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8.t--~?f)16~~ <br />CITY OF ROA2dOKE ~ AFFIDAVIT <br />ss. <br />STAiE OF VIRGII3IA } <br />Dr, Charles E, Conklin, Jr., being first duly sworn, s*_ates <br />as follows: <br />i. He is an adult who resides in Roanoke, Virginia. He is <br />the son of Lena Alice Conklin, who died in Roanoke, Virginia on_ <br />June 15, ly7y. He further states that he is the duly qualified <br />and acting administratar of the Estate of Lena Alice Conklin in <br />the Circuit Court of the City of Roanoke, Virginia. He further <br />states that Lena :\lice Conklin was known as Lena K. Conklin. <br />2. He caused a Form 706 Federal Estate Tex Return to be <br />timely filed in said Estate, The net estate tax due was ~70R.oo, <br />and said tax has beFn paid to the Internal Revenue Service. An <br />Estate "fax Closing Letter, marked Exhibit ", attached hereto vnd <br />incorporated herein by reference, has been r?ceived from the Inter- <br />nal Revenue Service, <br />3. .~ifiant states that the Sc:hedult' ~f .lssets an the Federal <br />Est in the iolA zwi.~g-clescriik~i real __,t,ate: <br />Lnt Seven (. 7'i in Black One Hundrt:d t`ifteen <br />1115) in Railraad r\dditian tt~ the Town, now <br />ii_"v, u~ Grand lsla c'", :iali County, Nebraska, <br />acid that one lair =tea-_ntt ti""slut ~~ ~~-_ 'r=?i ,=orate was shown on the <br />Federal Estate lax Return as X5,'•50.00. <br />_+. ffiant further status that there are no unpaid State <br />of Virginia or Federal taxes outstanding which would impose a lien <br />against the above-descritsed real estate. <br />s <br />Dr. C ar. ., E. Co in, Jr. <br />Subscribed and sworn to bef::re me, a Notary Public, ar, this <br />~~% day of ?larch, l~}$I. y <br />~ Pdetary °ublic <br />. _.- .~ . <br />~'1.=. <br />r,. <br />