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<br /> • �'; Q AFFIDAVIT m � '��'
<br /> � � - '•� � . �. -
<br /> �� ',` • . STATE OF NEBRPiSI�PI ) 9�� ���e�� .- '`�` __
<br /> , . . � ) Bs. `-ti_<` .:: .
<br /> COUNTY OF HALL ) :�---
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<br /> ` Affiant, JEANE.`TTE s. POLLARD, after being firet duly sworn on gw ___
<br /> .. .. oath, depases and states as follows: "C -
<br /> � � 1. That Affiant ie the surviving spouse of ROHERT A. POLLARD, f�_.i `��. -�
<br /> -• � .` •. `� �:=- also known as ROBSRT ADDISON P�LLARD, who died October 29, 1997, as �,'.�;�,',:.F:•�'
<br /> -' ',�•' ., ..,
<br /> , � shown by the certified copy of the Decedeat's death certificate i�,; �,., ,.�.__ _
<br /> `°� � attached hereto as Exhibit "A" and by this zeference incorporated ; . . :,�,,,
<br /> ---�-- herefn; that Exhibit "A" is a certiified copy of the oriqinal �
<br /> �� � � Certificate of Death on file with the Bureau of Vital 3tatistics, � ---
<br /> `. .� ; Department of Health, 3tate of Nebraska. . �'j�'"`''°�
<br /> 'i.:,�:—---
<br /> ° �--�.:� ::: � 2, That Affiaat and the said Decedent were husband and wife -� ,.`�� :�6�_��
<br /> on the date of the Deceden�'s death on October 29, 1997, and wer� � - ---
<br /> � � � oa said date the sole ownere as joint tenants aot tena�nts in '� ��f
<br /> � conuaon, of the real estate legally described as fellows: - -- --
<br /> . , . .. .
<br /> �� - � A. The Westerly Forty-Three and Eighty Hundredths �"� - -
<br /> � Feet (43.8 0') of Lot Fourteen (14), and the -��'�'_- �z�
<br /> ' � � Eastsrly Thirty-One and Forty-Five Huadredthe ''� ` �7��`
<br /> �;�� �_` .:-
<br /> :��:;- '.� Feet (31.45'? of Lot Fifteen t15), both in . .. ___
<br /> . '�•x;, Block One (1) . CONTINEI3TAL GARDENS, an �:.�T�`� ,��` �""�
<br />_ . .._,,.�.,,. ,:_
<br /> � � � Addition to the City of •Grand Island, Hall . ..��.• ��=
<br /> . .� � County Nebraska. . - -41'�.'"°:'
<br /> . . � � . - ;AF-�
<br /> . �..�;' B. The Wes�erly Thirty-Four and 3eventy-Fiv� :;��;,::��>�� _ -
<br /> �� � � Hundredeths Feet (34.75'} of Lot Pifteen (15) � "`=-
<br /> . .t -'.;-::`r�
<br /> „ . and the Eaeterly Forty and Tweaty-Five .'�'- -"�""
<br /> � . ' Hundredths Feet (40.25') of Lot Sixteen (163 , _� ��
<br /> " � ;% both in Block One (1) . CONTINENTAL t�ARDENS. an � � �.v.
<br /> - � . �� 1 Addition to the City of G�and Island, Hall .:.-��= `-�L
<br /> . ��
<br /> � _ County. Nebraska. ... ' ` --�:_-----
<br /> . fii." :��2*��
<br /> ;t�� �.. �� -_
<br /> . :5 . . � . ;`• .
<br /> � . • � ����':-��� 3. That by reason of the. provisions of the Jofat Tenancy .
<br /> � �' ' .� Warranty Deeda, Affiant became the sole owner of the above "� ��.;: �`���• `
<br /> . . described property on Dece dent's dea t h. � ~=�~�-r�=y-
<br /> ;:t{''..:. ; ...,..t, ; ,.;
<br /> � =�� • 3' 4. That this Affidavit is given as evidence that purauant to . , .
<br /> „ � � .. .. ..
<br /> . �. � � .' Neb.Rev.Stat. section 77-2003, no inheritance tax lien arising due .,. ,
<br /> _ ' .to the death of the Decedent can attach to the above described real . . . �
<br /> � ' �. .�.' estate and that pursuan� to Neb.Rev.Stat. section 77-2012, no � . � � .
<br /> Nebraeka estate tax lien arising due to the death of the Decedent : ,.
<br /> '`''�� �� , can attach to the above described property. • .
<br /> � FURTHER APFIAI3T SAYETH NOT. •� . �
<br /> . Dated �� , 1998. . �• � ,
<br /> � � � ��-� �• . � . � .
<br /> • JEAIQETTE S. POLLARD . . .
<br /> . S CRIHEp in my presence o to before me this � �
<br /> ��;- . day of Qi . 1998.
<br /> • C�151GL71'�,,��� a ry lic � � .
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