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<br /> AFFIDAVIT �
<br /> �\�
<br /> � STATE U£ i3EE3RASECF, )
<br /> �SS:
<br /> COUNTY OF f!i�LL )
<br /> Lorr.e�:.ta L. Niemoth, b�ing fir:�t dnly sworn, deposes and
<br /> � �
<br /> sta-:es tl.1o;:>E� facts of which she has gersonal kncwledge as set
<br /> ,� fortn here:i.nbelow.
<br /> '�' 1. �:)n April 5, 1995, Jerry J. L7iemotn died a rasident of
<br /> ;f;
<br /> .�;
<br /> �
<br /> ,, � Kal? Count:!t, Nebraska,
<br /> � 2. ��s of the date of the deat?, of said Jerry J. Niemoth,
<br /> � AFfian'r_ w�a�� legally married to Lorretta L. Niemoth and was a
<br /> resident- -�E Grand Island, Hall County, Nebraska.
<br /> � 3. Affiant is the survivin7 joint tenant in a certain Sur-
<br /> `�, vivorshi� �Aarranty Deed dated March 20, 1.989, and recorded on •
<br /> ��
<br /> Marcr. 23, 1985 as Docum2nt No. 89-101473 in the Register of Deeds
<br /> ��� ' office iri I?aJ_1 County, t�ebraska, pertaining to the followin�;-
<br /> �." describe�9 real estate, tc-wit:
<br /> �,
<br /> �
<br /> ; The Southeast Quarter (SE�a) and che No.rtheast Quarter �
<br /> (NE3,) cf Section One {1) , Tewnship Twelve (12) North,
<br /> R�nc�e Nine (9) West of the 6th �-'.M. , Hall Caunty,
<br /> Net:-3ska.
<br /> 4. Affiant is the surviving spouse of_ JerLy J. Niemoth and
<br /> �� all proT�erty owned by 7erry J. Niemoth was held in joint tsnancy
<br /> witn th�= Affiant.
<br /> 5. The deceasecl, Jerry ,7. Niemoth, did not ciuriny his ��
<br /> lif�timF:� conv�y any p._o�,er_ty in trust cr atherwise in cantempla-
<br /> ; tion ci' death or intemde�d ta tal;e eff•?Ct iii possession or enjoy-
<br /> ment a�':,er death, aad neither Affiant �ior 3ny other person became �
<br /> ,
<br /> � �� ent�_tl�ed to any proper�y by reason of th� death of �erry J.
<br /> 2�tiE�r�oth except as pre�vious'_y stated.
<br /> ��
<br /> £ . It is appa�:ent from tr:e above tr�at thers is no liabil- ;M.
<br /> :t
<br /> i*;� fo�• i.izheritan�:e �tax and no assessm=r.t of int;��ritance taY
<br /> �
<br /> � ,� coulc': ��sult, and pursu�nt to �•�cticsr. 77-20"v3 0� the Revised �;
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