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<br /> .�' . � AF�ID�VI'I' OF �lAFlZTAL �TA'�� � �a ��`.:,�
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<br /> � COl�SB NOW, the unc3e�iqned, baittq duly sworrt, depasea -
<br /> . .. and says that theg un����edeA°Wand gtha�t�the fa lo��
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<br /> , .. information is true and cor�ect: .
<br /> ' 1. ' Name of Decedeat: �Maucie Rose xussell �
<br /> . ;. .. , Oate of Death: March 23, 1992
<br /> ., ,� . . �- ,.:''.
<br /> . , pomicile at Date of Deatt�: Sa11 CountYo Nel�raska
<br /> .., .. �
<br /> _..-.--_;- ���--,--._.. _._.. .... -- - -- - -- � � . .
<br /> . .� � 2�ame��ts��SUrviving�-Spou�e:---�Re�neth__Edwi.�_Russe--_--- .-- ---.. .
<br /> � �� Date of Marriage: July 12, 1955 �
<br /> , ' . 2. The Affiant is related to the D�cedent as gollawE�:
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<br /> .: . � '• . � SQA
<br />. ._•. .. -::.. �. ,:
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<br /> 3. There is no. Federal Bstate Tax. �Nebraska inh Ce
<br /> '� - ._..._ .._ ..: :- . _ _
<br /> , . �c or Nebraska Bstate Tax.-
<br /> � � � ' • 4. Titie to the Pollowinq descri.loed real estate is �eld �,
<br /> � .�- �� by the Deaedeat and the s�iv�t:sPouse of the. -
<br /> , .._ ... .-.- -: Deceasnt 3.n �oint t�nancY, .
<br /> � The Sast Half (E1/2) of Lots Pive (5)• six ��?
<br /> . � �d 3sneu (7), Block One, �n Plea�ant Rill =_�__
<br /> � �• � Addition to the City of Grand I�land, Hall Couni:y, ���--
<br /> - � -� - Nebi"aska =---
<br /> � � Lots Rive (5) and Six (6), Hloc�c `I�i.stY's�x (36)� iA
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<br />_ �. , � on to the City og Grand Isiand, Yiali ���--
<br /> .. Lambert s Adollti - �
<br /> ; . , County, NB � '.�,�
<br />__ � . � has a.fafr market �="�-_--
<br /> - �, -- 5. As of date of death, the reai estate - �,,!
<br /> � � � value of $38,207.00. ���-��
<br /> � 6. The Deaedent and Renneth 8dwin ltusseli were marrfed as �a-
<br /> � � � of date oY death. There is no Nebraska Za�heritance Tax _ _
<br /> � � � � ' lien by reason of Nebraska Revised Statutes S�tion �°;�-,�_
<br /> - - 77-20�n3of Nebraska Revised Stat tes Sectioni77 2102. ' _- - --
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<br />_-. ,. � � . � gt1RZ�:R Afffant saith not. •t�� '-�,`�.
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<br /> �� � � :� � Edw ltuaseal, �_.
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<br />-'; .+ �; ' . , ' Subscrihed and swarn to bef e me thia � �y of . .: . � .;
<br /> _ � •.. : : , , 1995. ..
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