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n n <br />0 F <br />(1 <br />Z <br />M CA <br />X <br />M <br />N <br />CA <br />h <br />� <br />rrrrrw�wrri� <br />STATE OF NEBRASKA <br />) <br />-7D <br />--i M <br />)ss. <br />COUNTY OF HALL <br />) <br />n n <br />M CA <br />-7D <br />--i M <br />CD <br />C <br />CT) <br />cQrt <br />Vj <br />r <br />_x. <br />CO N <br />CIO <br />CD <br />V7 <br />dp <br />Cn <br />�F <br />2 <br />AFFIDAVIT <br />Affiant, LOUCILLE RIESSLAND, being first duly sworn upon her oath deposes <br />and states as follows: <br />1. That the affiant is the surviving spouse of Robert F. Riessland who died <br />August 11, 2005, as shown by the certified copy of death certificate attached <br />hereto as Exhibit A and incorporated herein by this reference; that the affiant <br />and the decedent were husband and wife on the date of the decedent's death <br />on August 11, 2005. <br />2. That the affiant and the decedent, Robert F. Riessland, were the sole owners <br />as joint tenants with rights of survivorship of the real estate legally described <br />on attached Exhibit B incorporated herein by reference on August 11, 2005, <br />the decedent's date of death. <br />3. That by virtue of the survivorship of the affiant, affiant became a sole owner <br />of the above described property as set forth on Exhibit B. <br />4. This affidavit is given as evidence that pursuant to R.R.S. Neb. Section 77- <br />2003, there is no inheritance tax lien arising as a result of the death of the <br />decedent and that pursuant to Section R.R.S. Neb. Section77 -2012, no <br />Nebraska Estate Tax Lien arises as a result of the death of the decedent. <br />FURTHER AFFIANT SAITH NOT. <br />DATED this !9/ day of , 2005. <br />-, <br />L UCILLE RIES AND, Affiant <br />Subscribed and sworn to before me thisay of , <br />2005. <br />Public <br />GCNERAL NOTARY - State of Nebraska <br />WILLIAM A. Ff1ANCl5 <br />_. MY Comm. EV. Dec. 31, 2007 <br />Prepared: 8- 26- 2005 /W AF /sls <br />Probate /Riessland Aff.waf <br />