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.
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