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`•lam 1 1 .' �'I" .. <br />1 {. <br />�1 <br />� � N <br />"f- <br />9�-- <br />AFFIDAVIT � O3��o <br />STATE OF NEBRASKA) 7 <br />1 ss. <br />COUNTY OF MALL ) <br />The undersigned Affiant, being first duly sworn upon oath, <br />deposes and states as folloWas <br />1. That the Affiant is the survivin spouse of John T. <br />Brittain, who departed this life on July O , 1990, as shown <br />by the certified Dopy of the death certif cat attached hereto <br />as Exhibit "A" and by this reference incorporated herein. <br />2. That on the date of death, the Affiant and Decedent <br />vwre the sole owners as joint tenants with rights of survivorship <br />of xe,.l estate legally described as follows# <br />TAot Seven (7) , Block Two (2) , Kn ickrahm <br />Third Addition, to the City of Grand <br />Island, Nall County, Nebraska. <br />3. That by virtue of the survivorship of the Affiant, <br />Affiant became the sole owner of the above described property. <br />4. This Affidavit is given as evidence that Dursuant to <br />:Nebraska Revised Statutes 77 -2003, no inheritancyo tax lion arising <br />due to the death of the Decedent can attach to the above described <br />real estate and that no Nebraska Estate Tax Lien aril uag due to <br />the death of the Decedent can attach to the above cl*4,.:ribed real <br />r estate . <br />�1'++ <br />S. That the gross estate of the Decedent was leas than that <br />mmnunt axamnt from fmdaral dastata taws■ _ <br />L. <br />Further Affiant sayeth not <br />DATED this day of , 1990. <br />RNA V. BRITTAIN, Affiant <br />Subscribed and sworn to before me his day of , <br />Y490. <br />ry Publfc <br />1• <br />rm:� <br />