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<br /> CGU61'�Y �D' H�LL � .� „
<br /> JODIT$ TiLLEY, b�inq first duly �worn oa h�r aath, dspo��s
<br /> atid says: '
<br /> 1. That she. ie tha surviviag �pouse ol� QaargM 11. Tilley
<br /> who d�.ed on th� 16th day oi �pril, 199�. He wa� a resident o!
<br /> � Graund T�sland, Hail Cousty, Nebra�ka, at tt►e timo af his $eath.
<br /> _�. No proceedinqs for probat� of the Nill of the Dace-
<br /> dent nor ad�iaiatration of hi• estate is pendiaq and none is
<br /> aonteaplated. Ria sole heir-at-law is this ]�ffiant, his aur-
<br /> viving spouse.
<br /> 3. The only propex�ky in whic�n the Deaedent had an intexe��
<br /> at the �i�Ae of hie death was prcype�t!► owned by him in joint
<br /> tenancy wi�h this Affiant. Suah property included their hoiae
<br /> premises, leqally described as follows:
<br /> � The East 69.4 Feet of Lo�s Eleven (11) and
<br /> • Twelve �12) , all in B1ock Twenty-�even (27),
<br /> in Gilbert's TA�3.rd Addition to �the City of
<br /> Grand Ialand, �A11 County, Nebr�ska, commonly .
<br /> .known as 2004 N. Huston, Graad �aland, Hal.l
<br /> Coun�y, r]ebxaeka. .
<br /> 4. Inasmuch ae all assets in which t3�e Decedent had an
<br /> interest passed by joint tenancy t�o his survivinq spouse, there
<br /> is no Nebraska Inheritance Tax nor Federal Estate Tax owing
<br /> herein. The total value of the assets of this estate for B'ederal
<br /> Eetate Tax purposes is less than i600,000 and no Federal Estate
<br /> Tax Return is required herein.
<br />� DATED thiR 21st day of Apri1, 1993. �
<br /> ITH•TIL EY, Af ant
<br /> SUBSCRIBED and SWORN to before me this 21st day of April,
<br /> 1993.
<br /> �i���ry� Notary Pub c ��G
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