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85o...00611 �.
<br />STATE OF NEBRASKA )
<br />ss. AFFIDAVIT OF DEATH
<br />COUNTY OF HALL )
<br />EMMA KEMP, being first duly sworn on her oath, deposes
<br />and says that she is the widow of Alvin L. Kemp who died on the
<br />3rd day of December, 1985, a resident of Grand Island, Hall
<br />County, Nebraska.
<br />That at the time of his death, Alvin L. Kemp resided at
<br />Route ff3, Box 1, Grand Island, Nebraska. He left him surviving
<br />as his sole heirs -at -law this Affiant, Emma Kemp, his widow,
<br />and one child, Lyle B. Kemp, who is also a resident of Grand
<br />Island, Nebraska.
<br />That no proceedings for administration of the Estate of
<br />the Decedent has been commenced and none is contemplated_ That
<br />the only property in which the Decedent had an ownership in-
<br />terest at the time of his death was property owned by him in
<br />joint tenancy with this Affiant. Included among such property
<br />was real estate owned in joint tenancy by the Decedent with this
<br />Affiant and described as follows:
<br />A 10 -acre tract, more or less, and located in the
<br />Southeast Quarter of the Southeast Quarter (SEISE:)
<br />of Section Four (4), Township Eleven (11) North, Range
<br />Nine (9), West of the 6th P.M., Hall County, Nebraska,
<br />and as particularly described in Deed recorded in Book
<br />84, page 490 in the official Deed Records of Hall
<br />County, Nebraska;
<br />A 5 -acre tract, more or less, and located in the
<br />Southeast Quarter of the Southeast Quarter (SE;SE:)
<br />of Section Four (4), Township Eleven (11) North, Range
<br />Nine (9), West of the 6th P.M., Hall County, Nebraska,
<br />and as more particularly described in Deed recorded in
<br />Book 178, page 142 in the official Deed Records of
<br />Hall County, Nebraska; and
<br />Frac. Lot 1 and Easterly 12' of Lot 2 all in Blk. 16, John Lambert's
<br />Addition and the Easterly 12' of Lot 2, Block 7, Evans Addition
<br />to the City of Grand Island, Hall County, Nebraska.
<br />Inasmuch as all taxable assets passed to the surviving spouse
<br />of the Decedent and the gross taxable value for Federal Estate Tax
<br />purposes was less than $400,000, no proceedings for determination
<br />of Nebraska Inheritance Tax nor Federal Estate Tax is required and
<br />there are no such death taxes owing herein.
<br />DATED this 10th day of December., 1985.
<br />v .�s•
<br />EMW KEMP, Affiant - - --
<br />Subs(� -ribcd in my presence and sworn to fore me this .loth
<br />day of December,, 1.985 . -.
<br />Not�rry {'t.tbl icr'
<br />My Notr7riia1 iS—;I %n -Y.1,1 1 e..
<br />MUMMMM -aM deftYw
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