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a <br />A <br />STATE Or NEBRASKA ) <br />} ss: <br />Ca m r or mss. ) <br />Af f iar t `f' - i 1' D. Weber, aft 5cnq dq sworn upotr : ►' r '. ', '. sat ... • <br />does depq: -,Fi:e as follows= <br />;f „ •'` ` '; `- ` {' f Rani x , tii r ,. nicvi4ing spouse of Georgina i�Aeber <br />6 66 de 't' who.- depart00% this life on March 23, 1983, as shown <br />by the c uffed copy of`the death.dertificate attached hereto as <br />Exhibit "i►.and by this reference incorporated herein. <br />2. That on the date of death, the Affiant and Decedent were <br />the sole owners as joint tenants with rights of survivorship of <br />the real estate located at 1307 W. Hagge, Grand Island, Hall <br />County, Nebraska 68801,•and legally described as follows: <br />Lot Seventy (70) in Hagges' Subdivision of a part of the <br />Northeast Quarter of the Northwest Quarter of a part of the <br />Northwest Quarter the Northeast Quarter of Section 28, <br />Townshtp 11 North, Range! 9, West of the 6th P.M. <br />3. That by virtue of the survivorship of Affiant, Affiant <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. Stat. 577 -2003 (Reissue of 1986) no inheritance tax <br />lie arisinq due to the death of Decedent can attach to the <br />above- desaribed real estate and that pursuant to Neb. Rev. scat. <br />577 -2012 ' .J R*issue of 1966)x: no Nebraska estate tax 1� arising due <br />to the •oath of Dece nt can attach to the aba ve- described <br />property. <br />S. Mat the gross estate of Ilecedent was less than that <br />' . amount erinpt from federal estate taxes., <br />FURTHER AFFIANT SAYETH NOT,' <br />Dated this 14. day of September; 1989. <br />Vrr g 1 D. weber <br />Subscribed and sworn to before his y of September, <br />1989. <br />N711-public <br />•, i <br />4• <br />