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- 104435 <br />AFFIia. <br />STATE OF NEBRASKA) <br />ss_ . <br />COUNTY OF HALL ) <br />e ' <br />Affiant, Helen M. Purvis, a£tcr_ being duly sworn upon oath, <br />does depose and state as follows:. <br />1. That affiant is the sur4•l �.i:ing spouse of Melvin Henry <br />: l: <br />Purvis, ( "decedent "), who departed this life on..July 13, 1989., <br />as shown by the certified copy of the death. oertificate attached <br />hereto as Exhibit "A" and by ,�this'reference."incorporated herein. <br />2. That on the date of:'.death, the atfiant and decedent <br />were the sole owners as joint tenants with rights of survivorship <br />of that real estate located at 209 North Carey, Grand Island, ' <br />Nebraska, legally descxik►e�i: as follows: <br />Lots One (I), Two.f21, and Three (3), Block <br />Twenty- Nine.. (29), Parker and Barr's Second <br />Addition, t6 -:the City of Grand Island, Hall <br />County. tTebra ska <br />3 That b virtu f th i hi f ffi ff' <br />y t e o a sure vors e- o a ant, a cant <br />became the sole owner of the above - described property. <br />4. That this affidavit is given as evidence that pursuant....'.'.. . <br />to Neb. Rev: Ste. Section 77 -2003 (1983 ;:Supp.) no inheritance <br />tax lien arising, due to the death of decedent can attach to the' <br />above- described real: estate and that pursuant to Neb. Rev. Stab'' <br />Section 77 -2012 (1983 Supp.) no Nebraska estate tax lien arising <br />due to the death of decedent can attach to the above - described <br />property. <br />5. That the gauss estate of decedent was less than that <br />amount exempt..from federal estate taxes. <br />FURTHER AFFIAldT aAYETH NOT. <br />DATED this 10' day of August, 1989. <br />Helen ti. Purvis <br />Subscrf xrer acrid 'sworn 'tea' before me this �_ O �� august, <br />1989. <br />Notary P blz.y; <br />.-.._ <br />L <br />j <br />g, <br />._ _ -:. <br />