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102233 <br />AFFIDAVIT <br />STATE OF'--= <br />:NEBRASKA ) <br />I ss: <br />COUNTY 017F-HALL ) <br />Affiant, Doris I. Brown, after being duly sworn upon oath, <br />does depose and state as follows: <br />1. That Affiant is the surviving spouse of Thomas R. Brown <br />("Decedent"), who departed this life on May 9, 1988, as shown by <br />the certified copy of the death certificate attached hereto as <br />Lvdd bit "A" and by this reference incorporated herein. <br />2.. That on the date of death„ the Affiant and Decedent were <br />the sole owners as joint ter nts with rights of survivorship of <br />the real estate located at 54S Johnson Drive, Grand Island, Hall <br />County, Nebraska, and legally described as, follows: <br />E"tb One -Half (El /2) of Lot Eighty -One (81) and all of Lot <br />t <br />Eigtaty -Two (82) , Welfe's Subdivision, City of Grand Island, <br />Hall County., Nebraska <br />3. That by v.i;Xa a of . the survivorship of Affiant, Affiant <br />become the sole owner of the above - described property. <br />4. That this Affidavit is given as evidence that pursuant <br />to Neb. Rev. Stan. 577- 2003.(.Reissue of 11 986) no inheritance tax <br />- <br />lien arising due to the death �.of Decedent can attach to the <br />above - described real . ' estate and that pursuant to Loeb. Rev. Stat a <br />577 -2012 (Reissue of 1945) no Nebraska estate tax lien arrsing due <br />to the death of Decedent can attach to the above - described <br />property. <br />5. That the gross estate Decedent was less than that <br />amount exempt from federal estate taxes. <br />FURTHER AFFIANT SAYETE NOT. <br />Dated this A7 dray oo Q&M� 1989. <br />Doris I. Brown <br />Subscribed and sworn to before me this /7-Aday of <br />1989. <br />Notary Public <br />J <br />n <br />r <br />