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�( � J j l { !.t . � Y 1 1- '� 1 J - i j�i � Y j - <br /> s �� rJ �i�-�- '1 rii :�.hrr . � F . ij i) r �/j!1�� �i it�,! ���lj�- -Iftl 1/' <br /> ��i-- t !<]�a 3 'e tt ; . ��. � -��S � � �.,ir - f`i: ,VLT"� 1��l/'Tl4d�l .�.r��S%n` _. <br /> ¢� 7'f °rt -� ti 7 � 8 . �. fi . ? �f ! f � �:h�yj r <br /> r i n_d1l f t 1 Si f � � -_-c n �.5�6iv f Y �l t } r _•-r S Y <br /> .t_. �n. , . _. . J t . i r 'ti <�is <br /> �r I .�ti sii � � N � �. 5��� - . .- -i{ � x7 f _ . � i j . �- �_ tl 5< < � x3a-v�y �4 _- <br /> f y� y�p ts .{ S,,,, <br /> r N �•kt i j-c) t°r � ,l� �: �Y�iM1L�7���.Y� L7A�f��i�r�M��e T�+ .#E n� � z �+4� ��- Kf . <br /> tt.}f l -n=. � � = r -tr r_ r r at rS� - " � � y . � ij . { . - <br /> l � .` 1{ � i r Y I•• � -1 <� � �i - � `1 A[ 1J�-1 -u7 j� 1 <br /> + 1c� ' r {� � � � � r i�� ° \ L ' t . t �llt� f ( t v <br /> �� � ���CA't�' UP ��1�A��CK� , � � i r t� � � <br /> - ' ' -GISpN�'�( OR 8�lLLi � $B. t - �� -.,." �r .,-,r! _ <br /> � ' a _ � � 2r,f , <br /> . �r. I. ... � f ��_: <br /> _ " "� 't - .' .� '" - "� ..' `� P t _._' } 'h <br /> � 1 , � CqHBH�Npw tna•und�re�.qned, beiag Auiy sfapra, de�osan pad ee(X�� � <br /> . . ' , ,. �_. , , ._ ,� <br /> Chat: �e'ls �he euzviblAq spt�$me oP, ths D"aa44ltlnC :,end thQt tf�e .: ° ,.-- <br /> � ,. <br /> .t. . . ,: : <br /> " . Pollowl.ng informetion 1s true and aorreat� . <br /> . ;: <br /> i. Name oE Deoed�nts Charle�e Ann Hehake 1' -'"`�+'< ` <br /> Date oE deaths April 10, 1993 - <br /> Domioile et dete oP deaCh� Hall County, Nebraske . <br /> Name of surviving epouse� Oerald &ehnke <br /> Datie of marriaqes November 30, 1957 <br /> a. That AfBiant ie related bo the Deoedent as Pollowst <br /> Qerald itehnke ie the eurviving epouse of the Deaedent, Charlene Ann <br /> uehnka. ' <br /> 3. There ie no federal eatate tas, Nebraeka inheritance tax <br /> or Nebraeka estate tax due. <br /> A. Title to the real estate liated on Sxhibit A, attached <br /> hereto and incorporated herein, is held by tlie Decedent and the :`.� <br /> I!;:c: <br /> surviving epouse of the Dacedent in joint tenency. 'r.;,: <br /> 5. As of Ehe date of death, the real eatate hae a fair �'' <br /> ��-°: <br /> markeb value of: � ° <br /> 7c.. <br /> (a) Parcel 1 on Exhibit A--$100,000.00 ���`:-� <br /> �::�>< <br /> h'.;- <br /> (b) Parcel 2 on Bxhibit A--$40,000.00 i�;, <br /> 6. The Decadent and Affiant were married ae of the date of F��. <br /> �`k;. <br /> i:::_: <br /> death. There ie no Nebraska inheritance tax lien by reaeon of <br /> �;I:�:. <br /> Hebrasko Revissd Statutes, Section T7-2003. Th?re is nn Nebraeka F^.': <br /> ic••.. <br />. ���'`���� <br /> t -.�33"y'S1� q �_ . F �9 f +�,r^.'_' . . ' . ._ K}" <br /> u <br /> �I L' '�F -3 - 'J �_� . �Y i;� > -. � -� . _yj'p T . t f{/ �E _ -i-t . {n )`� <br /> L— .,i - i _ _aJY,. t .S. , a t .�._. �� J_ -. <br /> . - L . . � t-._ ��.- f �"� ] % )-1 y _� t <br /> i ! _ �rty�� T -�_ ; - � _ � j � r tY�.-r4� 11 . <br /> fS . M i[-�° � Y( .- �l - � . � � - � y <br /> � : %F . � r s � � <br /> � i j'- A` lt� i. ,)�1. 31 �jl,�il 1 -. � �� K r! � 6 � t � --t � l <br /> � }D .n � '7 - �cs � W�<e r t c <i} r �, �4 }ty _ t <br /> - 7 . zq S . � - t 3.y- i� ] i �b �-i �l � l i• �'�' II - � � , <br /> Y . - i`�t 1 �, dA ^ - , f � [�7 z - � J � � � � 4 t � � . <br /> _ - (Y: 1' 7 ,,{` t :1 . _: y - {r t t r <br /> t � t � " t i ' f� t �'�> >�� i ��- :�� -°S � � .��, z�}� � � ?�� � ' S r <br /> t� � �lti.r�r j � -:�t S�y`.i'rr � .. t r ' _ _ ' ;.._ '. � -u:f_tir��i x • �e .t� r � �§ . <br /> Y ` �vf� t � ,' ��ir.+-, )rtl `� �] � `ti '.7 �1}�/' �..iTa .- �. 51�„ TLl- � ' � '+II- � 1 - . �.< ? R <br /> S �y� fnryttij � 1 r� . J i� aFW, L lU_ts ni )J _ t � �j.\iti��r`�fr�,�r l �v -i t0a s �;� t { s <br /> IS . � � � £y . .. � _ J� f e � . � .�t > f".-y )S j. . 5\ -1}{)Y< ;f <br /> ' t {_ c"� t tiy t �4 � 4 �t-.t. al /?1 k ati �.�' -�i i.. -i it �i. Y � '�� .� NY i j f <br /> t <br /> )1 b - ! : �. 1 . . ,y! a+ SUe61Y / 7 .11.� ?-. <br /> �r� a5 � < r <br /> . : ,- <br /> I+ <br /> _.....;ty � . rr �s.�„i•. ..d-�°1..-lF. �c-.lY:�:'=r3 fL '.7 _ri-?. + :. _..S'f`� �...1..=- .�t. . -.,t ° t,-, iY�jyrl�r Sv r..r _"t�--' <br /> . . l 5 . ..... . . . �. , w.,�, . , .. . <br />