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200112314
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10/14/2011 1:20:10 PM
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10/20/2005 11:28:26 PM
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200112314
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ro <br />STATE OF NEBRASKA <br />COUNTY OF HALL <br />Terri L. Zeleski and Lorri J. Rogers, Personal <br />O Corepresentatives of the Estate of Janet J. Neben, Deceased, <br />V <br />G� being first duly sworn, depose and say those facts of which they <br />have personal knowledge as set forth hereinbelow: <br />1. On June 3, 2001, Janet J. Neben died a resident of <br />Dawson County, Nebraska. <br />2. As of the date of the death of said Janet J. Neben, <br />Janet J. Neben was the owner of the following described real <br />estate, to -wit: <br />Lot 53, West Heights Addition to the City of Grand <br />Island, Hall County, Nebraska <br />3. The total gross value of taxable assets included in the <br />estate of the deceased, Janet J. Neben, for federal estate tax <br />purposes is less than Six Hundred Seventy -Five Thousand and No /100 <br />Dollars ($675,000.00), and no federal estate tax return is, <br />therefore, required to be filed as a result of the death of said <br />Janet J. Neben. <br />Affiants further saith not. <br />C�'�c <br />;:V <br />n <br />= <br />D <br />CS <br />C-> Cn <br />7.3 <br />CD <br />�' <br />z <br />N <br />en <br />m <br />L <br />-j <br />m <br />CD <br />w <br />O <br />o r] <br />O <br />Ri <br />D <br />"' <br />c.0 <br />o f <br />CD <br />Cn <br />O <br />ss: <br />AFFIDAVIT <br />Terri L. Zeleski and Lorri J. Rogers, Personal <br />O Corepresentatives of the Estate of Janet J. Neben, Deceased, <br />V <br />G� being first duly sworn, depose and say those facts of which they <br />have personal knowledge as set forth hereinbelow: <br />1. On June 3, 2001, Janet J. Neben died a resident of <br />Dawson County, Nebraska. <br />2. As of the date of the death of said Janet J. Neben, <br />Janet J. Neben was the owner of the following described real <br />estate, to -wit: <br />Lot 53, West Heights Addition to the City of Grand <br />Island, Hall County, Nebraska <br />3. The total gross value of taxable assets included in the <br />estate of the deceased, Janet J. Neben, for federal estate tax <br />purposes is less than Six Hundred Seventy -Five Thousand and No /100 <br />Dollars ($675,000.00), and no federal estate tax return is, <br />therefore, required to be filed as a result of the death of said <br />Janet J. Neben. <br />Affiants further saith not. <br />C�'�c <br />
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