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<br /> -_ - • TO B� FILLED IN PERSONALLY 8Y 8ELLER OR BORROWER WITH HIS OWN PEN
<br />,� �� - . IkD�ANITY AND AFFIDAVII' A8 TO DH8T8 AND LIEN8 �
<br /> aFr ___$2-2533
<br /> SUBJECT PItOPBRTY: - Lot �. Calvar� 3ubdiviaion, City of arand Islaad,
<br /> `� �-- - � --- u 11 Oounby,_Neb ra8ka. ,°
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<br /> � STAT6 OF NEBRASKA
<br /> _ --''.' �`. COUNTY OF HALL
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<br /> � a7G�9�c:"r�4�!'.k
<br /> --- ��,;�a`.�,�,,:�t t B�fon me,the undeni�ned�uthority. o�1bi� d�Y prn on�liy�ppe�red
<br /> � CLARK 0. BROWN AND CHERYL A. eROWN
<br /> :�:c.,��-'�
<br /> - - SeOer or Urmer-Borrower•
<br /> � -.�..p�,tlY:�ihni;r<L .
<br /> 7a .,"s' : (',ontr�ator(ii now conttrucdon)
<br /> ���.
<br /> — '�x �'� �". penon�Hy known to me to be the penon whose n�me i��ubscdbed hereto�nd upon hb oalh deposn�nd��yr tb��the m�dul ---
<br /> -- - � '��4�� n�w� of atlt�nt Iw aot ctum�ed�Inec the date of�eyubition of wW property and teproaonu to the purchiuer and/or Isnder -
<br /> —;�•�?���•~��•L in this vanact�on tlut to my knowled�e thero�ro: __
<br /> .`v.6''1"�'-�-.� .-n,..".1�:
<br /> - F:'1.�-�4.�t.�,•: I. No unp�id debb for plum6lnQ QR►urc�, water hnten,floor furn�ce�,�ir conditioaen.rsdio or television�ntenn�e,
<br /> t.;�.3,:��tai�rtos'i..:.._ .•_' cupetint. ru�.Iawn tprinkUnR�stemy vaneti�a blliwlR, window ehedte,dresxrie�,elestrtc appli�sncr., feaas,stmt �-�
<br /> " " p�vin�,or�ny penond property or Bxtura th�t ue loc�ted on the�ubject p�oparty descdbed�bove,�nd that ao such
<br /> ��'� : �� '� , '��`�s item�h�ve beon purohued on time p�yment conlncb,�ad there are no�ecudty interesu on iucd property aecured by ��-
<br /> ��; .;•. � :,.+r tiwacla�wtem�nt,ucurlty a�nement a othorwise�xcept the folbwln�:
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<br /> '�: �:"' .. . &cured P�rq App►oximpb Amouat
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<br /> 2 No lo�m or liem ncludin Fedanl or Sate IJen�md Jud ���`
<br /> (� � �ment Uetu)of�ny klnd oniuchpropertyexeept thetoUowla�;
<br /> , Cr�ditor ApProtim�h Amount
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<br /> . All I�bor�nd m�terl�l u�ed in the eomtruclion o(improvementt on the above described property h�ve been paid for and �"'
<br /> there�re now no unp�id Ipbor or material clafms�Q�imt Ihe improvemmt�or the property upon which ame�re iitutted, –"
<br /> ,,. , ,,� and 1 hereby dcel�rc th�t�II sunu of money due for the erection of improvements have been fuUy p�ld �ad wtbfied.
<br /> � ' � INDBMNITY: 1 AURE6 TO PAY ON DERIAND TOTHE PURCHASBRS ANDJOR L6NDER INTHIS TRANS-
<br /> 4;�� • ACTION, THEIR SUCCESSORS AND ASSIONS. ALL AMOUNTS SECURBD BY ANY AND ALL LIENS NOT
<br /> , ' SHOWN ABOVE, TO(3HTHBR WITN ALL COSTS,LOSS AND ATTORNBY'S FEES THA f SAID PARTIES MAY --
<br /> ' � ' INCUR IN CONNBCTION WITH SUCH UNMBNTIONED LIENS,PROVIDBD SAID I.IENS BITHBR CURRENTLY
<br /> •�;' APPLY TO SUCH PROPERTY.OR A PART THEREOF.OR ARE SUBSHQUENTI.Y BST.;BLISHED AUAINSTSAID �
<br /> � " �" PROPBRTY AND ARE CREATED BY ME. KNOWN TO ME.OR HAVE AN INCEPTION DATE PRIOR TO THE �
<br /> ' '=u • °•'' CONSUMMATION OF THIS TRANSAC7'ION. -
<br /> •i • .�
<br /> ' _ '�� �� � .� 1 rcaUm thu the purch�ser�nd Jor lender in thi�trona�ction are relying on�he rcpresentallom eont�ined herein in pur• �
<br /> ��' • ch�dng wme or lendin money thercon �nd would na parchaso wme or lend money Iherein unla�wid repreaenl�liom ��u
<br />- � . ° ,. we�rn�de. /� ._.__!�
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<br /> � � � AUGUST . �9 g2 F:;'"-'
<br /> .. � ,�c:� � .:� nd-1F� illp�l of
<br /> Y ' ' ` ' " .. � ���G�S�`'�" A
<br /> � �y Public ia and(or HALL Coumy, GRAND ISLAND �-
<br /> •NOl'E: This form is to bc filled in and signed by sellcr in cnse of cnle. If no salc,it is to Me filled in nnd signed by 1he owner- �
<br />. •�� � borrower.If Ihere fs any aew conslruclion,the controclor must alao join in t hia form or lill in end sign¢separote one. '
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