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<br /> 4'_`.• r.` V"R���� 3. �hat Affiaat is� the sa�rviving spouse of JAl+�lSS A. -
<br />.., .��,t'�`�--��'- '�� '- ,MOSLA�, .7R., 97ho �lied lQo�ber 6, 1998. as showa by ths �QJpY �
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<br /> ">u-.`.a..;�"�'k'�°� . � .. the Det�d+eut's deat,h certifiicate attached heseto as �chib3.t °A° and
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<br /> _- ``t�`:����`. o� the arig3ual t7eitificate of Death on file eoith the. Bureau of
<br /> _��..`v�- -° = tTital Statis�ics of 8ealth. State of Rebraska.
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<br /> �� oa the date of the Decedeat•s death aa �ovember�6. 1998, aud�ere
<br /> .'_,:`-`"'`':�.:�``� -'• . an eaid date the sale a�aaers as joint teaaats not tenants in • .
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<br /> ^' •a��`y � Lot SeveA (7I. Hlock 'A�ee (3). Rni.ckre2m►'s FausCh �
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<br /> _- '�°��� � Additioa to the City of c3raad Ys].and. Hall OouritY. -
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<br /> �,s`-�'"�,,�� �-. 3. • That by reason of the pravieioas of tTde Saiat Te�aacy� . � --
<br /> �t,,:''��'��`�.� warranty Deed. Affiaat becam� the sole awrter of the.above described _ -
<br /> w��e;X.:�= . � prop�rty oa Decedent's 8eath. .
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<br /> _ =__-M-� .: . . 9. T�at thie Affidavit ia qiven as evi,deace tbat pursuant to .
<br /> ------_--------- • �Teb.Bev.s�at.. sect#on 77-2003. no inher,Setaacc: tax liea arising due .
<br /> ---.=�'���� �to t�he.death ��'the D�eeBent +caa ateach to the abave 8esa�ibe� seal
<br /> eetaCe and tbat pureuaat to Re�.Rev.stat. . secti.oa 77-2oZ8,. no :
<br /> Aebra+�ka eetate tax liea arieiag 8iie to�the dsath og� tt�e necedeat�. ` �
<br /> ���� c�n attach to tke alaa�ve 8escsibed psopertY• � �� .
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<br /> - --- . . FORTASR AFFZAL� 9AY8T�t ROT. � . ,
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<br /> ..,..,,--_,.— � . .. DateA December 2, 1998. � _
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<br /> -__-._— 80HSQtI88D in my � �
<br /> . _____= d�►y of Decembas. 1998. � �•
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