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<br /> .. � � ,�iF IDA,VIT
<br /> . .�<, � � .STATB OF NBBRASRA ) : - `
<br /> .� , � ) SS. . �z�° -y
<br /> . � ___._
<br /> COUNTY OF HAI+L ) .
<br /> ``4 ' � . •. r .cri^��:"-�`
<br /> . .'�� Affiant, ALVIN WgITg• after loeing first duly swora on oath, � _
<br /> deposes and states as follows: � -
<br /> 1. That Affiant is the surviving spouse of JA1J8 BSRNiCS � � `.s `_:
<br />_{ . ,. ` \Q ::.
<br /> WSZTB, who died 3eptember 16, 199T, as shown by the certified copy � :
<br /> of the Decedent's death certificate attached hereto a[s Exhibit "A° � -
<br /> . � � � � �and by this reference incorporated herein; tYsat B�clai.bit "A° is a __�: _
<br /> " � certified copy of the originat Certificate of Death oa file wit� �`. �;_ `� _��
<br /> the Bureau of vital statistics, Department of Health. State of h -
<br /> Nebraska. ""'��`�--
<br /> • ' .. •- -. ;w��±�.�._°'
<br /> 2. That A�fiant aad the said Decedeat erere husbaad and wif� � _ _-
<br /> Qn the date of the Decedeat's death on Septemver 16, 1997, and were � , "��
<br /> � on said date the �oZe awners as j oint tenaa�s not tes�ts �a ---=�__
<br /> • �-��� • common, of �e real estate legally descri.bed as follows: , _ -
<br /> ..,..
<br /> .,, . � .� . ..,....
<br /> .%.�., � .
<br /> � Lot Three (3) . $iocic Thirty-Bour �34), charles wasuter's �_;.��.�.;• '�•.___.-..
<br /> . Second Addition to the City of Grand Island, Hall County, . ; " : .�.:
<br /> '.. ' .. �_ Nebraska. �.�'� -.�„_
<br /> �. * �� � 3. That by reason of the provisions of the Joint Teaaacy �� �� _
<br /> � � warranty Deed, Affiant became the sole owner of the at�ove describec3 :,,t:;. �-- F_�
<br /> .. , �� .� . preperty on Decedent�s death. �.:r ,��;���-�-
<br /> ��'"�,';;_ �-•;�
<br /> - � 4. TPcea� this Affidavit is given as evidence that pursuant to �; �_:�_
<br /> ,:, • �� � �� Neb.Rev.Stat. section 77-2003, no inheritance tax lien arising due . � ,:� `
<br /> e''. ' tc the death of the Decedent caa attach to the above described real - - ---
<br /> t _
<br /> `' " ' es�ate and that pursuant to Neb.Rev.Stat. sectioa 77-2012, no ���-���•����-�
<br /> 1� ', . .. . ".. '•,,'.• �
<br /> a���� � � Nebraska estate tax lien arising due to the death of the Decedeat i
<br /> " ` �..,,=r- .�_.
<br />_?�:� � � can attach to the abave described property. _ �- _ -
<br /> ` . , .,,,,�.,�.
<br /> �: . � .. . . ..y........�
<br /> • � Fi1RTHER AFFIANT SAYETS NOT. . --___
<br /> ;;�::.��.�-
<br /> . ��I� ��, 1997. ':�:��....�.-,,
<br /> � Dated _ •
<br /> �=::�'` .�. .• � .� , D ��;� . .
<br /> ` . ' . , ALVIN WHITE, By TE J. HON • BR ��/ �
<br /> •��`� . � tPower of Attoraey � � . �
<br /> - � . � sUES B D in my presence and sworn to before me this � • ' . '
<br /> � . day of ��� . . 199�. �. . ..
<br /> . , � GENERALNDIA81r•Stateoltte0►aska �_ . � ' •
<br /> t JOHN M.Ci1NNINGHAM -
<br /> . � . IdYtamm.E�p.�tov.71.1999 Notary Pub1iC '. • ',
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