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<br /> ��'A'�� OF te11�k1RA..�KD�.)
<br /> ) S�.
<br /> CaU'P:'rY �� I•1A�,Y, f
<br /> COI�S NOW, the und�reign�Q, beinq fire� duly eworai upon oar.h,
<br /> suz�riving pouee af the Y]e edent and�rk�at thesfal}.�aring���orniatipn _
<br /> i,� tru� and correct.
<br /> � i, Ptam� of Decedent: Deceaine Wt1.'i l.�m Fieher. _
<br /> Date of Death e July 12, 1994. � ,
<br /> Domicile at Date at D�ath: Crand I�land� Hall Co�anty,
<br /> .;i� N�br�aska. .
<br /> Nai�P of Suzviving Spouse: Jean Aiuz F:Lsher.
<br /> Date of Marriage: Ma.y 26, 1952.
<br /> � 2. The Affiant is ths spou�e o� �he 7�ec�d�nt ax�@, �.n tk!at
<br /> cap�city, ie familiax with the marital atatue and the death of Che
<br />_--- DACEd@ri�. _
<br /> --- 3. 7l'ha� there ie no led�r�l e�tate tax, Nubraekd inherira�nCe _
<br /> � tax ar tJebra►ek� eerate ta�r.
<br /> 4. Title to �he �n].lowing deea�i.bed real e�tate, ie heid by
<br /> �he Deceden� and th� Af�1anC i.n �oinC tenancy, to-wit:
<br /> ,� Lot Three (3? , Fieher Bubdivieion tb the City of arand Is'lanli,
<br /> Hall County, ivebraoka,
<br /> -- commonly known ae 758 �East Schisrmier Drive, Grand zaland, Nebraaka
<br /> -= 688Q1.
<br /> �`-�' S, A� of the date o� death, the real estat2 has a Eair
<br />-��;° marlcet value of $50,000.00. �
<br />..-'.�4� r'..
<br />_;. •� 6 . The Decedent and the Affiant were married as of the date
<br />�:�•��r,' mf death. There is no Nebra�k� inneritance tax lien by reason of _
<br /> Nebxaska Ete�vised Statute Section 77-2003. There �a iio Nebraeka
<br />--��`�� eetate tax lien by reaaon o� Nebraaka Revised Statute 8ection 77-
<br />-�_-� ' 2102.
<br />-_:.�
<br /> :�� I'URTHER Af£iant s�ith n.ot. �
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<br />�'�,� san �'iaher _
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