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87103959
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Last modified
10/19/2011 9:19:18 AM
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3/27/2008 2:30:07 PM
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87103959
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7-- 103959 <br />STATE OF NEBRASKA ) AFFIDAVIT UNDER REVISED STATUTES <br />) ss. OF NEBRASKA, SECTION 30- 24,125 <br />COUNTY OF HALL ) <br />RUBY M. MENDENHALL, being first duly sworn on oath, de- <br />poses and says: <br />1. That she resides at 1612 North Park Avenue, Grand <br />Island, Nebraska 68803. <br />2. That she is the widow of Harold Herndon Mendenhall, <br />who died at Grand Island, Nebraska, on January 19, 1987. <br />3. The value of his entire separately -owned estate does <br />not exceed $10,000.00. in fact, the only separately -owned assets <br />of Harold Herndon Mendenhall were the following: <br />Certificate No. LS49605 for 4 shares of <br />the common stock of Union Pacific Corporation; <br />and <br />Certificate No. LS51810 for 2 shares of <br />the common stock of Union Pacific Corporation. <br />Both of said certificates were registered and owned by Harold <br />Herndon Mendenhall alone. <br />4. More than thirty (30) days have elapsed since the <br />death of the decedent. <br />5. No application nor petition for appointment of a per- <br />sonal representative is pending nor has been granted in any <br />jurisdiction; and this Affiant, his widow, is entitled to payment <br />or delivery of all separately -owned property of the decedent. <br />6. Aside from the six (6) shares of Union Pacific Cor- <br />poration common stock described above, the only other assets in <br />which the decedent had an interest at the time of his death <br />were assets owned by him in joint tenancy with this Affiant, <br />his widow, and including the following described real estate: <br />Lot One Hundred Forty -two (142), in West <br />Lawn Addition to the City of Grand Island, <br />Hall County, Nebraska. <br />7. The total gross vague of assets subject to considera- <br />tion for Federal Estate Tax purposes does not approach nor exceed <br />$600,000.00. No Federal Estate Tax Return is required and no <br />Federal Estate Tax is owing herein. All jointly -owned assets <br />and the stock described above passed to this Affiant, his sur- <br />viving spouse, and thus are exempt from Nebraska Inheritance Tax. <br />DATED this lst day of July, 1987. <br />RUBY i . MENDENHALL, Affiant <br />SUBSCRIBED and SWORN to before me this 1st day of July, <br />1987. <br />o ry Public <br />My commission expires: February 4, 1988. <br />
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