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<br /> � COt)N'1'Y OF N1LL �
<br /> lltfiant, DoROTHY lt. 1[08LL8R, al�sr b�inq lirst �l�ly sworn on
<br /> _�-_--- _ , ` � oath, dopo�Qa and atates as �ollows s
<br /> i. That 71!liant ia ths �urvivinq spouso o= Honry A. l�o�il�r,
<br /> -- aloo know a�a H�nrY 1fo�11or, who di�d Daa�mb�r 19, 1990, aa shown by
<br /> tha aortilied aopy o! tho Daaadent•a deatti aertilicata attach4d
<br /> -- ' hereta ss Exhibit "A" and by thia rateranas inaorporntad horeini
<br /> - - - - tt�at 8nhibit »a" is a aartitiod aopy o! tha original Certiliaata o! _
<br /> - Doath on tile with tho Sursaa of Vital stati�tias, Depart.�at o=
<br /> � Haalth, Btato ot Nobra4ka.
<br /> g. That l►ltiant and the eaid Deasdent were husbnnd and wifa
<br /> �— on tbe data ot the Deaed�nt•s doath on Aeaemtisr 19, 1990, and waro
<br /> ,:=�
<br /> � on sa�id dats tha solo owners �s joint tsnanta not tatsants n
<br /> - �-� aos�or�, of the roal Qatate loq�lly deaaribad as follows:
<br /> -=-:::
<br /> ------.. '.� Y,ot Soven (7) in Bloak Four (4) in Chariea W�smer�a
<br /> _____�.:�,°;,,� 1►ddition and Wasmer�s Annex to the First 11c9dition to the `
<br /> City o! Grand Ialand, Hall County, Nebraska, esnd
<br /> - -a�i����;:.. � -.
<br /> _.�����- • l,ll of tYis Southeaat Quarter (SEi/4) of Beation Eisven
<br /> - (11), Townahip Twelve (12) North, Ranqe Nine (9) West of
<br /> -_ -- the 6th P.M. Hall County, Nebraska, exaepting a tract o! --
<br /> _�;��� land aituated in tho southwost Quarter o! the 8outtisaat
<br />_ - --_ � to Charl�s �a8winter ��ncii�norei A.$Wintar bY warranty
<br /> �p'�"P� deQd reaorded in Book 163 at PagB 397 0! the Deed Reaorda
<br /> _ .a..,:
<br /> �'_�: s of Hall County, Nebraslca and further aaaeptinq that traat
<br /> Y ��rt._ of land suxveysd, platted and dadiaatsd as MOELLER
<br /> �;����;; • SUBDM3ION, the within daearibad traat aontaininq 156
<br /> �" �ti���T� aares more or less.
<br /> �,_.�,-.,
<br /> __ �.:�6� �
<br /> ��;.u�,�_".�_�"� ` 3. That by reason og the pro�►isions af the Joint Tenanay _
<br /> _ .F+�
<br /> -�=-�����-. � Warranty Desd, Attiant became ths aole owner of the above dascribad
<br /> ��.�`'�:� property on Dec4dent'� death.
<br /> �� 4. That this Atfidavit is given ae evidenca that pursuant �o
<br /> - -- "K'.d3t`=='-= �
<br />----�--- _-� Neb.Rev.stat. section 77-2003, no inheritanae tax lien arising due
<br /> ''�'��� to the death o! the Deaedent aan attach to ths abova describad real
<br />- =L��.s-4�`� , estate and that pursuant to Neb.Rav.stat. section 77-Z012, no
<br /> =�.;:��- Nebraska estate tax lien arising due to the des�h of the Deaadent
<br /> � � �� ' � cen ettaah to ths above desaribed property.
<br /> _s�' ,�-;�;`.
<br /> -=�"...:�, ..
<br /> - ==�=°���_�. F[JYtTHER AFFIANT SAYETH NOT.
<br /> --���t,rn,�,. ..
<br /> �'�,,'~,+.+����.. Dated this � oP 3epte�mber, 1991.
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<br /> _ 5'�'`;:,�`��_� �
<br /> _ y.,.�,�"_. iJ�i ft
<br />-_- � , e��a � 1� -
<br />- , ' . QORQTHY M I+IOEJ�LER. AI�80 KNOWN A8
<br /> ' � � DOROTHY MOELLER .
<br /> �. � SUBSCRIBED in my presence an sw to before me � day of
<br /> ti:.�;-:.: . September, 1991. � , _
<br /> ';�'` .. • .. �AI�WY,WMMIrfaN = 13.0 ` ° " u' ���r .
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