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<br /> GQ[TSVTX OF IiALY� j ' ��-,
<br /> .�
<br /> �tfiant, RAGHEL p. �'TAftx:3, atCar b�ing lirsC duly ��rori� an
<br /> odth, depog�� e�nc9 stv�a aa l�I3ot►s: _
<br /> 1. 'TLat AfEtan�. �� t.ba st�►�,•ri.�g apou�am ot JOSL FRa►NCI3Ct7 ��
<br /> FIAR�S, also knorna me JDSE F'R.ViCISCO F'Il:�.S MELCAT.7�. �rho died
<br /> August �. 1995, a$ sk�ornx �y tl]e certifir� cr,py of the l�cedent�a �
<br /> death cartificaCe �rtached :�erato as ExhibiC "A" an8 by this
<br /> re�erence incorpc�at.�zd he�ein; '�hat mchibit ^�" is a c+er�iP3ed �opy
<br /> of the orig�nal Certif3.cate ar Dettth �n tile with th�• Etire�u of
<br /> Vxtal 5ta�is�xcs, 17e�a:.taae;,t af Hea].Ch, atate of Habraaka�. �
<br /> :
<br /> 2. Tha� Afffan� �nd rtse �aid L�cec�ant o►�era husbnnd and vife
<br /> ar. �he date of the I���adcnt�� de�th on .�uc�ust 1, �995, and Har� �n.
<br /> said dat� the sole o*�r:c�r�s a� joi.nt t�ena�nts not �er��..n;:s in cor�on,
<br /> of the �aal asta�e 1�g�liX +�escr�hec� a� follorrs:
<br /> The Tiarth �3ghk}• F��;? f�!RO•j of the East flalr (�1/2; oP
<br /> E�1ock T�ro (2), Pl.e:�sant `i�mes S��i.visipn, an Addition tv
<br /> �::4 City of Grartd Islanc�, Fla�l Gounty� Nebras;ca, al�sa
<br /> knvwn as 1,2Cd Sou'�h Es�sly, V.and I�Iand, Nab.'aska 68801;
<br /> and ' ��
<br /> Lot Ppu�'teen; (14), B1o�ck 7i►a (2), Co].oni.�l Eatt,r�es Tenth
<br /> subdiv�sion, r�n Add�.t:ian tc� thc C�ty �� G�a.+��, T:glar.ci,
<br /> iiall CoUnty� Nsbra�ka, z�lsu �soorl's as 315 0 Mem�;nf.s �i���e,
<br /> Gx�anrl �sland, Hebraek�a SIISUa;
<br /> , '
<br /> 3. That by re�son of the provision� a�. the Joint T�nancy
<br /> si'a:ranty beed, Ar"_fiant b�^axae th� sa].e owner of the above descri.k+ed
<br /> �:r�p�rty an Deced�nt�s d�at�h.
<br /> 4. That this Affidavit is g.��%4::n a� �videncp tha� pursuant t� �;
<br /> Neb.�ev.S�d�. saction 77-2aU3, no �,�erit�zce tax :ien arising du!�
<br /> ta the death cf the De�edent can a!�tacb t� the abave described re�l
<br /> estate �nd that pursuant �o He?a.Rev_Stat. sec�i�n 77-2012, no
<br /> Nebraska es*at� tax lien arising du� t.v the d�ath o� th�e Decedent
<br /> c�n attach tu the above described prnp�!"ty.
<br /> FURI`H�;12 �►F'F:T.r�iNT SAYETE NOT.
<br /> � Dated Augus� 18, 1545.
<br /> 7�'.�-�
<br /> F�FLRRE.S
<br /> SGBSCRIBED in �►y pr�sence and rn to begare me s 18th dz�y
<br /> of Aucjust, 1995.
<br /> ��td� � �" �
<br /> •��� xo�a Puhlfc
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