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M n n <br />M S D <br />T rn CA <br />rn N L x <br />J N o r) cn <br />-4 M CD <br />"• N <br />-TI CD Q3 <br />Q U J <br />rn o r n ui c-� <br />n ~ <br />C.3 <br />rn �. <br />(_n ca Q, o <br />STATE OF NEBRASKA ) rn <br />SS. AFFIDAVIT <br />County of Hall ) P 0 U 0 0 51 f 6 <br />COMES NOW the undersigned, Gary G. Petersen, and after <br />being duly sworn deposes and states as follows: <br />1. That Josephine Petersen was married to Pete Petersen on <br />June 15, 1931. <br />2. That Pete Petersen died on August 30, 1970,a resident <br />of Wood River, Hall County, Nebraska and that said parties were <br />married at the time of the death of said spouse. <br />3. That Pete Petersen and Josephine Petersen owned real <br />estate as joint tenants and not as tenants in common, and such <br />real estate is described as: <br />The Southeast Quarter of Section 15, Township 11 North, <br />Range 12 West of the 6th P.M., and the Southwest Quarter of <br />the Northeast Quarter of Section 33, Township 11 North, <br />Range 11 West of the 6th P.M., all in Hall County, Nebraska. <br />4. That title passed to Josephine Petersen pursuant to <br />Neb.Rev. Stat. §77- 2002(d) in that title is held as joint <br />tenants. <br />5. That no inheritance tax shall be due from the estate <br />of Pete Petersen, in that all assets were titled jointly <br />with Josephine Petersen and that Neb. Rev. Stat. §77 -2004 <br />provides that interest passing to a surviving spouse in the <br />manner set forth in Neb. Rev. Stat. X77 -2002 shall not be <br />subject to tax. <br />Further affiant says not. <br />Dated this ',t day of June, 2000 <br />Gary Petersen <br />Subscribed and sworn to before me this S day of <br />June, 2000 by Gary G. Petersen. <br />A UNERAL NOTARY -State of Nebraska <br />ROBERT D. STO ELL <br />MY Comm. UP. June 1, <br />RDS:dw <br />M: \re00 \3960.003 <br />C>. <br />