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� <br />�. <br />a <br />r <br />� <br />'b <br />f' <br />S, <br />" <br />� <br />�� <br />� <br />� <br />s <br />m <br />� <br />� <br />STATE OF NEBRASKA <br />COUNTY OF HALL <br />) <br />) ss <br />) <br />� <br />c <br />= b H <br />��_ <br />=D <br />�� <br />� <br />� <br />C <br />� <br />� <br />� <br />� <br />Z <br />� . <br />-.3 <br />� <br />i--* <br />� <br />� <br />m <br />AFFIDAVfT OF DEATH OF <br />JOINT TENANT <br />� c�, <br />o --� <br />c �. <br />Z � <br />-� � <br />-� Q <br />o , n <br />�'' z <br />_ �, <br />A ['b <br />� � <br />r r� <br />� <br />� <br />a <br />�.� <br />� <br />�, <br />_ <br />� <br />r <br />r. <br />O <br />,:L7 <br />� <br />� <br />� <br />� <br />� <br />� <br />'��+' <br />�+'t <br />i� <br />LARRY W. WILHELMI, being first duly sworn on his oath, deposes and says that <br />he resides at 1331 N. Hancock Avenue, Grand Island, Hall County, Nebraska; that his <br />wife, Mary Lee Wilhelmi died on May 30, 1996 in Mexico; that a copy of her Certificate of <br />Death is attached hereto; that she left no property separately owned by her to the extent <br />that it required estate administration; that all of her property was jointly owned with the <br />undersigned, her husband; and that there was no Nebraska Inheritance Tax or Federa! <br />Estate Tax owing by reason of the death of Mary Lee Wilhelmi. <br />Real estate which the parties owned in joint tenancy is as follows: <br />The North Thirty (30} Feet of Lot Six (6) and the South Fifty Five <br />(55) Feet of Lot Seven (7) in Imperial Village Second Subdivision <br />in the eity of Grand Island, Hafl County, Nebraska; <br />Known as 1331 North Hancock Avenue, Grand Island, Nebraska. <br />DATED: January v��, 2011. <br />2011. <br />��� � <br />s: <br />i <br />,..r., . . <br />' , f f r'' , <br />� �� <br />, �� j <br />�-�-� � �G'� U(�' '��{,-- <br />LARRY . WILHELMI <br />SUBSCRIBED and sworn to before me a Notary Public this r �- ! day of January, <br />0 <br />`N <br />O <br />N <br />w <br />0 <br />0 <br />rn <br />� <br />rn <br />� <br />� <br />i'11 <br />v <br />� <br />z <br />� <br />G <br />m <br />� <br />z <br />O <br />��0��� <br />; GENERAL NOTARY - State of Nebraska ^� <br />� DUANE A. BURNS //� <br />��''° My Comm. Ezp, March 28, 2012 i�?��� (� <br />� - <br />Notary Public <br />