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<br /> STJITE OF NEBRI4�BK�i 1 � p
<br /> \ ) $�= AFFIAAVIT �
<br /> COUNTY OF HALL 1 98..,, 1���,4
<br /> Cd1dEe NOW the undereiqned, beinq duly sworn, depasee �
<br /> and �ny� thak she is the surviving apouss o� the Decedent
<br /> and that the tal2owinq i,nforma►ticn is true and correct: �.�
<br /> l. Nataa of De�e@$nt: ��nea K. Clark � �
<br /> O�t� o� Death: , August �1, 1996. , � � •
<br /> Domialle At �at� of Death: Hall Cou�aty, �lnbragka °
<br /> pecedent died teatai�e. , -
<br /> Z. A!liant �ur�her �tatee that na pracee��.nge for �
<br /> proba�e vf Decadent's Will he►ve been commenced an�d none is
<br /> conti�mplatsd. A1� aseet� in which Decedent had an interest
<br /> � � yhre ownsd in joint tenancy wi�tY► hic� a�rvivinc� �po�.re, Helen ,
<br /> � � ]►. Clark, ]►lfisnt, includ�txr.cX" the foYlowin�q c�eecriT�ed r�ea.� . : .
<br /> e��.ste: � � . �. . � �.�
<br /> • Loti l�iftesn (7,5) , B�ock Two (2) , Morr�,a � � - �
<br /> Add3tlon to +G�ce .City:af Grand Island;��Ha3.7, . .
<br /> County, Nabx��xa, ccamraonly known �ts .2�?
<br /> W. 19th St.;. Gr�tnd Yaland� Nabzt�e�Ca;_:� �
<br /> 3. Th�r� i� r�a Fe8�ra1 8state aa.�,. Nebraska Ix�haritar�ce �. , � .
<br /> Tax o�c N�braska �st�t��te Tax dus ora �.aocoun� of the,�d�ath o� ' . .
<br /> � t.1t� Dia�d�nt. � : � . ,
<br /> ,. 1. Ths Dso�detst and Af�iant wexa n�ar�x��.ed.• ae. of' da��z�.�
<br /> o� asath. Thsra :�.s no Nebra4kn ��•nherit�snce .Tas� �:�:ea by
<br /> r�a�ona of N�braak� Ravisad Stakutas �5l�ati:�i� �7-2p.Q�S;:��� Tti�Xe ' , .
<br /> , i� rto 1i�brs�ks •�ta�� ta�x lisn by rea�on of t�ebraska Revised . '
<br /> � sta�p�e� S�ation 77-�102. � � .� :•�,
<br /> . � e,7., .
<br /> • . 1'txr�hsx At�iant ssith not. . • �
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<br /> ,G�U�/
<br /> �� � � �
<br /> H� �en A. c ar . 1� dnt
<br /> a�p���ZBgU and SWORN to before me this 12th day oE
<br /> 11�xgusr, ],998. . . �
<br /> at�tA+il+atu�r�wM�� �
<br /> AM�1 !t C MI1YEl1 biot�' �' . , ;'�': .`,.r� �
<br /> OM�M.��+1.1.7�M ��. . ; . . � .i`..
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