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AFFIDAVIT 85--- 005509 <br />STATE OF NEBRASKA ) <br />) ss. <br />COUNTY OF HALL ) <br />The undersigned Affiant, being first duly sworn upon <br />oath, deposes and states as follows: <br />1. That she is the surviving spouse of Donald E. <br />Hoffman, who died on the 3rd day of October, 1985, a <br />resident of Hall County, Nebraska. That at the date of <br />death, the undersigned and the above -named decedent were <br />husband and wife. <br />2. ' That a copy of the Death Certificate for Donald <br />E. Hoffman certified by the Director, Bureau of Vital <br />Statistics, Nebraska State Department of Health, to be true <br />and correct, is attached hereto. <br />3. That all interests in property, both real and <br />personal, owned by Donald E. Hoffman on the date of death, <br />passed to the undersigned surviving spouse by Will, or in <br />the manner set forth in Section 77 -2002 R.R.S. Nebraska. The <br />real estate passing to the surviving spouse includes the <br />following: <br />Lot Fifteen (15), West Heights Addition to the <br />City of Grand Island, Hall County, Nebraska. <br />Further Affiant sayeth not. <br />' I <br />A cant <br />J <br />Subscribed in my presence and sworn to before me this <br />,,)CI` -`day of November, 1985. <br />01l M IgTM r-3 ft IMwam <br />MIYK MOIIfiAN COTE �' _ . �, lr ' ti• �- C'S _f�_�, <br />MAWf ATAM,C COTE is <br />4 - <br />