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<br /> , . - 1 ` . ` AgFIBAViT OF I�PiRITIlL STI�TtJS ' fi.- _
<br /> - � ST�1'1`E OF N88RAS1CA. l . : �p TO Cy� TI'1'�B `
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<br /> -----._ nORIS L.-R�GERS...I�e#.�3=:fi.�$t.du.ty. sworn.--dePases and Bts�ea: _. -_ _ __ ___._
<br /> _ as follaws:
<br /> 1. Tbat 6arlin C. Rogers died testate a resident af Grand . '
<br /> • Island, 8a11 Ccunty,.:Nebraska.on the 26th day of 1��lay, 1991. No.
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<br />----- proceedings foi�p�offate of I�s Wi1.1 aor ac�missis�atiaa:.o s . -
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<br /> � Estate� is pendinq`at��,�ne is caat,�igl�ted. �_; .. . . .
<br /> __-,-_ � .- , " 2.. This Affiant�t��Dori� .�:;Rcig€rss�: is the survivinq spouse
<br /> - � -" :`of the Decedent.: Th�°-�only otYie�`h��-�`�aw is hi� son, Plarc L. - .
<br /> _�;;- : � Rogers. . ` ;;�`';�,'` � ., �'��`��' , � ; �.�:.-:_.. ;,:::�. -
<br /> _�-. � 3: Dec�at or�ed no separately owned gzoperty as of tTie �.r
<br /> r titae of h3.s �• '�",�, � - , �
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<br /> . . 4. The v���r..�r.��erty in which t�e decc-+�t had an inte�� ; ,: -
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<br /> : at the 'ti.a�e c�:_��s-��h was property=owned by �him_ in �oint-t�aiane� ' _
<br />- � with hi.s au���i�'�:S,��use�, this Affiant. � _ - _----_-_
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<br /> ' S. Suc�:�:.;;s�;���;awned property i.ncludec� tbe fo�2ow�.a4 ,des- .�,•,., --_
<br /> t�f�,��. cribed real estate,. . ' • .' - .� �,;, i.
<br /> T.,f�t'<� - �at � . . n � ck One .t1). � ::t, :
<br />..'f�.,, Yi�u�tee t14? in S�a ` �.�`=:;,`- -�-�--
<br /> ���`�: iai.Cu��.nqha� Subdivision tQ tlie�:_.�ity --
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<br /> :�.::, 'of Gratid Island, Sall Coiiiity. H�aska�; ; _���--=--
<br /> ' :j'��'-` he date af Decedent'ws death, �ie�real estate:h�s, a fair ' , `f;.-�`{��_
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<br /> �' " market value of S'4�,y 1�d0° �%��=�-• .:���
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<br /> 6. Inasmuch as tbe total valus o£ taxable assets for E�e�al � � ��
<br />: `:r,ri:��s•, Eatate Tax purPoses does not exceed S600.000, ao Federal Esta� T�-. . ��::��
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<br />-• �°;- is ow�i.ng herein and no return is rec��ratred. Al.l taxable property, �. , �, z,�=::
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<br /> for Nebraska•��aheritance Tax purposes passed to this Affian. • a.�,,..,_�.._..
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<br /> survivinq sgc�se an8 is exem�t from Nebraska �nheritance �as•:., _� . , , _��°�?,i .
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<br /> � DATED this 5th�day of June. 19gL. . `;�:.•;:';.�:•:.:,
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<br /> ` � � � 4bRZS L. ROGERS, Aff nt ; � �� . �
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<br /> � SUBSCR7BEn and 5c�TORN ta 3�efare me this � day of June, �,991•, � ,
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