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„� .,..�.+��N"�"+ed+�W�1' o,:�:ri�i _, <br /> 'a ,--.__.a.,_._-�"�:�_••- -- _. <br /> : . , _.....Y.,.� <br /> . ...�a� � ..�l�th:?c��+b��',��',:::-_-- <br /> _ .____._:._�_�...._.:.�.�,..�ti..c':d:::.ii3T� ' �'i1`�.S�T�1.'b�f2.::�u.�-_- <br /> �� � � � <br /> ("� n� rn � �\/\ � O -N�1 � <br /> ,��1 n �� � �y � x � � : <br /> i.. � <br /> .� rn � y <br /> rn � in �? � N o � � <br /> 7C n � {0 "n 7” M:M <br /> ,� r� `Q� x+ rD Cr7 C7� L <br /> ♦ \ ` ,ry P o 3 r- N fx1 � <br /> � N \� N � �� <br /> � � <br /> � vv � <br /> � � � �p <br /> � STATE OF NEHRASKA ) <br /> ) ss= AFFIDAVIT <br /> COUNTY OF HALL I 9?�r ���A _ <br /> •! <br /> Af�iant, Wilma E. Bejvancssky, being duly sworn upon Q � <br /> oath, deposes and states as follows: �"'� <br /> 1. That affiant is the eurvivinq sgouse of Edwarci \Q <br /> Bejvancesky, decedent, who departed this life on September <br /> 16, 1997, at Madison County, Tennessee. but a lsgal resident <br /> of Grand Island, Aall Ca��nty, Nebraska. <br /> 2. That on the date of death, the affiant and decedent <br /> were the sole owners, as joint tenants with righta of <br /> survivorahip, of the real estate loca.ted at 2421 W. 14th <br /> St., Grand Island, Nebraska, and legally described as <br /> follows: <br /> Lot Eiqht (6) , Block One (l), Cunningham Sub- <br /> division� City of Grand Is�and, xall �ounzy, <br /> Nebraska. <br /> 3. That by virtue of the stirvivoxship of affiant, r: <br /> affiant became the eele owner of the above-des�cribed <br /> property. <br /> 4. That decedent died testate but no probate of his . <br /> Will is neceasary. <br /> 5. That this AfEidava.t is given as evidence that <br /> purausnt to Neb. Rev. Stat. S77-Z003. (1983 Suppl.) no <br /> inheritance tax lion arising due to the death of decedent <br /> can attach to the above-described real estate and that <br /> pursuant to r1eb. Rev. Stat. 577-20I2 (1983 Suppl.) no <br /> Nebraska Estate Tax lien arising due to the death af the <br /> decedenti can attach to the above-described proper�y. <br /> 6. That the grass estate of decedent was less t.han <br /> that amcaunt exempt from Federal Estate Taxes. <br /> FURTHER AFFIANT SAYETH NOT. <br /> nATED this 26th day of September, 1997. <br /> ���, f��' � . <br /> y�TILNlA E. BE ANCESKY� a ffiant <br /> SUBSCRIBED and SWORN to before me this 26th day of <br /> September, 1997. <br /> A P.criOU YlfiLlISI�I.a111M�r1� _l���C����—i.�---� <br /> !I ARTHURCMAYER ivotary runiic� <br /> _ Ary Oo�.Ewp.fM 1�2000 <br /> l <br /> .� _ _ <br />