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201002140 <br />IN THE COUNTY COURT OF ADAMS COUNTY, NEBRASKA <br />IN THE MATTER OF THE ESTATE ) Case No. PR09-105 <br />OF )RENUNCIATION AND DISCLAIMER <br />OF BENEFICIAL INTEREST <br />JACK S. OCHSNER, Deceased. ) <br />and <br />IN THE MATTER OF THE JACK S. OCHSNER ) <br />FAMILY TRUST CREATED PURSUANT TO ) <br />ARTICLE IX, PARAGRAPH B. OF THE JACK ) <br />S. OCHSNER REVOCABLE LIVING TRUST ) <br />AGREEMENT DATED JULY 10, 2003 ) <br />INTRODUCTION <br />The undersigned, Tracy A. Ochsner, is an adult of sound mind residing in Hastings, <br />Nebraska at the following address: 1344 Turner, Hastings, Nebraska 68901. It is his intention to <br />renounce and disclaim any and all beneficial interest granted to him pursuant to the Family Trust <br />created at ARTICLE IX, Paragraph B., of the Jack S. Ochsner Revocable Living Trust <br />Agreement dated July 10, 2003, and in all assets comprising said Family Trust and in all income <br />in connection therewith (except as to the Retained Assets defined hereinbelow) which said Tracy <br />A. Ochsner might otherwise possess due to the death of said Jack S. Ochsner who resided in <br />Hastings, Nebraska at the time of his death at the following address: 1610 Morningside Drive, <br />Hastings, Nebraska 68901. <br />RECITALS <br />WHEREAS, the Decedent, Jack S. Ochsner, died on July 5, 2009, a resident of Hastings, <br />Adams County, Nebraska; <br />1 <br />