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2 <br />rn <br />1�1 <br />• <br />rn <br />elm <br />• <br />Once recorded, please return to: <br />Parker, Grossart, Bahensky, Beucke, Bowman & Symington, L.L.P. <br />PO Box 1600, Kearney, NE 68848 -1600 <br />AFFIDAVIT OF <br />SURVIVING SPOUSE <br />STATE OF NEBRASKA ) <br />) ss: <br />COUNTY OF BUFFALO ) <br />Affiant, Paul Beckmann, after being duly sworn upon oath, does depose and state as <br />follows: <br />1. That affiant is the surviving spouse of 011ietta M. Beckman (hereinafter referred <br />to as the "decedent "), who departed this life on March 4, 1998, as shown by the copy of the <br />death certificate attached hereto as Exhibit "A" and by this reference incorporated herein. <br />2. That on the date of death, the affiant and the decedent were the sole owners as <br />joint tenants with rights of survivorship of that real property described as follows: <br />The southerly half (S %z) of the northerly two -third (Ws) of the Northwest <br />Quarter (NW%) of Section Ten (10), Township Eleven (11) North, Range <br />Eleven (11) West of the 6 "' P.M., Hall County, Nebraska; and <br />All of Government Lot Nine (9) of Section Sixteen (16), Township Ten (10) <br />North, Range Nine (9) West of the 6t P.M., EXCEPT a tract of land <br />conveyed to Hall County, Nebraska by Warranty Deed recorded at <br />Instrument No. 99- 108975 in the records of the Office of the Hall County <br />Register of Deeds, AND EXCEPT a tract of land conveyed to Hall County, <br />Nebraska by Warranty Deed recorded at Instrument No. 77- 003553 in the <br />records of the Office of the Hall County Register of Deeds. <br />3. That by virtue of the survivorship of affiant, affiant became the sole owner of the <br />above - described property. <br />4. That this affidavit is given as evidence that pursuant to Neb. Rev. Stat. §77 -2003 <br />(Reissue 2009) no inheritance tax lien arising due to the death of the decedent can attach to <br />the above - described real estate. <br />5. That no federal estate tax return has or will be filed as the gross estate of the <br />decedent was less than that amount necessary to require the filing of such a return pursuant <br />to Internal Revenue Code §6018. <br />Dated: May 2017. <br />Paul Beckm <br />SUBSCRIBED AND SWORN to lfefore me on May 2 017 by PAUL <br />BECKMANN. <br />GENERAL NOTARY - State of Nebraska <br />DAMON T. BAHENSKY <br />My Comm. Exp. Aug. 30, 2017 <br />I�Tl <br />rro <br />r.) pat <br />rri <br />cp C7 <br />XI <br />rry <br />