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<br /> <br />AFFIDAVIT <br /> <br />87-107355 <br /> <br />STATE OF NEBRASKA <br /> <br />ss. <br /> <br />COUNTY OF HALL <br /> <br />Affiant, Evelyn I. Thomssen, after being duly sworn upon <br />oath, does depose and state as follows: <br /> <br />1. That Affiant is the surviving spouse of Eli L. Thomssen <br />("Decedent"), who departed this life on December 26, 1986, as <br />shown by the certified copy of the Death Certificate attached <br />hereto as Exhibit "A" and by this reference incorporated herein. <br /> <br />2. That on the date of death, the Affiant and Decedent <br />were the sole owners as joint tenants with rights of survivor- <br />ship of the real estate located at 821 S. Blaine, Grand Island, <br />Nebraska, legally described as follows: <br /> <br />Lot One (1) and the South 73 feet of Lot Two <br />(2), Subdivision of Block One (1), Vine Hill <br />Subdivision to the City of Grand Island, Hall <br />County, Nebraska. <br /> <br />3. That by virtue of the survivorship of Affiant, Affiant <br />became the sole owner of the above-described property. <br /> <br />4. That this Affidavit is given as evidence that pursuant <br />to Neb. Rev. Stat. Section 77-2003 (1983 Suppl.) no inheritance <br />tax lien arising due to the death of Decedent can attach to the <br />above-described real estate and that pursuant to Neb. Rev. Stat. <br />Section 77-2012 (1983 Suppl.) no Nebraska estate tax lien arising <br />due to the death of Decedent can attach to the above-described <br />property. <br /> <br />5. That the gross estate of Decedent was less than that <br />amount exempt from federal estate taxes. <br /> <br />FURTHER AFFIANT SAYETH NOT. <br /> <br />Dated this '114 day of ~ ,1987. <br /> <br />! , ---- <br />!' l,(,./"J> ~ 7~ -' ....y II.....,,:,...:.: i ll./ <br />Evelyn F. Thomssen <br /> <br />before je this <1/4 /fl)Y of ~' <br /> <br />4J1k.~, ;:;/ -h--;-~ <br /> <br />Notary Public <br /> <br />SUBSCRIBED AND SWORN to <br />1987. <br /> <br />LIII 'It "'CI 'II] 1IIIlO '" <br />S1:1Mi1 "V I'MT1IM <br />.... It 81111_ AlYJIII1I'OIIt <br /> <br />L <br /> <br />L <br /> <br />L <br /> <br /> <br /> <br />.---- <br /> <br />~ <br /> <br /> <br />, <br /> <br />..J' <br />