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Return to: <br />/ WNMOG <br />1228 L Street <br />Aurora, NE 68818 <br />STATE OF NEBRASKA <br />) ss. <br />County of Hamilton <br />INST 1f73 O O U 8 b <br />AFFIDAVIT <br />CASH /'� <br />CHECK %(e •l1 J <br />REFUNDS: <br />CASH <br />CHECK <br />P.FC,DR3ED <br />HALL C o , g"\,( NE <br />2023 FEB --1 1 Id: Oq <br />,., <br />REGISTER OF D;L' <br />Affiant, Francine McHargue, being first duly sworn upon oath, deposes and says that David <br />McHargue, hereinafter referred to as Decedent, died on October 21, 2021, being at said time a <br />resident of Hall County, Nebraska; that no proceedings to administer or probate Decedent's estate <br />have been had in the State of Nebraska; that Decedent at the time of his death was the owner, <br />together with Affiant, Francine McHargue, surviving spouse, as joint tenants and not as tenants in <br />common, of the following described real estate, to -wit: <br />Lot Sixteen (16) Hornady Third Subdivision in the City of Grand Island, Hall <br />County, Nebraska. <br />Affiant further states that she was married to the Decedent at the time of his death. <br />Pursuant to Neb. Rev. Stat. §§77-2003 and 77-2004, the above described real estate is not <br />subject to Nebraska Inheritance Tax and, as property passing from Decedent to his spouse, said <br />property is not subject to any lien for Nebraska Inheritance Tax. <br />Affiant further states that all property, including jointly owned property, and any rights <br />arising by virtue of any policy of insurance, beneficial interest in any trust and including any property <br />in which Decedent had an interest in Nebraska or any other state and due to the size of the estate and <br />that all transfers passed to Affiant and all such transfers qualified for the marital deduction and that <br />there is no liability for Federal Estate Tax. <br />Attached hereto is a certified "Certificate of Death" issued by the State of Nebraska which <br />is incorporated into this affidavit by this reference. <br />This Affidavit is made upon Affiant's personal knowledge. <br />(( <br />Dated this day of January, 2023. <br />Francine McHargue <br />Subscribed and sworn to before me this (eday of January, 2023. <br />GENERAL NOTARY - State at Nebraska <br />LYNN ANN SCHUTTE <br />My Comm. Exp. June 30, 2023 <br />C_at)lidUthi< <br />�►1 <br />Notblic <br />