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AFFIDAVlT ..._ . <br />90-;-10494a <br />STAn op N=Rhsxh, ) <br />CouWr OP HMMTOK I <br />Atfia�nt, N. Darlene < Lange,. after being duly sworn upon <br />oath, . does depose and state "as follows: - - - -. - <br />' 1. That Affiant is the surviving spouse' of Everett H. <br />L yswga ('decedent), who departed this life _on June 3, attached <br />e as <br />showh by the certified copy of the -death certificate attached <br />- -- mere - and ag Phis re`esenbe incorporated herein, - <br />2i� -That on the date of'death, the A%fiant and decedent <br />we7re the sole owner$ as joint tenants with right of survivorship. <br />j of that 'real estate legally described as follows: ; <br />Lot Five (5) in ' Block Nine (9) , Sheridan' <br />Place, an Addition, to the City of Grand <br />Island, Sall County, Nebraska. <br />' <br />3. That ' by virtue of the survivorship of Af fiant, <br />Affiant'became the sole owner of the above -described property. <br />j 4 . , That this Affidavit is given as evidence that _ <br />pursuant "to Neb. Rev. Stat. section 77 -2003 (1983 Suppl.) no f: <br />inheritance tax lien arising due to the death of decedent can <br />attach to the above- described real estate and that pursuant to t <br />Neb. Rev. Stat. section 77 -2012 (1983 Suppl.) no Nebraska estate <br />tax lien arising due to the death of decedent can attach to the <br />above- described property. <br />5. That the gross estate of decedent was less than <br />$600,000,00, the amount exempt from federal estate taxes for the <br />year 1990. <br />F FURTHER AFFIANT SAYETH NOT. <br />Dated this day of %% , 1990. <br />• • %,�, s�� J -,mot `%' � <br />R. Darlene Lange, A cant -� <br />_SUBSCRIBED AND SWORN to.before me this day of <br />,.»,,r..R -., •._ t. r, i� , 1990. <br />tary Publ c <br />coamt� ssion expires: <br />