ,,-. c__ z-{ <br /> H .+: J:- ~ 0 ;n ]-' ;:0 -lfTl <br /> X ~ l-n .~ :.z: -<0 <br /> ~)oJ> m Q - 0"'" ~~ <br />f\.) n CI) "" r'V <br />S ~ -D~ ~ :t ~ o \ c....> ""z <br />S -n tk ::r: rn <br />-..J 90- 0 0 :t>-OJ C) <br />S :;1 , -U <br />S z: ~ fT1 L ,:::0 <br /> r-n ::3 rl:> c:::> <br />CJ"1 t1\ <br />en 0 (fJ en <br /> if) <br />(Xl S- c:...o 7' <br /> 00 :t>- en <br /> ~:~ <br /> & r'V CO <br /> Q") (I) <br /> t' (J) <br /> <br /> <br /> <br />200700568 <br /> <br />AFFIDAVIT <br /> <br />STATE OF NEBRASKA, <br />COUNTY OF HALL. <br /> <br />ss <br /> <br />/o...s-lj <br /> <br />Debra K. Smith, being first duly swom upon oath, deposes <br />and says as follows: <br />1. I live at 3008 Brentwood Square, Grand Island, Nebraska. <br />2. I am the widow of Gene R. Smith. <br />3. We obtained title to Lot Twenty-four (24), Block Two (2) in <br />Brentwood Second Subdivision, City of Grand Island, Hall County, <br />Nebraska on March 11, 1990. <br />4. Gene R. Smith and Affiant were married on February 16, <br />1988.. <br />5. Gene R. Smith died on October 24, 2005 and a certified copy <br />of his death certificate is attached as Exhibit "A" hereto. <br />Further Affiant sayeth not. <br /> <br />------:9-Zf::>~ ~. ~A <br />Debra K. Smith '\ rvt/ ~ <br /> <br />~r <br />SUBSCRIBED and sworn to before me this ~ day of <br />, 20~ by the above-named person, known to <br />me personally and/or by satisfactory evidence, to be said person <br />described herei nd subscribing hereto. <br /> <br /> <br />~Q,~ <br /> <br />Notary Public <br /> <br /> <br />~MOTAI\'f._ot~ <br />CAROL..... Q\.lANO H <br />My CQml1I. ~. Jan.1. <br />