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STATE OF NEBRASKA ) AFFIDAVIT OF DEATH SS. OF COUNTY OF HALL ) JOINT TENANT LONNIE D. DAVIa, being first duly sworn on his oath, deposes and says that he resides at 1823 West Koenig, Grand Island, Hall County, Nebraska 68803; that his wife, Janeth C. Davis, died January 16, 1987, in Omaha, Douglas County, Nebraska; that a copy of her Certificate of Death is attached hereto as Exhibit „A"; that his wife left no property separately owned by her, and that all property subject to consideration and computation for determination of any Nebraska Inheritance Tax and Federal Estate Tax was property owned by the Decedent in joint tenancy with your Affiant, her surviving spouse; that the total value of all such property, as of January 16, 1987, valued at its fair market value on that date, did not equal or approach the sum of $600,000; that Affiant is entitled to an exemption in computation of either Nebraska Inheritance Tax and Federal Estate Tax of the total value of all such taxable property received by him by reason of the death of the Decedent or otherwise, and that there is no Nebraska Inheritance Tax nor Federal Estate Tax due or owing by this Affiant by reason of property passing to him upon the death of Janeth C. Davis on January 16, 1987. a Real estate owned by the parties in joint tenancy is described as follows: Lot Five (5), Block Nineteen (19), Charles Wasmer's Addition to the City of Grand island, Hall County, Nebraska. Lot Five (5), Block Twenty -One (21), Original Town, now City of Grand Island, Hall County, Nebraska. South Half of Lot Ten (10), Block Two (2), Lake View Addition to the City of Grand Island, Hall County, Nebraska. South 36' of Lot Thirty -Nine (39) and the North 28' of Lot Forty (40), West Heights Second Addition to the City of Grand Island, Hall County, Nebraska. 0