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R+O13IlT�SI. b�iaQ lisat <br /> . . � :. duly narn.�.ou h�r oath, d�poss� aud aaya s.� " <br /> 1. Frank 1Go�sin�rlci died tesCate oa the 27th day o� !�larah, <br /> 1993. He waa e resident o� at� at 326 N. �iraas. arand T�laod�•� <br /> �all CountY, �tebrasl�s. <br /> 2. �10 pYOCeedinqa for �S�cob�te o� his Y9�11 ha�w baen <br /> aoaosuaed, an� uons is contewipl�tad. � , ��: <br /> 3. The Decedent di�d e�m�q no ��y�ra�oly-owt�d r�al �st�t� � <br />_. - __ or per�onal propert7l- : � , - :..�. <br /> 4. The only property i� whic�s �t�se Decedent had an it�t�#��est :�'` � <br /> - at the time of hia death was propertp owned by him in ioint '•., <br /> tenanay with thia af�iaat, hi� survivinq spouse. Such �oint��- <br /> o�wned pra�srty iaalud�cl the fallowinq deaaribed real estat�a <br /> Lots One Hundr�d �enty-N3ne (129) and One Hundrad � � , •`. <br /> Thirty (130) in the BeLaont ]►ddition to the City of ,' <br /> cirand Island, Aall County, Nebraaka. <br /> _ 5. �.31�nce.any interest �n the property owned by the Decedeat <br /> , - passed at his death to this affiant, there is no Nebraska , .�,�,,,,, <br /> -��"� Inheritanae Tax, nor �ederal Lstate Tax owinq by the estate of � , <br /> � "`'—' �he Decedent. �he �.atal v�lue of the assets of the Decedent, for . <br />--- _= Federal Estate Tax ptiarpose�, is less than t600,000. � <br /> __��� ... <br /> -��' � � DATED THIS � day of April, 1993. <br /> .��r�� . . <br /> � <br />���� DOR0�3'�i�' . , SINS�� I <br />=�±-��__�- Subscribe3 and sworn to before me the da last above <br />__-,�;��ti.;.� written. �L���NiaM� <br /> -��__"-°'`�� ' MfMNI�MNfBI � , � <br /> --�� M,a.��.��ur ` � ' <br /> - .... . -�. <br /> _�'� Notary Public / � �� - <br /> . . �p ca �-, vi <br /> `r . • <br /> __ ,.�, � � A �� w -.� .., <br />'��a�, �� + n n y n � o �?�1 � � r W � <br /> 0� . <br /> .': T N p �a r - ., � � <br /> --��:� P l�,. � � � � �. � z �� J c. <br /> -���r_ � � \ 1 � � � � ,` =� � �`. .V .�n <br /> �:�;-�� � � � .. :. � '_, '� p <br />:s���#h,�4�� °� tl � �r^ <br /> '-,:),►�F, ' � � �1 :• �• �,�• � o <br /> Cl� (V � <br /> ::'t�•� • � � 9 � W i� �o <br />.�:J;�.:.<'�%, . •� N <br /> :'rr��;:i7p • '� � <br /> �.,.i , <br />���..c.{. . 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