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� � <br /> ���J. � ��.' � <br /> r�a <br /> � � �� � <br /> — � � 2 �d� �` T O�O O --� <br /> i� 1�3 Cy :,i � � �' (m,/ t�'1 <br /> � `� ��� � ) � � � `O "L7 —{ �'Ta � � <br /> � E CD <br /> �1 y .� � 71 .'�3 —� � ' ,,.t <br /> (�� � }."� t� 'T� f�. <br /> 'll � � �,.M1.� � � y• ...0 "� � :#-!�. <br /> � � � � '� �,�., � o�a O t�n� <br /> .y � --p r,_ �� � <br /> \�� 3 � 3 � � <br /> � . `�� � '7 �§S' 1 � � �,i <br /> � � <br /> \ � �Ji � \ ~ 3y � � <br /> �. � i � � �v � <br /> f.,� GJ�. G� r-*' <br /> �. <br /> � ,� AFFIDAVIT .° <br /> I � <br /> Sl1 STATE OF NEBRASKA ) <br /> � ) ss . <br /> �y COUNTY OF HALL ) <br /> Affiant, VELMA R. PRIMROSE, formerly VELMA R. BARNHART, after <br /> being first duly sworn on oath, deposes and states as follows: -- <br /> � <br /> c <br /> l . That Affiant was the surviving spouse of DAVID FR.ANKLIN <br /> BARNHART, who died January 3 , 1964 , as shown by the certified copy <br /> of the Decedent' s death certificate attached hereto as Exhibit "A" <br /> and by this reference incorporated herein; that Exhibit "A" is a <br /> certified copy of the original Certificate of Death on file with <br /> the Bureau of Vital Statistics, Department of Health, State of <br /> Nebraska. <br /> 2 . That Affiant and the said Decedent were husband and wife <br /> on the date of the Decedent' s death on January 3 , 1964 , and were on <br /> said date the sole owners as joint tenants not tenants in common, <br /> of the real estate legally described as follows : <br /> Lot Eight (8) and the Westerly One-Half (Wl/2) of Lot <br /> Nine (9) , Block Ten (10) , in H.G. Clark' s Addition to the <br /> City of Grand Island, Hall County, Nebraska. <br /> 3 . That by reason of the provisions of the Joint Tenancy <br /> Warranty Deed, Affiant became the sole owner of the above described <br /> property on Decedent' s death. <br /> 4 . That this Affidavit is given as evidence that pursuant to <br /> Neb.Rev.Stat . section 77-2003 , no inheritance tax lien arising due <br /> to the death of the Decedent can attach to the above described real <br /> estate and that pursuant to Neb.Rev.Stat . section 77-2012, no <br /> Nebraska estate tax lien arising due to the death of the Decedent <br /> can attach to the above described property. <br /> FURTHER AFFIANT SAYETH NOT. <br /> Dated � , 1998 . <br /> �� . <br /> VELMA R. PRIMROSE, formerly <br /> VELMA R. BARNHART <br /> SUBSC IBED in my presence and sworn to before me ' s � <br /> day of , 1998 . <br /> � V v`- <br /> �!� GENERAI NO1ARr•Staie ot Nebroska otary ub 1 i c <br /> JOHN M.CUNNINGHAM <br /> My Comm.E�p.Nor.1?,1999 <br />