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<br /> ST1►TE O�' NLHR118811 ) I��r �'�
<br /> .;� ) SS.
<br /> " COL�MPY OF Hl1LL )
<br /> COM88 NOw, tha und�rsignqd, bainq duly sworn, fl�poaQS and say�
<br /> that tho und�raignad knows th� D�cadant and th� aurviving apous� o!
<br /> tho Daasd�nt and that tlts lollowinq information is trua and
<br /> ;",S aorraat: .
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<br /> ��,�� �., � 1. Name of D4a�dant s Riohnrd Werr�n Nataood
<br /> - -�`,.}'"� .. ' .�'k;
<br /> �Y�:�}��.:�.�,,��,.��r��,�,� Da�e o! Dea�th: July 21, 1993
<br /> y� '�;i,4�+��'��".'�.'�r.`><<� Domiaila at Data of Death: areutd Iolattd, Hall County,
<br /> t:,:,,,,.. .�::' .. _
<br /> "��� „. �,;�r�+i�,�, Nebraska
<br /> •:,�•. . .
<br /> .., .•:�'�"�.'�" .. "d� Nams o! surviving spouae s sandra McClurQ�lKehood
<br /> �' �'i' ' ��"�� DatQ of l�rriage: March 24. 1977
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<br /> �r�..j�r;';"` ' � 2. The Afliant fa rslatad to the Dea4dont as Pollowas � �
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<br /> � ���� surviving�apouse.
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<br /> + �� ��1.. ;� � . � 3. There is no Federal Estate Tax, Nebraska Inherftancs Tax
<br /> � . • or NQbraska Estate Tax.
<br /> _s . ^h,
<br /> � ' ��' 4. Title to th�e following described real estate is held by ��
<br /> . .�..�
<br /> �� .���st ,�_ � the Decedent and the surviving spouso of thQ DQaedont in jofnt
<br /> �, .��L:. .
<br /> . . �`'`% • �- . tenanc;;, �o-.���
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<br /> � �� � �� �'`"��V The Eaet Thirty-Seven (37) Feet of Lot Nine (9) and the
<br /> �. + �'���' West TwenEy-Faur (24) Feet of Lot Ten (1 O) , Block One (1) , '`-
<br /> �,-�:,r..... .
<br /> ' �'� • Westerhoff'e First subdivision to the city of Grand Ieland,
<br /> „ Hall County, Nebraeka.
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<br /> � '� ' 5. As of the date of death, the real estate has a fair market
<br /> `���;� s �.
<br /> F;::; � value of �f9,voa . :+a,
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