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l_ <br />U <br />89- 104235 <br />AFFIDAVIT <br />STATE OF NEBRASKA ) <br />ss. <br />COUNTY OF HALL ) <br />Affiant4 MABEL RANK, after being duly sworn upon oath, does <br />depose and state as follows: <br />1. That affiant is the surviving spouse of OSCAR E. RANK, <br />who departed this life on February 1, 1989, as shown by the <br />certified copy of the death certificate attached hereto as <br />Exhibit "A" and by this reference incorporated herein; that .��. <br />affiant and the said Oscar E•. Rank were husband and wife on <br />the date of decedent's death on February 1, 1989. <br />2. That on the date of death, the affiant and decedent <br />were the sole owners as joint tenants with rights of survivor- <br />ship of that real estate located at 224 S. Oak Street, Grand <br />Is1aa3, Nebraska, and legally described as follows: ` <br />Lot Six (6) of Jones Addition ;tz the- City <br />of Grand Island, Hall Co=ty, ,xebias%ar <br />3. That by virtue of the su&,,. ip of f:fiant, affiant <br />bec:aim the sole owner of t: a above - described propgTty. _ <br />4. That this Affidavit is �3 wren as evideno -e that pursuant ' <br />to I e'n. Rev. Stat. 9 77-2003A.1983 Supp.) , no inheritance tax <br />lien arising due to .the death of decedent can attach to the <br />above - described real estate and that purs4ant to Neb.Rev.Stat. <br />0 77-2012 (1983 Supp..) , no Nebraska estate tax lien arising due <br />to the death of the Decedent can attach to the above- described <br />property. <br />FURTHER AFFIANT SAYE".E NOT. <br />Dated this; day of 1989. <br />J <br />.5EL Y( NK <br />SUBSCRIBI -sD and sworn to before me this day of , <br />1989.,° <br />r f +�..�aww�w� •. , <br />. � rr4MialeuN� � ' <br />r <br />W 16- <br />