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--- - I � ! � � i � : 89-- iQ65'75 r �TAT� OF NEBRASRA ) AFFIDAVIT AS TO DEATH : SS. AND 'a'ITI�� COUNTY OF HALL ) ALFRED E. RASMUSSEN, being first duly sworn on his oath, � deposes and says: - � 1. He resides at 1027 East Nebraska Avenue, in Grand Island, Hall County� Nebraska. 2. He is the husband of Josephine E. Rasmussen who died November 5, 1989. 3. No proceedings for probate o£ the Will with respect to j the Estate of Josephine E. Rasmussen has been commenced, and none ; is contemplated. � 4. The only property in which the Decedent, Josephine E. Rasmussen had an interest at the time of her death was property owned in joint tenancy with this Aff iant, her husband. Such property included the follcwing-desczibed real estate: . ' Lot Twenty-Seven (27), Fonner View Subdivision, Grand � � .�� � Island, Hall County, Nebraska. � � ��. ,. � 5. The Decedent made no gifts nor transfers for less than = -- � �uii anc� adequate Gonsideration w�tnin triree f3) years priar ta - - - � the date of her death for which a Federal Gif� Tax Return was -- required to be filed. � , 6. There is no Nebraska Inheritance Tax owing herein by ; reason of the joint tenancy ownership of all real and personal i . � property by the Decedent with her husband, Alfred E. Rasmussen, • � this Affiant. The total value of taxable property for Federal � Estate Tax computation purposes does not equal nor exceed �600,0�0, and no Federal Estate Tax return is required herein; . .�:�:_ � � and there is no such tax owing by the Josephine E. Rasmussen DATED this � day of December, 1989. �� ,,: A red E. Rasmussen SUBSCRIBED AND SWORN to before me this � day of � • December, 1989. � ; i�l�AA1raqM M Mr�i � .��. ou�E�.su�trs Notary Public , Ml►Co�a F�.Mu�h 2R 18� • � �_