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<br /> � 3S. AFBIDAVIx OF DRATH OF JOIHT
<br /> C411N'PY OF HrL1L 1 T��T
<br /> AL•Eiant, RATitICIT 0. DSRHAM, aftoz bqing duly aworn upon -"
<br /> oa�h, doos deposo and s�ate as follows:
<br /> l. Thet AEL•iant is tho surviving s�ousa of Josopli s.
<br /> Aorham who died November 4, 1991, in Omah., Doez9las County,
<br /> tie�ra�ka, as shoun b� tha copy of thm Th�a�h CertiEfcata, attaohed
<br /> heroto as Sxhlbit "A" and by this reEerenwe inaorporated heroi:n.
<br /> 2, That on the datm oE death tho AEEiant anc2 g8cedent were -
<br /> Yhe sole ormers as joint tP.11d11�8 with rigIIsts a�E se�rvivorship of _
<br /> Yh<zt real eatare i�iRe�] in Nall County> Nebraska, and logally
<br /> desoribed as�
<br /> Lot Sight (8), in A1ock One (1), Y�nke Davie Aoros '_
<br /> Subdivision, Hall County, hebraska. '-
<br /> 3. That by virtue of the survivorahip o£ the Af£iant, _
<br /> A£fiant beatrme the sole os�nez oP the abo�r,o-desoribed proporty.
<br /> 4. Shat this APfiant is given as ev�dence that purauant to
<br /> NebrASkn Revised StaCute, Seation 77-2003 , no inher�.tance eax
<br /> lien arising due to tho death o£ the Aecedent can attach to the `
<br /> n�ove-described zenl estlte; and that pursuant to Nebraeka
<br /> Revisetl Statuta, fiection 77-2102� no Nebrz�skn Es@aYe Tax ].ion --
<br /> T."
<br /> arisin9 due to �1ie death of Daceclent can rxttach to the above» �<
<br /> describe propexty.
<br /> 5. That the gross estate of the Aecc�ent waa less than thaC
<br /> amounL• exernpt Erom Faderal Estata Taxes.
<br /> FUR7CHL'R AFFYANT SAYETH NOT. �:
<br /> Dated this���day of mC tlr..�, 1992. '_
<br /> G •�z.�-�..--- �;
<br /> (�.'`��.._.�_ :
<br /> PF�`.PYIICIA O. AERFIAt�1 `:.
<br /> SUBS��IHLD AND SNORN to before me this �R,_�day of
<br /> CDC �_ , 1992.
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