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10067 <br />t STATE OF NEBRASKA ) <br />' ) ss. AFFIDAVIT TO CLEAR TITLE <br />COUNTY OF TALL ) <br />DELBERT A. HARGENS, being first duly sworn on hi.s oath, <br />deposes and says that he is the surviving husband'of Beulah <br />E. Hargens who died January 29, 1987, in Grand Island, Hall <br />County, Nebraska. Than said decedent left a Last Will and <br />Testament dated July 21, 1986, by the terms of which this <br />Affiant, Delbert A. Hargens, was the sole beneficiary of all <br />assets of such decedent. No proceedings have been commenced <br />.for probate of her Will and Estate and none is contemplated. <br />All assets in which the decedent had anv interest were <br />assets .owned by her in joint tenancy with this Affiant, <br />Delbert A. Hargens, her surviving spouse_ Such jointly owned <br />property included the following described real estate_ <br />Sot Fourteen (14), in Block One (1) , in <br />Imperial village Subdivis on in the City <br />of Grand Island, Hall County, Nebraska, <br />commonly known as .2512 West. 13th Street, <br />Grand island, Nebraska_ <br />Said decedent Left: her survivinno as her sole heirs -at- <br />; <br />law the following persons: <br />Delbert A. Hargens, husband; Donna :gee <br />� <br />Dankert, daughter; Beverly Farness, <br />daughter; and Tim D_ HArgens , son. <br />There is no Nebraska Inheritance Tax due or owing herei-n <br />inasmuch as all assets were jo ��ntly owned by the decedent with <br />her surviving spaise, Delbert A_ Harcens_ The total gross value <br />of taxable assets of the decedent. in the coiutation of Federal <br />Estate Tax does not equal $& 00.DO, and no Federal Estate Tax <br />Retuu n is required and there is no such tax due or owing herein- <br />DATED this " ".5th day, of - .L'ebrua i <br />_r� 1987_ <br />DELBER" X'_ I HARGENS Af f4 t <br />SUBSCR!BED and Sia'o'.R,N to before this 5th day of February, <br />-F—f -� -:N /Public <br />ary <br />J, <br />_i✓ ff <br />- ?! commission Co1SS2Qri eY ires -: +i.. <br />i <br />" <br />- <br />faill"FR <br />V# Dow EN Teti 4+ <br />