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Return to: <br />Kevin A. Brostrom <br />Attorney at Law <br />P.O. Box 400 <br />Grand Island, NE 68802 -0400 <br />STATE OF NEBRASKA ) <br />)ss: <br />COUNTY OF HALL ) <br />AFFIDAVIT <br />COMES NOW ALVIN P. MILLER, being first duly sworn upon oath, and deposes and <br />states as follows: <br />1 He is the father of Jerry L. Miller who died intestate on August 10, 2009 and <br />estate proceedings were unnecessary due to his small estate. <br />2. That the value of all the property in the estate of Jerry L. Miller, Deceased, <br />wherever located, less liens and encumbrances, did not exceed $25,000.00. <br />3. That affiant is the sole heir of said estate and no federal or state inheritance tax <br />was due. <br />4. That at the time of the death of Jerry L. Miller, the following described real estate <br />was held in joint tenancy with Affiant; however, this was for succession purposes <br />and Jerry L. Miller did not have any funds invested in said real estate: <br />Lot Nine (9) in Block Seventy Four (74) in Wheeler and Bennett's <br />Third Addition to the City of Grand Island, Hall County, Nebraska <br />5. That the information and statements in this Affidavit are true and correct. <br />Affiant acknowledges that any false statement made herein may subject affiant to <br />penalties relating to perjury. <br />Alvin P. Miller <br />Subscribed and sworn to before me on this cT ay of August, 2016. <br />r <br />GENERAL NOTARY - State of Nebraska <br />ANITA D. POWERS <br />My Comm. Exp. Noventher 16,2018 <br />v> <br />Notary Public <br />CJl <br />