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- <br />�� <br />N - <br />A �� <br />3 - <br />N ��� <br />A �� <br />� <br />CJ1 � <br />W <br />� <br />�� <br />� <br />�� <br />� <br />�� <br />� <br />� <br />� � <br />A �� <br />�� <br />� � <br />� <br />� <br />! <br />r..� <br />� �:� n � <br />� 'v 0 ---1 <br />D --. C D N <br />r '-.? Z -� <br />r �-. —I m O <br />c ,' � � -G p <br />r' ' " ' 1 p �l 6-a <br />{- <br />r_� "` - � � rn Iti9 <br />. �..._, tz� C� <br />rn ° ;_� D <br />ri � r � � � <br />r`; r n <br />-, �., N � � � � <br />� ,y- CI� v� C.J � <br />e i � !n � <br />� <br />� <br />Prepared by & Return to: Carlson & Burnett, 816 5.169 St., Omaha, NE 68118 <br />AFFIDAVIT OF SURVIVING JOINT TENANT <br />STATE OF NEBRASKA <br />COUNTY OF DOUGLAS <br />) <br />) SS. <br />) <br />8� <br />��� <br />Affiant, DONNA J. ADAMSON, being first duly sworn under oath, states as follows: <br />1. That Affiant is the surviving spouse of JAMES R. ADAMSON, and she makes this <br />affidavit of her own personal knowledge. <br />2. That Affiant and JAMES R. ADAMSON held title to the real estate described in <br />Exhibit "A" attached hereto in joint tenancy with rights of survivorship: <br />3. JAMES R. ADAMSON passed from this world on January 21, 1993. A true and <br />correct copy of the Death Certificate of JAMES R. ADAMSON is attached hereto this Affidavit, <br />marked as Exhibit "B", and incorporated fully herein by this reference. <br />� <br />5. <br />JAMES R. ADAMSON and the affiant were married as of date of death. <br />That there is no Nebraska Inheritance Ta�c lien by reason of Nebraska Revised <br />Statutes Section 77-2003 and there is no Nebraska Estate Tax lien by reason of Nebraska Revised <br />Statutes Section 77-2102 because the entire estate passed from JAMES R. ADAMSON to his <br />surviving spouse, DONNA J. ADAMSON. <br />