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-�„�, � __. __ _ --�� -� _ � � � � 1 � � �4"��Q 0��.i� � AFFIDAVIT STATE OF NEBRASK�1 ) ) ss: COUNTY OF HALL ) � Affiant, Andrew L. Lewandowski, after being duly sworn upon oath, does depose and state as follows: 1. That Affiant is the surviving spouse of Angela Carolyn Lewandowski ("Decedent" ) , who departed this life on December 8, 1989, as shown by a copy of the death certificate attached hereto a� Exhibit "A" and by this reference incorporated herein. 2. That on the date of death, the Affiant and Decedent were � the sole owners as joint tenants with rights of survivorship of the real estate located at 2903 Hancock Place, Grand Island, Hall County, Nebraska 68801, and legally described as follows: Lot One (1) , Block Three (3) , Colonial Estates Subdivision, � Grand Island, Hall County, Nebraska. •� 3. That by virtue of the survivorshi� of Affiant, Affiant � � : �� , became the sole nw�Pr nf the 3��t•L-t3°SL�rILCI�i ��VjJCt Lj�. -- - 4. That this Affidavit is given as evidence that pursuant to Neb. Rev. Stat. �77-2003 (Reissue of 1986) no inheritance tax - lien arising due to the death of Decedent can attach to the �'��- above-described real estate and that pursuant to Neb. Rev. Stat. .:'� §77-2012 (Reissue of 1986) no Nebraska estate tax lien arising due +� to the death of Decedent can attach to the above-described ' property. 5. That the gross estate of Decedent was less than that � � amount exempt from federal estate taxes. � • ' ; � !�;' FURTHER AFFIANT SAYETH NOT. .:�-:: Dated this � day of January, 1990. �� '�■��L.+._��:/��°-`�tr.�f�n.b.��— • . Andrew L. Lewandowski Subscribed and sworn to before me t 's �4 day of January, 1990. 6�M1.NOTAAY,St�el� - - �� ary Pu c , � � .�� _� � � a � --=f �,,� �"�'��' �. .' --�:. __�� . ��: �q l ►� ,F;, ' `r� l._.._ � p,°i��. !t'•", .t;,.` r .i _r .'.