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� � � r . 90-�00385 AFFIDAVIT . STATE OF NEBRASKA ) � , ) ss: COUNTY OF HALL ) Affiant, Lucille M. Fuss, after being duly sworn upon oath, does depose and state as follows: � 1. That Affi.ant is the surviving �pouse of Kenneth W. Fuss ! ("Decedent") , who departed this life on March 15 , 19�, as shown by the copy of the death certificate attached hereto as Exhibit "A" and by this reference incorporated herein. 2. That on the date of death, the Affiant and Decedent were the sole owners as jaint tenants with rights of survivorship of � the real estate located at in Hall County, Nebraska, and legally ' described as follcws: , � Lot Eighteen i18) , Block one (1) , Dale Roush Second � Subdivision situated in part of the East Half of the � ' Southwest Quarter (E1/2 SW1/4) of Seation Fourteen (14) , . - Township Eleven ( il) North, Range Ten t10) West of the 6th }�_`- - - - P.r►i. , Hail �ounty, ive�raska. - -- _ j 3. That by virtue of the survivorship of Affiant, Affiant = : became the sole owner o�E the above-described property. -- � 9. That this Affidavit is given as evidence that pursuant _ � to Neb. Rev. Stat. �77-2003 (Reissue of 1986) no inheritance tax j 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. i� FURTHER AFFIANT SAYETH NOT. . - Dated this �,day of Q `, 1990. '�- '� 11 s /ay1W�� � L cill.e M. Fuss Subscribed and sworn to before me this��,day of 1990. c��Mi�'Nwei�is �f/ � �'. �f > �� No a y Public �---__---- . i � a � • � � � �� �� � � � �. � J