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<br /> COOlIi'Y dB �TOp . 1 ' � ,
<br /> . - � . � , �ffiantt Lta►ry A. �ilo�►sy,�sfter be3ng d�y sKOrr► ugon "
<br /> , . oath,.doesf��'��ose and state aa �follows s
<br /> ._ , :.��>:;;.
<br /> � : .�:� :�--: 1.. �:�itt l�lffiar�t is the aw�via3ng spouse of Rulph L. �
<br /> . :.�::-�. . �11�rir�y ('d�ec�edent)• who departed`thia life on llpril Z3,� �199Z, �• ,
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<br /> _ s�ha�na b� tli�=�sestffi.ed cop� of the death �artificate att�tchsd �
<br /> ° • hexe�o and,�by thie�' �e$€erence_ incorporated heraia. � ' �
<br /> 2. That oa the d�te of death, the l�lffient and deaedent �
<br />_- — � � � were the aole awners as joint tenants With right of suivivorahip
<br />:-y- � of ttiat real estate leqallp desczibed ae folloMas
<br />- ,:;.�:
<br /> ___ � , Lot Five �t5) in Blpck Sixteea (16) in Colleqe
<br />-�- � � Adaitioa to Nest I,sWn in�Grand �sland, �ali
<br /> �County, I�ebraeka. �
<br /> � 3. That by virtue of the survivorship of Piffittnt,
<br />':' .
<br />- Affiant became the sole owner of the above-described property. .
<br />. 4. That this Affidavit is given as evidence tbat �-
<br /> :4`"" purauaat to Neb. Rev. Stat. seatiop 77-Z003 (1983 Suppl.) no
<br /> ::�.
<br /> .-,,
<br /> '`-�`' inheritance �tax liem�arisinq due to the death of decedene can
<br />` '_:'�� . � attach to the abave-desaribed real estate and tbat pursuant to
<br />_;r�:
<br /> -- - Peb. Rev. Stat. section �7-2012 t1983 Suppl.) no Nebsaeka estste
<br /> = tax lien arisinq du�.to the death of decedent can attach to the �
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