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Affiant, SHARON L. KIRBY, after being first duly sworn on <br />oath, deposes and states as follows: <br />1. That Affiant is the surviving spouse of DANIEL T. KIRBY, <br />who died October 23, 2000, as shown by the certified copy of the <br />Decedent's death certificate attached hereto as Exhibit "A" and by <br />this reference incorporated herein; that Exhibit "A" is a certified <br />copy of the original Certificate of Death on file with the Bureau <br />of Vital Statistics, Department of Health, State of Nebraska. <br />2. That Affiant and the said Decedent were husband and wife <br />on the date of the Decedent's death on October 23, 2000, 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 />A part of the Southwest Quarter of the Southeast Quarter <br />of the Southeast Quarter (SW1 /4 SE1 /4 SE1 /4) of Section <br />Three (3), in Township Eleven (11) North, Range Nine (9) <br />West of the 6th P.M., Hall County, Nebraska, more <br />particularly described as follows: Commencing at a point <br />thirty -three feet (331) north of the south line of said <br />Section 3, and 4104 feet east of the west line of said <br />Section 3, running thence north 264 feet to a stake, <br />thence due west to the westerly line of the Southeast <br />Quarter of the Southeast Quarter of said Section 3, <br />thence due south along the said easterly line of said <br />Southeast Quarter of the Southeast Quarter of said <br />Section 3, to a point thirty -three feet (331) north of <br />the south line of said Section 3, thence due east to the <br />point of beginning, containing one (1) acre, more or <br />less. <br />3. That by reason of the provisions of the Joint Tenancy <br />Warranty Deed, 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 2001. lsz", <br />J <br />SHARON L. KIRBY <br />SUBSCRIBED in my pre ence and sworn to before me „_.}Dy_SHARON L. <br />KIRBY, this <br />2? day of 2001. �- <br />-N_ GENERAL NOTARY-State of Nebraska �:_ V\, <br />JOHN M. CUNNINGHAM Notar i Pu lic <br />My Comm. Exp. Nov. 22, 2003 <br />r7 <br />S <br />Pa <br />rD n <br />91 <br />M us <br />c <br />r, <br />n <br />Z <br />n = <br />o <br />m <br />� <br />o <br />" <br />-, <br />o <br />� <br />r) <br />x <br />s' <br />�1 <br />rn f ', <br />� <br />--{ <br />O <br />co <br />_" <br />n <br />N <br />(�� <br />, <br />C, . <br />� <br />C:) <br />�. <br />r ^,. <br />iT <br />07 <br />r- <br />1 <br />�.. ti <br />CZ) <br />- <br />C161- <br />i� <br />(1 <br />-n <br />CO <br />V * <br />v' <br />Cis <br />C0 <br />C <br />CD <br />O <br />CD <br />Z <br />CM <br />AFFIDAVIT <br />STATE <br />OF NEBRASKA <br />) <br />ss. <br />COUNTY <br />OF HALL <br />) <br />Affiant, SHARON L. KIRBY, after being first duly sworn on <br />oath, deposes and states as follows: <br />1. That Affiant is the surviving spouse of DANIEL T. KIRBY, <br />who died October 23, 2000, as shown by the certified copy of the <br />Decedent's death certificate attached hereto as Exhibit "A" and by <br />this reference incorporated herein; that Exhibit "A" is a certified <br />copy of the original Certificate of Death on file with the Bureau <br />of Vital Statistics, Department of Health, State of Nebraska. <br />2. That Affiant and the said Decedent were husband and wife <br />on the date of the Decedent's death on October 23, 2000, 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 />A part of the Southwest Quarter of the Southeast Quarter <br />of the Southeast Quarter (SW1 /4 SE1 /4 SE1 /4) of Section <br />Three (3), in Township Eleven (11) North, Range Nine (9) <br />West of the 6th P.M., Hall County, Nebraska, more <br />particularly described as follows: Commencing at a point <br />thirty -three feet (331) north of the south line of said <br />Section 3, and 4104 feet east of the west line of said <br />Section 3, running thence north 264 feet to a stake, <br />thence due west to the westerly line of the Southeast <br />Quarter of the Southeast Quarter of said Section 3, <br />thence due south along the said easterly line of said <br />Southeast Quarter of the Southeast Quarter of said <br />Section 3, to a point thirty -three feet (331) north of <br />the south line of said Section 3, thence due east to the <br />point of beginning, containing one (1) acre, more or <br />less. <br />3. That by reason of the provisions of the Joint Tenancy <br />Warranty Deed, 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 2001. lsz", <br />J <br />SHARON L. KIRBY <br />SUBSCRIBED in my pre ence and sworn to before me „_.}Dy_SHARON L. <br />KIRBY, this <br />2? day of 2001. �- <br />-N_ GENERAL NOTARY-State of Nebraska �:_ V\, <br />JOHN M. CUNNINGHAM Notar i Pu lic <br />My Comm. Exp. Nov. 22, 2003 <br />r7 <br />S <br />