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<br />n ~ <br />:z: <br />m en <br />O:I: r-.3 ~I! <br />'" ~ (") (J) <br /> ~~ <br /> ~~ ~ 0-1 <br /> c_ c:::t> <br /> :Z:-1 <br /> ~ ~' = -il"Tl <br /> fT1 "r- ::z:::: <br /> o - -<0 O~ <br /> , C> " <br /> o . <br /> ""'l W "Z <br /> 0 ~ :::r:: fT1 -':; <br /> fTl ~ -0 l> CD SI <br /> rn :3 ,:;0 <br /> 0 r l> <br /> (fJ ~ (J) <br /> t-- r-..:l ^ <br /> l> <br /> c..J ................... <br /> .... <br /> CO (J) 0">2 <br /> (J) <br /> 0 <br /> I /" go <br /> <br />t, Cf1 -t) ~\ ,., <br /> o ::t- m <br />~~:s "'" <br /> c <br /> ~~ ~ n z <br /> :z: ~ c <br /> C1'I('i5 m ~ <br />I\.) n <br />s "" :J: <br />s ~_ f'! :;. <br />-....J <br />s ~~r <br />s <br />C9 <br />(Jl f4 .3 <br />0> <br /> <br /> <br /> <br />AFFIDAVIT <br /> <br />STATE OF NEBRASKA <br /> <br />ss: <br /> <br />COUNTY OF HALL <br /> <br />Affiant I VIRGINIA FAY STAHLNECKER, after being first duly <br />sworn on oath, deposes and states as follows: <br />1. That Affiant is the surviving spouse of ROBERT DEVERN <br />STAHLNECKER, who died April 4, 2006 I as shown by the certified <br />copy of the Decedent's death certificate attached hereto as <br />Exhibit "A" and by this reference incorporated herein; that <br />Exhibit "A" is a certified copy of the original Certificate of <br />Death on file with the Bureau of Vital Statistics, Department of <br />Health, State of Nebraska. <br />2. That Affiant and the said Decedent were husband and wife <br />on the date of the Decedent's death on April 4, 2006, and were on <br />said date the sole owners as joint tenants not tenants in common, <br />of the real estate legally described as follows: <br /> <br />SOUTH HALF OF LOT THREE (S/2 L 3) AND LOT FIVE (5) <br />BLOCK THIRTEEN (13), COLLEGE ADDITION TO WEST LAWN, <br />CITY OF GRAND ISLAND, HALL COUNTY, NEBRASKA, known <br />as 2324 N. Huston <br /> <br />3. That by reason of the provisions of the Joint Tenancy <br />Warranty Deed, Affiant became the sole owner of the above <br />described property on Decedent's death. <br />4. That this Affidavit is given as evidence that pursuant to <br />Neb.Rev.Stat. Section 77~2003, no inheritance tax lien arising due <br />to the death of the Decedent can at tach to the above described <br />real estate and that pursuant to Neb.Rev.Stat. Section 77-2012, no <br />Nebraska estate tax lien arising due to the death of the Decedent <br />can attach to the above described property. <br />FURTHER AFFIANT SAITH NOT. <br /> <br />DATED: December ;?f, 2006. <br /> <br />v~~~JiJ~c.kJ <br />VIRGI IA FAY STAHLNECKER <br /> <br /> <br />SUBSCRIBED IN MY PRESENCE and sworn <br />FAY STAHLNECKER, this '2-'7 day of Dec <br /> <br />GENERAl. NOTAIIY . State of Nebraska <br />J JOHN M. CUNNINGHAM <br />My Carom, Exp. Nov, 22, 2007 <br />