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<br /> ��'� �lU'e'IO�VIT TO CL�[ '�l'ZTI�
<br /> - , . • � s 88. , - ,,; , .� �=
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<br /> ,. � � DO�Qr�X ]I. RAGI�iBl�I, +�/k/a DO�O�HY �[. 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 ` � '
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