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I 84 -004375 r STATE OF NEBRASKA ss, AFFIDAVIT COUNTY OF HALL Velda E, Menck, being first duly sworn on her oath, deposes and says that she resides at 2005 West Third Street, Grand Island, Hall County, Nebraska; that she is the widow of Arthur Cabot Menck, who died November 23, 1983, in and as a res iden t of Ha 11 Coun ty, Nebraska; tha t no proceedings for pro- bate of the Last Will and Testament of Arthur Cabot Menck has been commence~ and none is contemplated; that the only real or personal property in which said Decedent owned any inter- est was owned by him in joint tenancy with this Affiant, his surviving spouse, Among such jointly-or"'led property was the following-described real estzte: Lot Two (2) in Block Fifty-Three (53) in Packer & Barr's Second Addition to the City of Grand Island, Hall County, Nebraska, and its complement, Lot Two (2) in Block Twelve (12) in Baker's Addition to the City of Grand Island, Hall County, Nebraska, and commonly known as 2005 West Third Street, Grand Island, Nebraska, In addition to this Affiant, his widow, Arthur Cabot Menck left three children surviving him, who are named as follows: Arthur Clayton Menck, Yvonne Schultz, and Jacqueline Lee Burnett, This Affiant, his widow, and said three child- ren are the sole heirs at law of said Decedent, All assets in which the Decedent had a interest pass by joint tenancy re. his surviving spouse, this Affiant, In additiun, the Last Will and Testament of the Decedent gave and devised to his said widow any separately-owned assets owned by him, All such assets are therefore exempt under lilt:' Nt.brd~ka Inht:'f i.tdlli..:e Tax l.u\4h. Tht' LULal gross Va lue u L L _J I L