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. 4 <br />qWW <br />STATE OF KIBPMXA) <br />Xffiat t, 'Coica B. Johnson, after being duly sworn upon: <br />odtb, "Poses and.. _states aa follows: <br />1. That Affiant is the surviving spouse of Howard Russell" - <br />Johnson, who departed this life on August 30, 1989, as shown <br />by the copy of the death certificate attached hereto as Exhibit <br />"A" and by this reference incorporated herein; that Affiant <br />and the 'said Howard Russell Johnson were wife and husband on <br />the date of Decedent's death on August 30. 1989. <br />2. That on the elate of death, the Affiant and Decedent <br />were the sole owners as joint tenants with rights of survivorship ;. ".. <br />of that real estate located at 439 E. Dodge Street, Grand Island <br />Hall County, Nebraska, and legally described as follows: <br />iot Forty -Five (45), Buenavista Subdivision, <br />an Addition to the City of Grand Island, Hall <br />County, Nebraska. <br />That by virtue of the survivorship of Affiant, Affiant <br />ca ,: a sole owner of the above - described property. <br />That this Affidavit.: i;s given as evidence that puclruant <br />to Neb•. v . . Stat . Section 77 -2403 (1983 S -upp.) , no inhera.A� : ice. <br />tax' - rwis3iig' due to the death of Decedent can attach to` <br />the above - described real estate and pursuant to Neb. Rev,. Stet. <br />Section 77 -2012 (1983 Supp.) , no Nebraska estate -iM Ton "- <br />arising due to the death of Decedent can attach to the above - <br />described property. <br />FURTHER AFFIANVSAYETH NOT. <br />Dated: October 4P <br />CORA B . JOHNSTq <br />Subscribed and worn to before. one this 4th day of October, <br />1989. .✓� <br />Notary Pub c• <br />0 <br />88rR���Mai <br />