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100? <br />STATE OF NEBRASKA } <br />AFFIDAVIT OF DEATH OF <br />ss: <br />COUNTY OF HALL } JOINT TENANT <br />SHANNON L. JONES, being first duly sworn on his oath, <br />deposes and says that he resides at Overland.Trails Oasis, <br />` <br />Wood River, Nebraska 68883: that his wife, LILA C: JONES, <br />a <br />died April 3, 1986 a resident of Hail .County, Nebraska,- that <br />a copy of her certificate of death is attached hereto as Exhib- <br />F,r <br />it "A "; that his wife.left.no property separately owned by <br />4 <br />her, and that all property subject to consideration of any <br />Nebraska Inheritance Tax and Federal. Estate Tax was property: <br />owned by the Decedent in joint tenancy with your Affiant, <br />her surviving spouse; that the total value of all such property <br />as of April 3, 1986, valued at'its fair market value on that <br />date did not equal or approach the sum -4 $500,000; that Af- <br />fiant is entitled to an exemption in computation of either <br />Nebraska .Inheritance Tax and Federal Estate Tax of the total" <br />f; <br />' <br />value of all such taxable property `received by him by reason <br />of the death of the Decedent or otherwise, and that there is <br />no Nebraska Inharitance Tax near Federal Estate Tax clue or <br />owing by this .Affiant by reason of pro-:arty passing to- ,him. <br />upon the death of Lila "C: Janes on April. 3, 1986_ <br />- -. Real estate awned by the -- parties -%n 3oi.-tt..tenancy- is <br />Ila <br />desribed as fellows: <br />Lots Five (5) and Six -6} ,Block `twenty -Seven <br />)', 1Jaa l..s L. '- ZZS.[3.:C �i- -oo <br />River, Hill County, Nebraska_ <br />3S€aA'2ONiL. <br />JONES <br />SUBSCRIBED and SWORN to before me a Notary public, <br />this -4 day of December, 1986- <br />- <br />� X <br />Notary" Public c <br />