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<br /> c 81�� A�'PtD71'Y��T TO CL�71R TITL�
<br /> COUNTY 0� H11LL 1�
<br /> �`� g�=gL�y J]1NE c�E�D18BR8PIR,, beinq first duly sworn on her oath,
<br /> depose� and asy�:
<br /> 1. She i■ the iil1�VLW�.hq BpOliSe of Hernard areenbe►rQer who
<br /> died Septemb�r 23, 1993. The Deaedent was a resident of arand
<br /> �siand, Ha1Z County, Nebraska. a►t th� time of his death an8 died
<br /> testate. No proaeedinq� far� admin3atration of his estate or
<br /> " ,y`,"�� praba►te of his Will has t�en aamrnmnaed, and none is aontemplated.
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<br /> , ��'; , -�.%�a- 2. The only property� s�paxately-owned by the Deaedent was
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<br /> ., ��-- '" �" 6 ',�; groperty owned by hi.m irz joint tenanay with his spouse, thia
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<br /> ., " { ��;�;Yf�,.,��trf �,ffiant. Suah jaintly-cwned property inaluded the followinq-
<br /> :� � :�."Tf;',���;� , desaribed zeal• egtate:
<br /> � � i: , "a' :
<br /> ' ��'�����''�--'';: Lat E�qh� (8), in Hlaak Seven (7), Parkhill Second
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<br /> M��� ��'' � Subdiv�sion ta th� City of (3rand Island, Hall County,
<br /> a�'r:� � " � `° ��� � . N�braska,. caanm�nly known as 2321 W. Oklahon►a in said
<br /> `,_,�, '.i��a j./r:�'`�r;��`�r C�.��. .
<br /> :�; ' ,,`r`��� ,a,;:::;�t..
<br /> s�r % �•';t."'`����:::���'�'`'`-:;�<"' 3. The total value of taxable assets for Federal Estate Tax
<br /> ,F,�,, ,.
<br /> °�� �' °. _ � " purposes �dmes na+t equal or exceed ;600,066 and na Federal Ea�ate
<br /> ; Tax Return wi11 be filed. There ie na Nebraska Inheritanae Tax
<br /> , ..
<br /> . � owinq in this �stat�
<br /> , DAT�.D THiS Z�day of September, 1993.
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<br /> �;, � . �. � SHIRL • ANE O ER(iER
<br /> �f ' SUSSCRIBED AND SWORN to before me the date last above written.
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