� . .. ;�>�sv+ � - . .� .. . ... . , i
<br /> . .x,.w� ,. 1
<br /> t ,� ' .,,. . . ,
<br /> i ::�t�� ' . . . . . .. "
<br /> o� ' ' `°," . �
<br /> ° `. :.�;'
<br /> ' �,he�tPa�.h.��.... ;... ° , ,. ��rr
<br /> , � • • • -
<br /> ;, . ,. <.� .,,���p � ,,.� . . � , ,. . .-.. _
<br /> .
<br /> �� :
<br /> , ., l�Y,[p.:.. . . �f4EK��' '�� - _. _.....�:F k --.._.__'_"'_'_"_____......._.__ - .�" .
<br /> �� � . ..' _
<br /> .. 4VI. - � �. � . '_. ''
<br /> . -.....,�.
<br /> ,
<br /> �)� --- �
<br /> � .-L�W. ` .i� a�y���S`L_.Y."...atnJ�.�..�.�.��-�'---�-.�--.......... .�.___._...._...�_... ....
<br />�- .. ' c.•a.Y.f�. . -. �"
<br /> �. � , �;:
<br /> �'..� �: . � � � � � ��° ;�,U�.���i , �`;
<br /> .. v - � ��� � � � o �; �:-:
<br /> , ���p '� � W t r� � y rn �• � �..
<br /> � � ' ' �l� � � �Q,� P� p ��'+ � �
<br /> M y�.� � ca �" .� 'n Z � cy �'
<br />_-,:�,'� �` 'c1 � �
<br /> . � � � � � �,t a � � � �,,.
<br /> � � �� � .� � �
<br />•'�A{�+ra=.�' � � � � � � � � �' !
<br />:,<�;:.r'" � � �,,� � � --
<br /> � AFFIAFIVI�C OF NIARITAL STATUS � t�i� � �
<br /> 0
<br />:::�::ti�s� ��'x1`1'�,�k� I�1�BRASKA � `-
<br /> ��ri�ni�j� , � ��=
<br /> _--=;��'� COUI3`PY OF HALL ) �
<br />^1��� COMES NAW, the underaf.gr►�d, bQing duly awog�t►, cl�poq�ee and 8A]r8 that lS�
<br /> - the underaignQd knowa �h� DQaedent and that tho �o11aw�.xag infa�rmation iQ a
<br /> -� = true and coxxaat: .
<br /> -- � i. Name of Dsaedent: 9ha�on R. Livingeton a.k.a SYn�+rc►n Living��on
<br /> __.�3:�:�� ' Date o� �?c�a�h: March �0, 1998
<br /> �� Domicile at Date a� Doath: Hall County, Ne+baca�I�a ~
<br /> Name oE Survivin� Spouae: JacneB D. Living�tora
<br />- Date of MarriagQ:. ,�-2 0 -�fa
<br /> -i ?. The Af f iant ie the eurviving epoueQ of tho A+�aar��ur�t.
<br /> 3. There is ao F�derm]. Er�tate Tax, Nebraska Inhor�t�mcre Tax or Nebraeka
<br /> __�
<br /> Estate '�Ax. •
<br /> -- 4. Title to �he folJ.ov��.rng d�scribed real es���e ie l�m�.d by thE I3scedeant
<br /> and the aurviv�.�g epouse of th� Decedent in j�►�nt taxcaar�cy, to c�it:
<br /> Lo# 19, Washing�t�n T��rnehap Eagle
<br /> I,a}�e Eetatea 5ubd�.viaion, Hall �
<br /> = County, Nebraeka
<br /> 5. Ae of date of deHt:h, the real estato ham a� fa.�� market v�lu� of
<br /> _ $?Od,040.00. ,
<br /> - * ' � 6. The Deaed�sa�t an�l ��t3ant were married as of c3�t��c►f dc�ath. There ie
<br /> :no Nsbraeka x�h�ri+tanae Tax lien on tho ab,s�nvre dchct}�ir3bad prop�rty by. .
<br /> - � rea�an, .of I�Yeb�aska. �tQVioed Statuter� Sactior� 9��a�(��93. Th<:re is no �
<br /> :i�7+�br���:estate tax ].�ian by reaoon o� Nebrae ftav�a.��d Sta�utes SQatf��a °
<br /> ,.77-2'1����; -
<br /> ---- - •' � FURTHEit Af£i,ant saith na��: � �
<br /> �� �
<br /> - -_� ' '���-�--
<br /> =ira�ae
<br /> ____ =.i � ... '' r . �.
<br /> � 9ubscribed�and acrarn to beforE m io�,�;,,�'„'�r,,, ��� of December, 1998:�
<br /> -- �i , . ,
<br /> � ���
<br /> ' G�4fRR OtIIAYSi�ltotfKe•_rah �' � t�rY •�Q , .
<br /> __ _— aoQ�ar o.sTa�ue�� .
<br /> , • conm. ,,b�,
<br /> -l. .., . ,
<br /> 6 '
<br /> �r_�.� r
<br /> --,',". .5 , . ' . _
<br />..-_'..—__..-t, 1 ' .
<br /> ____ —
<br /> --- �--� 'l � �..}.:�::�. . � S�;i1M
<br /> mo���s'r 5-�� -: " �1 • � i'. ��, �` -- _
<br /> .__ .�,..`.:.���J f�}�..• :�.}1.._N..y..T'.1[:41��lI "_".. ,"__,"'_.t.�.���.�.......� _—�.� .
<br /> _
<br /> d�i
<br /> .
<br /> 'A 1 a..�v_ i-
<br /> .. . _ . _ _ _ _. __ _. ._ . ..
<br /> - _ -^i-r :.'z> > i` �`��2�F'-'�'e�"t� z 4�{t�rt*r� ----
<br /> � -•-< ex � ,y_.r... . ,:,,��.w a� ��. ._ --
<br /> -x �h t .� . . . �'f'°lG.�l�n i•illa4�.a....y,�.� t�h���.� .v� _. .-��_:.,_: .�...�.-,��s.__m."__.
<br /> .
<br /> �.- - 4 � t � _ .il-_:L!�'.1i1�1�.1f1'( :� .t. ' '''�lJM�.w��i�c�-amcn=_=�o-_"_'P=�
<br /> � �
<br /> _ — . .+y ..- � , . . Y � .`� S1�lW}.• . (. .�� S�SX- —.��.�'�.����������'� _ _ --
<br /> �. , *r y •. ._ _. a ' �.� �:ti!k.!��,� ,r r���a,!����� _ -
<br /> - - , . - . �sl.•1 - . .v-. . �'_+.�,'�rdi7nG�'+sx�a��:r:.zacr -.� _-.�.: _ . - - _ .
<br /> - . ...�. ....
<br /> -±mrs�z.�'. �+ ;�.. , : „'�. ... . �p ���t.: .1 J ,rul�: K t' � �ri v/f-r � . — _ � -
<br /> > .
<br /> �-71 V .. '.� . . .� i „' . n' i1i y'I f-} .y},1'`� / !- ' �`,� Si���t"'c'l5'FY`�a w .3sft].�. r.. .._ . ---------
<br /> nau�ac+n�r�,� � . ' i5�� . .�r -.• �ir��:'�t'�i ifkU a�d'�4.�i�1�Y'�.�`cr� ° -
<br /> +�,.IIOOS�.. r � . ' " .. _.� J. . . -�.. .y-.;S,t"'Kf1.�JAlr�ly�ti-11�R.1r,�'�'..1y.,�_ff+1t �sr..�erer�ed . .��"::. ...-- � ----__ .
<br /> �}/ A(t . - )ti�1 . J r/ .' r� [ 1> �!' —��
<br /> �}M�'�....i�ar.�'4�.� .e S•' . - . � - .� 1• . .r -} T. '!1 tr� `'`�.�-S�=�yU, l i�t ri 7�� eS �����.� - �r.�_.
<br /> 1
<br /> t �.1� _ . t.,�y�:..' j cs i� --._— -_—__.
<br /> ..- ., .7.�, ' . .. . + . , s. � • '� ♦� ~'�L��1�i�b-�- 'r1�;�ifr.���i _ -
<br /> . .
<br /> �,. . .:�
<br /> .;1k.: -: — -
<br /> ,��sa`;,�+tt+'sn•� . .. , ' , , , 3` ��� ....'4...,v:, + . - • .�"+,�'+r x �� _-- ---
<br /> ,�j±,"�'��r�. ' . • .. i''. . .' ... ..T},. , ... "„ �� � -- -- --- --
<br /> :'�.e...« - �,�.�.s. _
<br /> , . l, �� , . [1:7�AYL�AAi747N��:�—s Y_....�. .
<br /> � ���
<br /> , .. '!t?`s�?I�;�ei+sr�.5e�:^-�:�,�n_
<br /> . . . . . - . . . aneu.-.w�.�re..w..:..._. --�
<br /> .. � �a�'��.���Yi"'__` _
<br /> �� . , '° . . ,i`' , . ! , .: .. .:j.�4.kM�iv�a,. _`==.`.._ -�-
<br /> ,
<br /> ° •• �—
<br /> � . � •� " °' '� ' -_.. -_-
<br /> i� :, , _� "��,�,�.��
<br /> . � - .1F:Si.:..l::.. _. ,a._t._1�rL1��.�.•:x�'�i:w'S�.-t�-,:ufd� i,'.�.iti�`w:.... �t,...A`:...� ?t,`.
<br />
|