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Affiant, CHARLES B. BEER, after being first duly sworn on <br />oath, deposes and states as follows: <br />1. That Affiant is the surviving spouse of Beverly L. Beer, <br />who died March 5, 2001, as shown by the certified copy of the <br />Decedent's death certificate attached hereto as Exhibit "A" and by <br />this reference incorporated herein; that Exhibit "A" is a certified <br />copy of the original Certificate of Death on file with the Bureau <br />of Vital Statistics, Department of Health, State of Nebraska. <br />2. That Affiant and the said Decedent were husband and wife <br />on the date of the Decedent's death on March 5, 2001, and were on <br />said date the sole owners as joint tenants, not tenants in common, <br />of the real estate legally described as follows: <br />Lot Ten (10), Heritage Acres Subdivision, in the City of <br />Grand Island, Hall County, Nebraska. <br />3. That by reason of the provisions of the Joint Tenancy <br />Warranty Deed, Affiant became the sole owner of the above - described <br />property on Decedent's death. <br />4. That this Affidavit is given as evidence that pursuant to <br />Neb. Rev. Stat. § 77 -2003, no inheritance tax lien arising due to <br />the death of the Decedent can attach to the above - described real <br />estate and that pursuant to Neb. Rev. Stat. § 77 -2012, no Nebraska <br />estate tax lien arising due to the death of the Decedent can attach <br />to the above - described property. <br />FURTHER AFFIANT SAYETH NOT. <br />DATED: 4pxl L 2-114- , 2001. <br />Neu,& 16, <br />CHARLES B. BEER <br />SUBSCRIBED in my presence and sworn to before me this <br />day of 2001. <br />[::$GENERAL NOTARY -State of Nebraska C <br />VICKI L. GEWECKE Notary Publ is <br />My Comm. Up. Jan. 24, 2005 <br />1'T'1 <br />O � <br />CD <br />O G <br />O <br />O fd.'! <br />Cn <br />CJ <br />w <br />E--+ O <br />,.,_► <br />n <br />M <br />-n <br />0 r) <br />X D <br />M En <br />0 X <br />U <br />an N !? <br />n <br />� <br />v <br />M <br />Q <br />'T1 <br />O <br />b <br />P, <br />AFFIDAVIT <br />PS <br />STATE OF NEBRASKA) <br />C �) <br />,C� <br />s s <br />\J <br />COUNTY OF HALL <br />200103631 <br />GO <br />Affiant, CHARLES B. BEER, after being first duly sworn on <br />oath, deposes and states as follows: <br />1. That Affiant is the surviving spouse of Beverly L. Beer, <br />who died March 5, 2001, as shown by the certified copy of the <br />Decedent's death certificate attached hereto as Exhibit "A" and by <br />this reference incorporated herein; that Exhibit "A" is a certified <br />copy of the original Certificate of Death on file with the Bureau <br />of Vital Statistics, Department of Health, State of Nebraska. <br />2. That Affiant and the said Decedent were husband and wife <br />on the date of the Decedent's death on March 5, 2001, and were on <br />said date the sole owners as joint tenants, not tenants in common, <br />of the real estate legally described as follows: <br />Lot Ten (10), Heritage Acres Subdivision, in the City of <br />Grand Island, Hall County, Nebraska. <br />3. That by reason of the provisions of the Joint Tenancy <br />Warranty Deed, Affiant became the sole owner of the above - described <br />property on Decedent's death. <br />4. That this Affidavit is given as evidence that pursuant to <br />Neb. Rev. Stat. § 77 -2003, no inheritance tax lien arising due to <br />the death of the Decedent can attach to the above - described real <br />estate and that pursuant to Neb. Rev. Stat. § 77 -2012, no Nebraska <br />estate tax lien arising due to the death of the Decedent can attach <br />to the above - described property. <br />FURTHER AFFIANT SAYETH NOT. <br />DATED: 4pxl L 2-114- , 2001. <br />Neu,& 16, <br />CHARLES B. BEER <br />SUBSCRIBED in my presence and sworn to before me this <br />day of 2001. <br />[::$GENERAL NOTARY -State of Nebraska C <br />VICKI L. GEWECKE Notary Publ is <br />My Comm. Up. Jan. 24, 2005 <br />1'T'1 <br />O � <br />CD <br />O G <br />O <br />O fd.'! <br />Cn <br />CJ <br />w <br />E--+ O <br />,.,_► <br />n <br />(ZD <br />n <br />� <br />C D <br />� <br />v <br />M <br />Q <br />'T1 <br />O <br />b <br />P, <br />M <br />C �) <br />GO <br />Cn <br />Affiant, CHARLES B. BEER, after being first duly sworn on <br />oath, deposes and states as follows: <br />1. That Affiant is the surviving spouse of Beverly L. Beer, <br />who died March 5, 2001, as shown by the certified copy of the <br />Decedent's death certificate attached hereto as Exhibit "A" and by <br />this reference incorporated herein; that Exhibit "A" is a certified <br />copy of the original Certificate of Death on file with the Bureau <br />of Vital Statistics, Department of Health, State of Nebraska. <br />2. That Affiant and the said Decedent were husband and wife <br />on the date of the Decedent's death on March 5, 2001, and were on <br />said date the sole owners as joint tenants, not tenants in common, <br />of the real estate legally described as follows: <br />Lot Ten (10), Heritage Acres Subdivision, in the City of <br />Grand Island, Hall County, Nebraska. <br />3. That by reason of the provisions of the Joint Tenancy <br />Warranty Deed, Affiant became the sole owner of the above - described <br />property on Decedent's death. <br />4. That this Affidavit is given as evidence that pursuant to <br />Neb. Rev. Stat. § 77 -2003, no inheritance tax lien arising due to <br />the death of the Decedent can attach to the above - described real <br />estate and that pursuant to Neb. Rev. Stat. § 77 -2012, no Nebraska <br />estate tax lien arising due to the death of the Decedent can attach <br />to the above - described property. <br />FURTHER AFFIANT SAYETH NOT. <br />DATED: 4pxl L 2-114- , 2001. <br />Neu,& 16, <br />CHARLES B. BEER <br />SUBSCRIBED in my presence and sworn to before me this <br />day of 2001. <br />[::$GENERAL NOTARY -State of Nebraska C <br />VICKI L. GEWECKE Notary Publ is <br />My Comm. Up. Jan. 24, 2005 <br />1'T'1 <br />O � <br />CD <br />O G <br />O <br />O fd.'! <br />Cn <br />CJ <br />w <br />E--+ O <br />,.,_► <br />n <br />