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F <br />90- --105526 <br />STATE OF NEBRASKA ) <br />SS. AFFIDAVIT TO CLEAR TITLE <br />COUNTY OF HALL ) <br />HELEN L. PETERSON, being first duly sworn on oath, deposes <br />and states as follows: <br />1. She is the surviving spouse of Virgil F. Peterson, who <br />died September 17, 1990, at the Veteran's Administration Hospital <br />in Omaha, Nebraska. At the time of his death he was a resident at <br />1819 North Grand Island Avenue, Grand Island, Hall Cquaty, <br />Nebraska 68803. <br />2. No proceedings for probate of his Last Will and <br />Testament has been commenced, and none is contemplated. Said <br />Decedent left him surviving as his sole heirs -at -law the <br />following: Helen L. Peterson, wife; Susan M. Hennings, daughter, <br />and Judith L. Quiring, daughter. <br />3. The only property in which the Decedent had an interest <br />at the time of his death was property owned in joint tenancy <br />with this Affiant, his surviving spouse. Such jointly -owned <br />property included the following real estate: <br />The South Half (Sj) of Lot Thirty -Three (33) and all of <br />Lot Thirty -Two (32), all in West Lawn Addition to the <br />City of Grand Island, Hall County, Nebraska. <br />4. The total taxable assets of the Decedent's estate does <br />not equal nor exceed $600,000. All such assets passed to this <br />Affiant, his surviving spouse. His surviving spouse is exempt <br />from any Federal Estate Tax and any Nebraska Inheritance Tax, and <br />therefore no Returns are required for either of such death taxes. <br />DATED this 24th day of September, 1990. <br />HELEN L. PETERSON <br />SUBSCRIBED AND SWORN to before me this 24th day of <br />September, 1990. <br />AM dftf Notary Public MMCAMM <br />f�•j <br />pIq <br />J <br />