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<br /> � AFFIDAVIT �
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<br /> STATE OF K�RF►S� y ,
<br /> , } ss: � � .
<br /> � Coux� a�. ��L i �
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<br /> �• Aff3ant, �anet J. Holdt, after being duly sworn upon oath,
<br /> ���s depase aAd ��,at� �s fa23.aws:
<br /> . l. fi�:at ��fi�.t. � �.s the surviving spouse af Thomas Edward , � �
<br /> � 3 Holdt �.�.. t."L�cedenteg� , who departed this life on December 24,
<br /> �. �.I ;s�89, as� s�i.er��z bp the certifi�d copy a� the death certificate .
<br /> '��` a�tachec� her�tc� as Exhibit "A" and by this �Pference incorporated .
<br /> • ' hereia�o . . . . �
<br /> ' 2. That on the date of death, the Af�s:aat and Decedent were
<br /> •�-� �i� sole owners as joint t�nants with rig&ts of survivorship of
<br /> :.,.•s,�:.
<br /> • ti�� real estate locatec�. at 2��� W. lst, Grane'f.Islartd, Hall County,
<br /> Nebrask.� 68803, and l��lly desaribed as follows: =•`
<br /> k Lo� Seven (7) in Block Seventeen (1?) Baker's Addition City ; =�
<br /> , � ; of Grand Island, Hall County, Nebraska. . _ --
<br /> �
<br /> ' 3. That by virtue of the su��T��orElz:�p of Affiant, Affiant --
<br /> became the soZe owner of the above-des�ribed property. �
<br /> 4. That this Affidavit is given as �vidence that pu=suant
<br /> to Neb. Rev. Stat. §77-2003 (Reissue of 1986} no inheritance t�:
<br /> 3.ien arising due to the aleath of Decedent ca� attach to th� ���
<br /> ` above-described real estate and that pursuant to N�b. Rev. Stat.
<br /> �� ' §77-2012 (Reiseue of 1986) no Nebraska esta�.� tax lien arising due . �
<br /> to the death of Decedent can attach tc� the above-describerl � �
<br /> ' ' property. '
<br /> 5. That the gross estate of Decec��rat saas less than that �.
<br /> ; ��unt exempt from federal es�ate taxes. � ' �'
<br /> �
<br /> � FURTHER AFFIANT �r��'�TH NOT. ;�
<br /> � Dated this day of � .�--� , 1990.
<br /> � � .� _��.�:�
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<br /> het J. 1�t_ �� ~
<br /> SubscribE�. and sworn t6 hefore this iS' day of ,
<br /> 1990.
<br /> � ������ tary P ic ` .
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