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<br /> " � : SS.. AFFIDlilVIT OF DF�1'T'� OF J4IKT TENUIT
<br /> CAU��;��:� �
<br /> A�fia��E�, Hernice �i. Ere3bruqer.-a€ter befng duly_swarn upon -
<br /> oat�..,-,d��":�Pose aad_state as -follows:
<br /> ��.;; 'T�et Af��ant is ths survivinq spouse, of Richard F.
<br /> g.rabs���r:,,:;;J�., who died January 7, 1992, in arand Island, Ha22
<br />-- C�aut��g��,:I�raska, .as showu bg the copy of the Death Certificate.
<br /> a,��aai���ierete as...Exhibi�t "A" and bY thf,s re�erence incorporat�',�.
<br /> -t h�rei�r�.�. -� � - . _
<br /> � 2,�:; That oa t��e date o� death, the Affiant.and Deced�t.:were�<
<br /> - �r�;gra�;:�ii�s as_�oiat tenants with- rigbts of survivors2�l�::of;
<br />�_:� tF��;=:��:;:�state located i.a aall caunty, Nebraska, and leqally. , .
<br />��,( � .. ...:.:.,asa .
<br /> .>. $��:
<br />='. .4 . . : `"''';,'. .:.::. . ::..:r'= . .
<br />; .. ;. :;_;-_: r . : - i � ,
<br /> � � . • - :��bt diie (1)r ia °HOLCOMH S HIGBWRY HOMES' ; a �
<br /> .. � :;'s`�bdivisicn of a part of the Ncrtheast Quarter of the
<br /> .;� ?, `�hartl��ast Quarter tNE}NE}) and a part of Lat Four t 4), �,
<br /> � �•�" � -:;:_=.�lai`�2at!d, all in Seation Twenty,Eight• I283-, Township
<br /> .°_ -�, ,�-, - :�: E3.eveii_�tliy North, Range Nine t9), WesC of the 5th- __ __
<br /> : ' �yL_;;... "� .• P:M. , in Hall Couaty, Nebraska. _— _
<br /> ,��x�<�,.. ---
<br /> ; '�'�"�'i� .'t 3 of fiaat, Affiant � — ---_
<br /> �� �'s�'°',`'�-'�� , . That by virtus c£ the survivorship A� ___- _
<br /> - •-�- ,,�: . : . ---
<br /> � :3�ecame the so�e owner of ti�e.above-deacribed .property.
<br /> - :. -.�. 4.. That this Affiaat is givea as eaiaenae that pursua� to • ,�-�_
<br />, ` . ", _.='.r�-:•s'�:= �.� I�eb�aska Revised Statu�es: Seation 77�2003: no- .inheri�aaee tax . _ --
<br /> . t.��:��;... . • . . �--. -_
<br /> ;r�� . i ,..�,,�, . 2fe� arising due ta €�e c£�-..b ot t�e.�.�eaedent can at�ach to the �� .
<br /> � •� ;,
<br /> ���':�..�,:;;�, : � ; above-desaribed rea�;estate�:and that pur�ant to Nebrask� :.: ^ _
<br /> - --�- '-- . � Revised Statutes, S�c�aa� �7=2012, aa N�b��ska Estate Ta� ��isinq.�
<br /> C�'
<br /> �'�� ��"•`"�"����' due to the death of the Deaedent c�t attaa���to the ai�bve- _
<br /> �.or�,��s:;:. , , . .
<br /> '" ``'' � r�' described property.
<br /> �'�:�.�-_� .
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<br /> �,T 5. That the gross ,e�ate of t1i� De�ec�ent was less than that�
<br /> ..�,,.r �<=_.� .
<br /> �� . •- a�+ouat exempt from Fed�ra� Estate 2�x. ;�:��
<br /> . -,�'��;;#�,,;:-.�>:�' ,; •. .�;;:; . ..
<br />� ,'::'�,.`�`�•r;,�::'' . . .:•. i�:•':�' .-
<br /> , � �{��f;�- FURTHER AFFIANT sa�eth not. ``�� . �
<br />� `r" �`�-'"�:�.}:t.:-�� � DATED tbis �� day of February, 1992. . •
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<br /> . h.'Y±'I.'i„�h!r.'.t,r'.,:�' ��� . .
<br />� 3.��.�:��'j:t�?rs,i"�� HERNICE A. ERDBRUQER �,. . .
<br /> ��. ';;''� �- G
<br /> �� ��`� , SUBSCRIHED AND SWORN to before me Izis � day of Fehruary, f .
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