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IN THE COUNTY COURT OF ............. ``TA'"'I~`='aN.................... COUNTI`, NEBRASKA IN'1'ii£ 94lATTER OF THE ESTATE OF ) No ........... . FREDERICK SCffiIIEGER ) .. .INFORMAL CLOSING OF ESTATE BY ,Deceased ) VERIFIEDSTATEMENT Ttta undeaigned Personal Representative states that this estate is not under supervised administration, that five months have expired since the dale of his original appointment as Persona! Represen*.ative, and that fie has: t. Published Notice to Creditors as provided by Nebraska Probate Code section 30.2483, and that the first publication ocwrv -ad snore than four monYns prior-tc the date of this statement. Z. Fully administered the estate of *he Decedent by making payment, settlement or other disposition of all claims which were presented, Expenses of administration and estate, ~^.heritarce and other death taxes, except as specified in this Statement and that the assets dtthe estate have been distributed to dte persons entitled as shpwn on the attached schedule of disbritxrtion, specifically exoeptina ihe~fa~llowing~as provided by Nebraska Probate Code section 3D-24,1 i7: 3. Sent a copy of this Statement to a!! dis?ributees of the estate and to ail creditors or other claimants of whom he is aware whose claims are neither paid nor bamd and has f•~mished a full account in writing of his administration *.o the distrbutees whose _ interests are affected hereby. wNEREFQRE, the Personal Representative states that he he,;eves the arfairs of this estate to he completed and that, unless rontrero proceedings era filed in this rout, his appointment as sv~t Persona! '?epresentative shat! terminate one year after the fi!ino hereof. 'zs '~ , , c g ~. Dated:.. ~'~ .. ........... . Persona- R~esentative ~,J' STATE OF ... , ;?~RASXA . ............... ) 5S. COUNTY OF ...... HALL. , _ . . _ . , ..... - GARX SC??Ys!IEGF.R ..., being first duly sworn upon oath, deposes and says that.ha.ist~~t4ta~P~s"! Representative of the shove estate, that he ll1l~~{~.ii r htn-road same, knows *.ha cons r fpf~s ilr3 .r+. ~~ *.!^.e eMS .her ~ ~~#4y kr~~ gq,~laeliaf, thr »tlegaUons therein contained are true and CArraet. ~. ~.. FILED iN C4HNiTAV~CGSIflT ._.a ..~.- c~ FU~1M~/t,TCNff~ff9~M~f'"fd_~. _~z _-. _. /'i _... J/ leek ~ Page ~~~:",,,^` .. _.-_ / t Sign ^re o,~t~rsona: RParesentatwe /f SUBSC ~K7a, me this..l.~..~.dayof....(.~/..`'"'7 ...........,19.~.//~".J ,y (f/ ;~. M1~. tA4't~ Nf?it~~t'Uh!iC ,n~3.,~~ ta. ,, >~.~ ~ Nct.r=FOrmt~w.at2 gT'~fJF N~~¢~ INFG1RMAL CLOSING Of ESTATE BY 30.4,117 •~ `i~~l~'!#=G ~TAI~NIFNI Rev t ~A rn?yriylht~+a75 Nch~;__... _'rrdnuinr Legal F.du<atiun, 'n.. „~.,.r~, RAGE ~ Oft PFlGES