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the <br />RON <br />A M, <br />M <br />i <br />tenancy with his surviving spouse, this Affiant. Such assets <br />pg <br />ka, Jul <br />included the following described real estate; <br />J STATE ON" NEBRASKA <br />ss: A F F I D <br />COUNTY OF HALL <br />County, Nebraska. <br />The total value of taxable assets for Federal Estate Tax return <br />LaVERN N. DAVENPORT, being first duly sworn <br />ul <br />All taxable assets for the Nebraska Inheritance Tax computation <br />deposes and says that she resides at 272 South Kimball <br />n <br />in <br />Island, Nebraska, and that she is the widow of Chester <br />Z,.` <br />Davenport who died testate and a resident of Grand <br />Island,)Iiii, <br />County, Nebraska, on December 2, 1984. <br />owing herein and no formal proceedings or returns are required <br />That no proceedings for probate of his Will <br />or adminia- <br />tration of his estate has been commenced and none <br />is coast emplat o4a." <br />The decedent left him surviving as his sole heirs <br />the following: <br />LaVern N. Davenport, his widow; <br />Terrence C. Davenport, son; <br />James Davenport, son; <br />Annette StrAtman, daughter; and <br />Elaine Davenport, daughter. <br />at the time of his death were assets owned by him in joint <br />RON <br />A M, <br />M <br />i <br />tenancy with his surviving spouse, this Affiant. Such assets <br />pg <br />ka, Jul <br />included the following described real estate; <br />Lot One (1) in Block Two (2), in Hann's Second <br />Addition to the City of Grand Island, Hall <br />County, Nebraska. <br />The total value of taxable assets for Federal Estate Tax return <br />and computation purposes have a value of less than $325,000.00. <br />All taxable assets for the Nebraska Inheritance Tax computation <br />purposes passed to this Affiant, his surviving spouse, and are <br />exempt from taxability for Nebraska Inheritance Tax purposes. <br />There is no Nebraska Inheritance Tax nor Federal Estate Tax <br />owing herein and no formal proceedings or returns are required <br />with respect to elth r of I such.,death taxes <br />DATED this day of P#W*- <br />Subscribed and sworn <br />Lav m AV <br />'(4 <br />to before Me this 4—day of- oe.�7 <br />ka, Jul <br />0 t Y41", <br />won Now <br />--i <br />