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• Certificate of Conveyance other than Deeds or Reol Estate <br />This Statement is ConFidentiai and .Available <br />To Taxing Officials Only <br />This form pursuant to Section 76-?1-1 R.R.S., 1943, as amended by the 75th Session of the Nebraska <br />Legislature, must be completed and attached to every mortgage or other conveyance of real estate <br />ezCepl deeds urea! estate hefore such instrument is filed for recording. i <br />Parties to Instrument .... LYNN, R., ROGERS. AN~?.CHERYL..ROGERS <br />I <br />Type of Instrument ., REAL, RROPERTY..HIORTGAGE [)ate 8~27~79..... Book ............ Page ............... ~~ <br />_.... <br />10 0 2.08 '~ <br />l.Unardcra u~ru Fr..ru .0. R,.». _. _.ta._ ................. ...... ._...t............... <br />Certification ?~ <br />i <br />'I 1. the undersigned, having personal kno~sledge of this transaction, certrfc that the (uregoing is true „j <br />and correct. ', <br />`~ ~' i <br />i <br />"~ <br />. ~~1+135 iM-b)1 NEf3 <br />~. ' <br />