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st. <br />89-m <br />AFFIDAVIT AS T6-- TS"NT OWNER 104296 <br />STATE OF NEBR&SIKA, COUNTY OP-: HALL:., <br />Undwir. oathi, I decl are.:_ <br />1. 1 am the widow of Ruda4ph O. Ewoldt. ,oho as:Zluly 31,, 1989. <br />2. At the timo of his" dvath, Rudo;O.,:.0. 61dt *-hd I, as joint tenants, <br />owned the following, described real est4t.e. lacated in &all County, Nebraska: <br />Lot Ton. 'n, Wheeler and #ennettos <br />in; 41ock. Seventy-f 'T <br />Third 00ition: to- the City of Grand. le, Nebraska, as surveyed, <br />Platted 4-nd"recoirded. <br />3. All of the property,, both real prcpei�y,, in which my <br />husband, Rudolph d.. Ewoldt, had ,an inte;r-e-.,*. <br />t:, his death,. -was owned by him <br />T m 0 r, <br />-, <br />and me as joint tenant's and not as tenant, s, <br />4. The total fair market value of all tpV--T,t t4nancy property owned <br />by my husband, Rudolph O. Ewoldt, and me,,. art ts,, at the time of <br />death of his death, was less than the sum, 0 . f- and no Form 706 <br />(United States Estate Tax Return) has be,iW ',be filed with the <br />Internal Revenue Service because no United Sift" qt "t' !6 Tax was, can be or <br />will be assessed as a result of the death of * J;Us % <br />y '- amd. Rudolph O. Ewoldt. <br />5. Since all of the property owned by Rudolph- 0-.-EW10telt, my husband, and me <br />was owned by him with me as joint tenants _zrvdl rlv�t�.:'a's tenants in common, <br />there is no liability for a Nebraska Estate ii.�, there any liability <br />because of his death for any Nebraska lnheritark*. <br />6. 1 am the sole owner of all of the real',, e. wit' a ' )& ;io personal property <br />owned by Rudolph O. Rvolitt, and me, as joint 4k:4_ii3Z ,Pt�'' azl�'the time of his <br />death, by virtue of being the surviving joi*'mt rratr t, and thel ptoperty <br />passing to me is exempt from United States Estat­r� '%w,,--;".aebr&,ska Estate Tax <br />and tlebraska Inheritance Tax. <br />(Bernadine J.—Ewoldt) <br />DuJLv sworn to and fiii(Inea before me on August 14, 1989. , <br />Ile, J <br />(Notary Publidt- <br />My Commission expires C." el <br />Ex No am EVA lan"I I. <br />_1 <br />