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<br /> � 8Tl1TS OF NF9R�►SIU► ) _
<br /> r SS. 1�►L'FID7►VIT TO CLF71R TITLE
<br /> COUNTY 08' HALL �
<br /> Tlorenae H. Kohts at 3008 West 15th Street, Grand Islond,
<br /> Nebraeka, bein9 first duly sworn, on hsr oatih, depo�e� a�nd says
<br /> as followe:
<br /> l. She is �he aurvivinq spou�e of l►lbert L. Rohtt, who diad
<br /> � ia arand Island, Nebraska, on July 31, 199Q.
<br /> 2. No proaeedinqs !or probate of the Will o! 111bert L.
<br /> � Kohtz has awmtenaed• a�d noae ia aontempinted. -
<br /> 3. �►11 property in whiah 7►il»rt L. Kohtz had an interest at
<br /> - the time of his death wae awned by him in ioint tenancy with this __
<br /> � 1►g�iau►t. Suah joiatly ownsd property inaluded the lollowinq-
<br /> � � de�aribed real e�tate:
<br />_,;;�
<br /> � The East Fifty-Six Feet (56' ) of Lot Nine (9) in
<br /> -- Franzen 3ubdivision, in Eiall County, Nebraska.
<br /> ' 4. Inasmuah as all property o� the Deaedentc pa�sed to his
<br /> — survivinQ spouse, this Affiant, there is ao Nebraska Inheritance
<br /> = Tax nor Federal Estate Tax owinq hereia. The total value of
<br /> - taucable asaets for �'ederal Estate Tax pu�poses did not eqttal. nor
<br /> �..,i
<br /> exceed ;600,000, and no Federal Estate Tax Retura is required.
<br /> DATED thia 21at day of Auqust, 1991.
<br /> ;�.
<br /> `�� FLORENCE 8. KO Z
<br /> �;7 =
<br /> z:- --
<br /> SUBSCRIHED AND 3WORN to before me the date last above
<br /> ���� written. -
<br /> r;,'� 6EMEAAL NOTAR1�StW��� p �S� -_
<br /> '�� Not�ry Public
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