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85-= 008169 STATE OF NEBRASKA ) COUNTY OF HALL ) ss. AFFIDAVIT KNOW ALL MEN BY THESE PRESENTS: I, ERLINE VERNA SCHULTZ, being first duly sworn on my oath, depose and say that I am a resident at 922 South Claussen Avenue, Grand Island, Hall County, Nebraska; that my husband, Albert J. Schultz, Jr., died June 13, 1985, testate, and also a resident of Grand Island, Hall County, Nebraska. That no proceedings for probate of his Will nor ad- ministration of his Estate has been commenced and none is contemplated; that he left him surviving as his sole heirs -at- law the following persons: This Affiant, his widow, and two daughters -- Janet Wright and Susan Peters. That this decedent left no property separately owned by him at the time of his death. 'That whatever property he owned or had an interest in at the time of his death was property owned by him in joint tenancy with this Affiant. Included among such jointly owned property is the following described real estate: Lot Six (6) in Block Four (4) in Claussen Country View Subdivision, an Addition to the City of Grand Island, Hall County, Nebraska. That the total value of the taxable assets of the dece- dent for Federal Estate Tax purposes did not approach nor exceed $400,000 and no Federal Estate Tax Return will be filed herein and there is no Federal Estate Tax due or owing herein. Inasmuch as all property in which the decedent had an interest at the time of his death, including the above described real estate, was jointly owned by the decedent with his spouse, this Affiant, no such property is subject to Nebraska Inheritance Tax. DATED this 2nd day of July, 1985. ERLINE VERNA SCHULTZ, A xa SUBSCRIBED and SWORN to before me the date first above written. A M" CL am w#NA41Yr Notary Pub My commission expires: February 4, 1988. F u