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r <br />L� <br />1 <br />AFFIDAVIT <br />�7 Q9— ♦ 1 00627 <br />V V <br />STATE OF NEBRASKA ) <br />ss: <br />COUNTY OF HALL ) <br />Affiant, Utha M. Wrage, after being duly sworn upon oath, <br />does depose and state as follows: <br />1. That Affiant is the surviving spouse of Elmer L. Wrage• <br />( "Decedent "), who departed this life on January 9, 1989, as shown <br />by the certified copy'of the death certificate attached hereto as <br />Exhibit "A" and by this reference incorporated herein. <br />2. That on the date of death, the A Mant and Decedent were <br />the sole owners as joint tenants with rights of survivdrship of <br />the real estate located at 912 West 11th, Grand Island, Hall <br />County, Nebraska, and 908 West 11th, Grand Island, Hall County, <br />Nebraska, and legally described as follows: <br />Lot Eight (8), Block 5ix.M ,.Gilberts Addition to the City <br />of'Grand Island, Hall County, Nebraska, and <br />-- <br />Lot Nine (9), Block Six (6), Gilberts Addition_to. the City of <br />Grand Island ; Mal 1 CnL.*3ty , Nebrasy8 <br />- <br />3. That by virtue of the survivorship of Affiant,. Affiant <br />became the sole owner of the above - described property. <br />4. That this Affidavit is given as evidence that pursuant <br />to Neb. Rev. Stat. 877 -2003 (Reissue of 1986) no inheritance tax <br />lien arising due to the death of Decedent can attach..to the <br />above- described real estate and that pursuant to Neb. Rev. Stat. <br />877 -2012 (Reissue of 199.6) no:..Nebraska estate tax 171—en arising due <br />to the death of Decedent can attach to the above - described <br />property. <br />S. That. the gross estate of Decedent was less than that <br />amount exempt•from federal estate taxes. <br />FURTHER AFFIANT SAYETH NOT. <br />Dated this .2- day of 1989. <br />Utha M. Wrage <br />Subscribed and sworn -to be €ore this day of , <br />1989. <br />iiNwAl �fA�4�lt N � <br />f Iwo • c <br />6F <br />