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. -S <br />` . f, � � ..H'. ...s . ,F44t�:f�N�AI ,:.1: , iJ+M.`.' . •t <br />.. y �1�1� ,i 1 � •.rr�j4 . -- ' - f- ML•W'bf'•. 1� t -'• r Mp <br />i <br />- Iraq <br />1" <br />I:'r.. •.lv1 1 1� <br />• 'r 4V <br />X15.. <br />90--� 10724k'7 <br />STATE OF N8HRA8RJ1 ) 1RirA� <br />) as* <br />COUNTY OF HALL ) <br />Affiant, MARIETTA KE NSiR, after being first duly sworn on <br />oath, deposes and states as follows: <br />1. That Affiant is the surviving spouse of Elmer J. I6ensik, <br />also known as Elmer James Nensik, who died November 6, 1990, as <br />shown by the certified copy of the Decedent's death certificate <br />attached hereto as Exhibit "A" and by this reference incorporated <br />herein= that Exhibit "A" is a certified copy of the oriqinal <br />Certificate of Death on file with the Bureau of Vital Statistics, <br />peppuctment of Health, State of Aebraska. <br />2.. That Affiant and the said Decadent were husband and wife <br />on the date of the Decedent's death on November 6, 1990, and were <br />on said date the sole owners as joint tenants not tenants in <br />common, of the real estate legally described as follows: <br />The Southerly Fifty Feet (S500) of Lot Four (4),, Block <br />Seventy -Five (75), Original Town now city of Grand <br />Island, Hall county, Nebraska, being a rectangular tract <br />of ground in size 50' by 660, having a Westerly frontage <br />of 50' on Oak Street and bounded on the South by the <br />North line of the alley of said Block. <br />3. That by reason of the provisions of the Joint Tenancy <br />Warranty Dead, Affiant became the sole owner of the above described <br />property on Decedent's death. <br />4. That this Affidavit is given as evidence that pursuant to <br />Neb.Rev.Stat. section 77 -2003, no inheritance tax lien arising due <br />to the death of the Decedent can attach to the above described real <br />estate and that pursuant to Neb.Rev.Stat- section 77 -2012, no <br />Nebraska estate tax lien arising due to the death of the Decedent <br />can attach to the above described property. <br />FURTHER AFFIANT SAYETH NOT. <br />Dated this IZ__ day of December, 1990. <br />1ilARIETTA MENSIR <br />SUBSCRIBED in my presence <br />day of Deceembber,rr, 1990. <br />09 B.J. CUNNINOHAK A <br />Ofj Cowin Etp Avg 11 1893 <br />s14SF- _ <br />1•+ <br />, <br />A __ - - - <br />