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AFFIDAVIT <br />STATE OF NEBRASKA ) <br />(ss: <br />COUNTY OF HALL } <br />87- 10469E <br />Agnes D. McMillen, being first duly sworn upon oath, <br />deposes and says: <br />1. She is the surviving spouse of Larry D. McMillen <br />who died a resident of Hall County, Nebraska, on July 21, <br />1987, a certified copy of the certificate of whose death is <br />attached hereto. <br />2. She is the surviving joint tenant with right of <br />survivorship of all property in which Larry D. McMillen had <br />any interest at the time of his death, including the following <br />described real estate: <br />Lot Twenty -five (25), Bison Meadows Addition, to <br />the Village of Doniphan, Hall County, Nebraska. <br />3. No known property passed by the Last Will and <br />Testatment of Larry D. McMillen, and if any is found it will <br />pass to the affiant as sole beneficiary thereof. <br />4. No federal or Nebraska estate tax return is re- <br />quired by the estate of Larry D. McMillen. <br />5. No Nebraska Inheritance Tax is due because of the <br />death of Larry D. McMillen. <br />Executed at Grand Island, Nebraska, this 7 day of <br />August, 1987. <br />SUBSCRIBED and sworn to before me on this day of <br />August, 1987. <br />Nbtary is <br />J <br />