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STATE OF NEBRASKA ) <br />) ss: <br />COUNTY OF HALL ) <br />2 <br />rs C <br />z <br />n� <br />Z <br />Once recorded, return to: <br />(WI Parker, Grossart, Bahensky, Beucke & Bowman, L.L.P. <br />V P.O. Box 1600, Kearney, NE 68848 -1600 <br />AA <br />5 _ <br />AFFIDAVIT OF <br />SURVIVING SPOUSE <br />ry <br />C7:27) <br />r <br />r 7r <br />CD <br />N) <br />CO <br />CD <br />r <br />co <br />"L7 <br />- CT <br />- my <br />Affiant, JoAnn Meyer, also known as Jo Ann Meyer, after being duly sworn upon <br />oath, does depose and state as follows: <br />1. That affiant is the surviving spouse of Melvin W. Meyer (hereinafter referred to <br />as the "decedent "), who departed this life on October 25, 2015, as shown by the copy of the <br />death certificate attached hereto as Exhibit "A" and by this reference incorporated herein. <br />2. That on the date of death, the affiant and the decedent were the sole owners as <br />joint tenants with rights of survivorship of that real property described as follows: <br />Unit Three (3) in Westwood Park I Condominiums in the City of Grand <br />Island, Hall County, Nebraska. <br />3. That by virtue of the survivorship of affiant, affiant became the sole owner of the <br />above - described property. <br />4. That this affidavit is given as evidence that pursuant to Neb. Rev. Stat. §77 -2003 <br />(Reissue 2009) no inheritance tax lien arising due to the death of the decedent can attach to <br />the above - described real estate. <br />5. That no federal estate tax return has or will be filed as the gross estate of the <br />decedent was less than that amount necessary to require the filing of such a return pursuant <br />