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� l r,, � � �� J �:� � �_ � �, �^ _ � � � � p_., �� _ :�, o � r ; ; `� ��q, - '. � � � °' °- k �� f � � N o . ., n � � � — S ' _ � � . � f+ o � l� l 1 ' -n o h �y _ f m j � � � � P . � � 1 . t � ' � N �, � a y � � _ �� z � �, c s �, � o �` A£FIDAVIT �' l�. STATE OF NEP.RAS.qA) � i )ss COUNTY OF HALL ) i�� � � AEfiant, Frances M. Bartunek, being first duly swcrn upon �i oath, deposes and states as follows: �� 1. That the Af£iant is the surviving spouse of Dawayne D. Bartunek, who died Sanuary 13, 1995, as shown by the certified copy of the Death Certificate attached heret� as Exh bit ^A'" and hy this reference incorporated herein; that the� Af£iant and Dawayne D. Bartune;c were husband and wife on t!�,e date of his death on January 13, 1995. 2. That on Sanuary 13, 1995, the Affiant and Dawapne D. � Bartunek were the sole owners as joint tenants with rights of surv��orship of thu real estate legally described as follows: Lot Thirty-One (31) , in Block One (1) , in Dale Ruu:sh Second Subdivision� �Aall County� Nebraska. I 3. That hy virtue of the survivorship of the Affiant, Affiant E hzcame t4e sole owner of the above-described property. �i ?• Tha!�. this Af:idacit is given as evidence that pursuant to Neh. Rev. St�oa .yt. § 77-2003, no inheritanc2 tax lien arising due to the death of.the Decedent can attach to the above-described real. � e�tate and that pursaant to g 77-2012, Neb. �Rev. Stat._, no Nebraska : estate tax lien arises due to the death of the Deced.ent or attact, to the above-described prop�rty. Further Affiant sayeth not. DATED this �� day of O_tobeT� 1996. � �-�2!/ 'Y/� ✓J 9 i�2<�t// � � �FRANCES M. BARTUNEK, Affiant Su6scribed and sworn to before ne this L� day of October, 1946. �*�L<� [q CEMERALX07lRRSb1eM!kbaY Notary P�blic �y WIItUMA.fMNCIS y�'� M�famnF�R�31.1999 . __.- •`M1V�! � ',,.