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POWELL & LUZUM <br />P. 0. Box 167 <br />Aurora, NE 68818 <br />STATE OF NEBRASKA ) <br />___ COUNTY <br />ss. <br />AFFIDAVIT <br />Doris Sundermeier, being first duly sworn on oath, deposes <br />and states that Merle W. Sundermeier and Doris Sundermeier, <br />husband and wife, were the owners of the following described real <br />estate in Hall County, Nebraska: <br />Lot Four (4), Nottingham Estates Subdivision, in the <br />City of Grand Island, Hall County, Nebraska, <br />as joint tenants with right of survivorship, and not as tenants <br />in common, and that said Merle W. Sundermeier is now deceased, <br />having died June 5, 2012, and that his wife, Doris Sundermeier, <br />is the surviving joint tenant owner of said property and has been <br />in possession of same. <br />Affiant further states: <br />1. That Doris Sundermeier was married to Merle W. <br />Sundermeier at the time of his death on June 5, 2012; <br />2. That all real estate and personal property owned by <br />Doris Sundermeier was held as joint tenants and not as tenants in <br />common with Merle W. Sundermeier and thus passed to Doris <br />Sundermeier by operation of law; <br />3. That the value of property owned by Merle W. Sundermeier <br />on the date of his death did not exceed the amount exempt from <br />Federal Estate taxes. <br />4. A copy of the certified death certificate of Merle W. <br />Sundermeier is attached hereto and is marked Exhibit "B ". <br />Further Affiant saith not. <br />Subscribed and sworn to before me this c 9 day of <br />2013, by the above -named person, known to me personally, and /or <br />by satisfactory evidence, to be said person described and <br />subscribing hereto. <br />Doris Sundermeier <br />CJc <br />Notary Public <br />C, <br />L..) CI <br />D ) C <br />-4 <br />r : --4 m <br />n -c -< <br />c O <br />(D -11 <br />T <br />1 2> <br />f � - <br />(77 cn <br />(f) <br />