|
.. � . .r •l+.' .. � 4� _,
<br /> �i�v '""._ _.. •-.._ . __
<br /> y -'.. . �.��' . . . _ ' _ ._..:"a._"_
<br /> , ) �a�,y,f_ •.�!Ip+lk a.....r. .'. _ "ii��4..�.•_�•'.'._� IL"_J._i.1'�l�l:
<br /> YI�.1.�1�1s1 uiT�'�. �rL�.•� __ -_ __ --
<br />___�w�N1 vvessr�m.v�n
<br /> �.._-,...__.��a��-.-.��-.-,_ _,�--�_..-__.,� _ _�-.��.��s. � � -
<br /> . _. .., ���_�� __��..- .
<br /> .s:.nvirw,•:s��i111.-�.•...... .1 ' s��F �+a-n.R.r�_�-^^.J."-..^.^!!L^JCT..IrI -__ _ _ -
<br /> � � •��5-� 1U4��1 � � ' ��
<br /> STATE Ol[� NL�HRABRl► I
<br /> j sat
<br /> QOiTti�i'Y OF R]�LL ) _
<br /> COI+�a 110W ttva undereiyned, beinq duly aworn, deposea
<br /> at�d s4y� �hat �hs urtdsrsign�d is the surviving epouae oP khe
<br /> D�a�dsnt arid thati the lollowinq intormation ie� true and
<br /> aorrsat:
<br /> 1. Naua� o! Deaedent: John W. 8hada
<br /> nnts o! Death= ��ne 3.8, 3534
<br /> Doaiiaile at Date o! Denth: xai�. County, Nebraska
<br /> Nama of l�urviving Spouse: Jacquelyn a. Shada
<br /> Dat� of Karrietges Beptember 22, 1952
<br /> �. The AlPian� is r�lafi.ecR to the D�cedent as foilows s ,
<br /> Jaaqus�gn J. Sbada is the surv�ving epouse of the Deasdent,
<br /> Jt3tua #. �2tada. -
<br /> 3. There io nn Federai Sst.ate Ta�c,a��, Nebraskm
<br /> � t.�herite�naa Tax or Nabr�esD�n Eetate Tax due:
<br /> 4. Title to the real eetate, ae �iet lorth below, is :
<br /> held by t.tas De��dent and t�ie '�surviving spouse o! the ,.
<br /> Dscsdent i�a �oistt teua►nay: 203 8. �lafns, Grand Island,
<br /> N�braska, X�agaily desaribed as Lat Twelve (i2), Biock �leven
<br /> (11 j. �shtola Plnae, Hall CountY• Nebxas]ta.
<br /> S. l�s o! the dnte o� d�ath, the raai e�stnts ha� a �air
<br /> aarket valuo ofs $5?,1aC.00. .
<br /> 6. The D�asBent and Affiant were aarrisd ae o� the �
<br /> da►�te o! death. Tta�re is no Nebxaiska inheritencc Tax lien by `
<br /> r4asoa of Nnbraeka Revis¢d Sfiatutes Seation 77-200�. There
<br /> ia no �obras�ca asta�Ce �e�•lien by reaaon of Ne3bra�ka Ra�vi�ed
<br /> Stntutas Section 77-21Ai. ' . : �
<br /> Fwcthex 11l�iarit eayeth not.
<br /> � .C.r� , . , ..
<br /> � ao ei •Shada►, Agf�t �
<br /> '' x03 �. Hla�.ne, � ..
<br /> , Grand �sla�nud, � 68803
<br /> _. _ . _ -__�.� ---= _ =s. __ --------
<br /> ---- - ---�,�..,..�- _ ---- ---- -_ --—_ -
<br /> ����----- —--.���'---- - --____ -- _
<br /> --- --=---___�� �i.---4 _ --- -------
<br /> - --------- --=
<br /> - �-��.�-_s..�_��r----���-.�:;:�--_,:..--�-�,,.._...._._�.:�:�.��-_------
<br /> __ -----_- � ���.� '��;;�-=�-�===-=- — - - --_—
<br /> �..�-- •-- -- - "s�L M* ,3 ���-�'-��___
<br /> _"'�:�.;;.:�rin
<br /> �t�,� ' -'���'r�-.r. �tiY:w.- ;h ._�`�� t ?°.l.°� . . nas��� — - - — � _
<br /> `-� � �[ �n,y. ' �9` ''' - - � -� . ., toL�� x�t� ��. --
<br /> ��;y� -q, �Mi�'o�r vottQP.i; -i � M%�yl��r
<br /> - :''n^'p'"�::'.. t' ►d'ialr, "•, jr��' F„` _ �7 :�.d,:(� r4t.q,...
<br /> 't� '�-![- L �1y� y i }^K. A . . � _
<br /> rry .. � ' �y+�'. .l ,.F_.I�,ti�.t... .�_ _ ' > . . :\ . - �.{P�:i �1:�F7'4ft�F -- _- _. .
<br />
|