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85000709
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Last modified
10/17/2011 4:19:54 PM
Creation date
4/1/2008 3:52:06 PM
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DEEDS
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85000709
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AFFIDAVIT <br />STATE OF NEBRASKA ) <br />) ss. <br />COUNTY OF HALL } <br />ELLEN M. JACOBY, Grand Island, Hall County, Nebraska, being <br />first duly sworn on oath, deposes and states as follows: <br />1. That Affiant is the widow of Lloyd E. Jacoby, sometimes <br />known as Llovd Jacoby, who died November 13, 1984 at Grand Island, <br />Nebraska, and who was buried November 15, 1984 at the Grand Island <br />Cemetery. <br />2. That Affiant and Decedent were married September 3, 1946, <br />and were husband and wife on the date of the death of the Decedent <br />on November 13, 1984; that Affiant and Decedent were the owners <br />of various jointly owned property, including a residential house <br />situated on the following described property: <br />Lot Thirty -Five (35), North Shore, Johnson Lake, <br />Dawson County, Nebraska, <br />and that the Affiant and Decedent were the joint owners with right <br />of survivorship of the following described real property: <br />Lots Six (6) and Seven (7), Block Thirty -Four <br />(34), Wasmer's Second Addition to Grand Island, <br />Hall County, Nebraska, <br />and that the Decedent owned no other property at the time of his <br />death except jointly owned real and personal property owned with <br />Affiant. <br />3. That hereto attached, marked Exhibit "A" and made a part <br />hereof, is the certified copy of the death certificate issued by <br />the Department of Health, State of Nebraska, for Lloyd E. Jacoby. <br />Further Affiant sayeth not. <br />off_ <br />ELLEN M. JACOBY <br />SUBSCRIBED in my presence and sworn t before me this 4th <br />day of February, 1985. <br />MMUMAW- 8191dMksw <br />B. J. CUNNORIM N. JR. <br />NYCMWEMAm17.1311.1 N terry <br />in <br />
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