|
. � ; � . � . . � �6 - •.. • ,; �
<br /> r� -�-,.� - -....__..._-•— � .'c-i.. -..�n..'.�. -
<br /> -,`, +h' '•.�'�,+ "q ,:� _
<br /> t.- �-.�.yi• .�.- .
<br /> 6 . �_.�R�.a- __ _'.
<br />� : O • ,a� n2 � n � - =_---��`�.�:
<br /> , _ � l� I'1 �' i I 'l �' � C) CA !TI , t . .. `�.`.� -'�'
<br /> � .•. 3� �; � ': _ � � n � `.�- .
<br /> '� � r� �n �' ���� � Z -� �/� � .: ' `: � �.. u__
<br /> �� fl � � rn � "'l fl7 \f./ a � �,at'
<br /> . � '� � � 0 � ,cw `�.�.r.•n�! ., . -_ ..
<br /> _ � � � � � O � ' � _ '>'y, . 'i>
<br /> � � rn � r � � � `� ,.-,aLa�.'�.
<br />" ;ti"` J i i � � o � r a O � • . ' �
<br /> , S� � � v' � � � ~ ��-r � � : .� -
<br /> ��._ Q : � � { � � �; � � —`— _ '' ..
<br /> � �FFIDA�iIT � �`,�` _
<br />' � � ` „•.:;«,.�:
<br />� � � _
<br /> STATE dF N�BRASK1�l ) � � ; � :.� -
<br /> � " ) SS. \v ��.".�'r'ii°s'�l►+yq'N�uF.�_.
<br />, .;f l.�Yltl� QF i7�aJ.sna � `.'�'�'1�� .. _ '�~-�.
<br />' ������.�s ����a�a
<br />- � <��_,:_..;-�.
<br /> � Affiaaat, HEL$N K. SCHIKIDT► af� �+eing fi�s� duly sworra on =�-;y,;:,•:,�:�m.._._,
<br /> .., oattt, d�epms�s and states as follaras: '•';- �`'`'_:'.
<br /> �'�;;;�r .__.
<br /> 1. Tpna� ��iant is the au�viving spouse of MAR`7'IN R. SC���, ;`���..Rr S '���'
<br /> .�.. as shawn c ified copy of �he ��;��f` " ��• :F•�;�_''',
<br /> wh0 die¢�7 N�ve�b�s 18, 1�53"�6� �� ttt@ ert i , •:- :�;�:,,;,, i.
<br /> .. Decedernl�°s c�e�t3a cerita�i�a�te attached �are�o as Exhibit °1a° �ldi'�T �1� a:4;�j',.`�f:;�,h�:;'�lf.� .
<br /> - this reg��r�c� i�aorpar�ted herein: tha� Bx�ibit °A° is � ���.�ed s �r �:�•A�•�(��•.`�.
<br /> �.;;.Gyb.��,._ .
<br /> �. copy o.f the o�i�inal Ceatificate of Deat?a on file with the �-�3u ,�?'; : ��`„h�`£;;�__.
<br /> h
<br /> � of Vital Stat���ics, D�pastmant of Heal�th, 3tate of I�Tebraska. '� ::�,.,.,, ;- �
<br /> F� ..• : h'~ 4�
<br /> � .. � .%x'c4l"'-`i .��.�.
<br /> _ 2. 'I"bat Affiant and the said Dee�clent were busS��cd and wife .._..�f,. _,
<br /> on the date of the De��ent�s dea�h on Novembes 18, 1996, azid wera �� • � ;�;,
<br /> � on said date �ne sole owne.� as joint tenam�s not tenants in � ,�:;';�' " ``-�i'�•"' °
<br /> � �
<br /> common, of ttn� ��al estate lc��.l.ly described �s follows: :; ,�;�`. �: '�`,� ,� ,�
<br /> �,�r�; �':
<br /> � `' I�t Four (4) and the North 20.9 Feat of Lot Five Q 5�, All ~`,����'~�.
<br /> ��n �.s�.'.;,! �:"�
<br />� ira Block T�elve (12) in Parklaill Tliird Subdivisiaa an �`���`
<br /> � Islanrl Sall Coun ,. �'��1�^ : '�--
<br /> adeiition to the City of Grand . �Y. '�.�� �ab?�;:; ;.:
<br /> xebraska. `.::�k'.� ,-�
<br /> . .. r;.r�. � '
<br /> �.'A- .�,i: I1; •..'.:-.
<br /> � 3 e That by reason of the provisions of the Joi.nt Tenanc� • ' =
<br /> • Warranty Deed, Affiant became the sole otaner of the above describ�d Y1 ,'r . c� � ,�,r
<br /> � property on Decedent�s death. ��` .. �'.
<br /> ' � that ursuaiaL* to ��., L�-�-��
<br /> � • 4 e That this Affidavit is qiven as evide.�c a p �;,..��:�.��_._�,l
<br /> ` Neb.Rc��o3tat. sectioa 77-2003, no inheritance tax lien arisinc� �ue ;.;;. ::;.,:s_<.,°,;'�
<br /> � .,_Y to the c�Ba�h of the Decedent can attach to �he above des�sil�ed �al �' � ...,'�3�;,��,.� _
<br /> • estate and that pursuant to Neb.Rov.Stat. section 77-2012, n� {��f;;^�^=�--���.�: --_
<br /> .. anev' .�. ....
<br /> � � � �debrasl.a estate taas lien arising due to �he death nf ths Decedent �;:°�-:� --° _
<br /> ti��,:�c.. . ,:..
<br /> can attach ta the above described proparty• "' `
<br /> � ',: �.l�i���._..�
<br /> FSD�2THER �1FFIANT SAYETH NOT. �.�.'—`
<br /> . ,,
<br /> . . Dated e�/�n� g , 1997. �:� �`.
<br /> i .
<br /> . . �+.�- �.
<br /> • � • ' .-.. ,—
<br /> � .-�_..an;.;,:.
<br /> � � Y •• '" �a�:
<br /> d/Ti
<br /> .n .[��_ / ����— ,..�- .��. —.�._
<br /> � : � �`'`x.'¢ s"c�'ii�r ::- ���; ..�_::
<br />� . . tr�_ . , --
<br /> �• . ;�.,'.` . � —
<br /> S17BSCRIHED in my presence and s�,rorn to bePore me by �LEN K. '---_—�_��
<br /> SCHMIUT this � day of J , 1997. - ----
<br /> 6fiifMt HOJ�RY•S1�ttolNeDusi� � •�`�±�
<br /> • !; ��r���Y=.
<br /> , iOHM IN.CUHNiNGHAM ��������
<br /> � itpC4mIIGFspr.NOa.�?�i999 NOt PI1bl�C _;'"""�!�..*..".
<br /> � .. , . �
<br /> . •.r...t�4...,*.,.:.._�,
<br /> �. .
<br /> ' '?r�.i: _
<br /> ...f7S7}��.-,il�r�•.'._
<br /> , �' , - _ _-,a �.
<br /> _ ' :el::rr•.�•�-
<br /> . . �
<br />� � • �� . � - • �'c.
<br />__ - ---- � �� f�
<br /> i
<br /> (° • - ' _
<br /> -- -- y o --- --� . •—' -"- _. _ ,. t .._._ -'.-._. -:�-�.. _ .. , �
<br /> i^-j��lewr ,: - . � ;;�J �Y - ' ..5.. � „� - .. . . - �.. ,
<br /> ,�-t-��_-,a
<br /> tiNl.str� - ' . ' . ' ... �!: . .
<br /> _ °^w`L,�. .. .. . .. _ ... ' , . . . ... . . . . . . • ' .. . � � . � . . � .� . . � . _ . .. .• ,
<br />
|