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<br />a8~100234 <br /> <br />r <br /> <br />AFFIDAVIT <br /> <br />STATE OF NEBRASKA <br /> <br />SSe <br /> <br />County of Hall <br /> <br />The undersigned affiant, upon being first duly sworn, does <br />hereby depose and state: <br /> <br />1. That affiant is the surviving spouse of Wilma Catherine <br />Brym, ("decedent"), who depar.ted this life on December 1, 19B7, <br />as 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 were <br />the sole owners as joint tenants with rights of survivorship of <br />that real estate in Grand Island, Hall County, Nebraska, and <br />legally described as follows: <br /> <br />Lot Five (5), Block Six (6), Schimrner's Addition to <br />the City of Grand Island, Hall 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 to <br />Neb. Rev. Stat. ~ 77-2003 (19B3 Supp.), no inheritance tax lien <br />arising due to the death of decedent can attach to the <br />above-described real estate and that pursuant to Neb. Rev. Stat. <br />77-2012 (1983 Supp.), no Nebraska estate tax lien arising due to <br />the death of decedent can attach to the above-described 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 SAITH NOT. <br />DATED this ~ day of January, 19B8. <br />J.~ 4SMy J/~ <br />ALBERT BRYH <br /> <br />SUBSCRIBED and sworn to before me this ~ day of January, <br />1988. <br /> <br />I Je.-&"'=f" I 44/~. '- <br />NOTARY PUBLIC <br />... ... ... .."' lIII <br /> <br />L <br /> <br />L <br /> <br />L <br /> <br /> <br /> <br /> <br />r- <br />I <br /> <br />~ <br /> <br /> <br />(. <br /> <br />-." <br />