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2009-02-06 Lutz'x?-o 0 p05o'7 WASHINGTON COUNTY, STATE OF NEBRASKA RECORDED rb 00 R AT 1:05 t BOOK 53 PAG.E(S) 904 _GG3 ,� muov a. M REGISTER OF DEEDS 902 AFFIDAVIT FILED 7809 FEB -6 AM 11: 05 KARE r'( »,, NA DSEN WASHINGTON COUNTY REGiS; ER OF DEEDS B NE STATE OF IOWA, COUNTY OF DALLAS, ss: 1. I, Merlyn Joyce Lutz, being first duly sworn, on oath depose and say that I reside at 1411 North 16 Street, Perry, Dallas County, Iowa 50220. 2. That I am the surviving spouse of Robert Frank Lutz who died a resident of Perry, Dallas County, Iowa on July 14, 1999. 3. That Robert Frank Lutz was the son of Frank Spering Lutz who died in approximately 1943 in Blair, Nebraska. 4. That Frank Spering Lutz and his wife, Kathryn Pfaff Lutz, were the owners of Grave Spaces 1 through 12, in Lot 1 of Block 95, Blair Cemetery located in the NE 1 /4 of the NE' /4 of Section 12, Township 18, Range 11 in Washington County, Nebraska. 5. That Frank Spering Lutz is buried in space 12, Kathryn Pfaff Lutz is buried in space 11, John Lutz is buried in space 1 and M.L. Lutz is buried in space 2. 6. That the surviving issue of Frank Spurling Lutz and Kathryn Pfaff Lutz are as follows: Daughter: Twila Lutz Larson and spouse Granddaughter: Connie Jo Rasmussen and spouse Granddaughter: Amy Jane Divis and spouse Granddaughter: Dianne Kay Jahn, single Granddaughter: Pamela Ann Gutschow and spouse Grandson: Steven Kent Larsen and spouse Grandson: Patrick James Lutz and spouse Grandson: Micheal H. Lutz and spouse Granddaughter: Linda Lou Olsen and spouse and have each signed consents that I should be deeded Grave Spaces 3 and 4 in Lot 1 in Block 95 of Blair Cemetery. WHEREFORE, I request a deed be issued in the name of Merlyn Joyce Lutz for Grave Spaces Lots 3 and 4 in Lot 1, Block 95, Blair Cemetery located in the NE' /4 of the NE' /4 of Section 12, Township 18, Range 11 in Washington County, Nebraska. •t I, Merlyn Joyce Lutz, affirm that I have read this two (2) page Affidavit and the contents are true and correct. WITNESS MY HAND at Perry, Iowa, this -`1 day of , 2009. CO- MERL JO E UTZ Subscribed and sworn to before me, a otary Public in and for the State of Iowa by Merlyn Joyce Lutz on this 6NY day of -.J , 2009. NOTARY PUBLIC STATE OF IOWA (SEAL) ,t;, .�0 c 9 60 50 R NVASIIINGTON COUNTY, STATE OF NEBRASKA RECORDED L brj ni u y AT IL M, B00K k/ PAGE(S) qV1 REGISTER OF DEEDS W NEBRASKA DOCUMENTARY ,- STAMP TAX Date L�iiinti,� 2009 FEB —6 Ate 11: 05 KAR'EiN A• MADSEI WASHINGTON COUNTY REGISTER OF DEEDS BLA1f4, NE QUITCLAIM DEED MERLYN JOYCE LUTZ, Grantor, as the surviving spouse. of Robert F. Lutz, the heir of Frank S. Lutz, the original owner of said lot, in consideration of ONE DOLLAR ($1.00) and satisfaction of bond provisions, receipt of which is hereby acknowledged, quitclaims and conveys to MERLYN JOYCE LUTZ, Grantee, the following described real estate (as defined in Neb. Rev. Stat. 76 -201) in Blair, Washington County, Nebraska. Grave Space 3 in Lot 1, Block 95, Blair Cemetery located in the NE 1/4 of the NE 1/4 Section 12, Township 18, Range 11 in Washington County, Nebraska. Executed: -J 4 ` '' 2009. MERLYN OYCEL T Surviving spouse of Robert F. Lutz, he heir of Frank S. Lutz, the original owner STATE OF IOWA ) ) ss: COUNTY OFDALLAS ) The foregoing instrument was acknowledged before me on the day of �j - IN� -, , 2009 by MERLYN JOYCE LUTZ. 1 NOTARY PUBLI Recorded General Numerical - Photostat Proofed - - -_ 9 04 scanned acG q 00Soq NVASHINGTON COUNTY, STATE OF NEBRASKA A R ECORDED Febr r %l ATJLe BOOK 534 PAGE(s) 5 .. rTGISTER OF 1 :4M U1 NEDRASWAM* 01 -1Mt NTAW S TAM �- T;a:C Date LeLu �009 By �s 2009 FF6 -6 AM 11:05 KAF l: i`,' A. I'JIAUSEN WASNINVON COUNTY REGISTER OF DEEDS BLAIR. NE. MERLYN JOYCE LUTZ, Grantor, as the surviving spouse of Robert F. Lutz, the heir of Frank S. Lutz, the original owner of said lot, in consideration of ONE DOLLAR ($1.00) and satisfaction of bond provisions, receipt of which is hereby acknowledged, quitclaims and conveys to MERLYN JOYCE LUTZ, Grantee, the following described real estate (as defined in Neb. Rev. Stat. 76 -201) in Blair, Washington County, Nebraska: Grave Space 4 in Lot 1, Block 95, Blair Cemetery located in the NE 1/4 of the NE 1/4 Section 12, Township 18, Range 11 in Washington County, Nebraska. Executed: a , a STATE OF IOWA ) ) ss: COUNTY OFDALLAS ) , 2009. ":n �� -) Qe-e-e MERLYN J1YCE L JTZ Surviving spouse of Robert F. Lutz, the it of Frank S. Lutz, the original owner ;.14e foregoing instrument was acknowledged before me on the day of - �(u'ftv" ---r , 2009 by MERLYN JOYCE LUTZ. NOTARY PUBLIC 1 ,,