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<br /> � , C ABFIDAVIT OF IWYt�TAL 8T!►'1'OA �
<br /> � STAT� OF YJ�HRASKA ) � w
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<br />;'=.`��.". ,. COUNTY OF HALY, )
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<br />!`?���� '�� � COMES Id�OW, the undersigned, beinq duly sworn, depoBes and says
<br />. ,,.�..y._ ; .
<br /> , , that the undersigned is the surviving epouge af the Decedent and that
<br /> �.'�•.��'�� the Pollowing information ig true and corrsct:
<br />�„�t;.,-,. �� 1. Nam� of Dacedent: LaVern J. Krul l
<br /> �•'�-�'�� �� ' � Data of Death: August 28, 1996
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<br />=?=�_;,{q; Domicfle a� Date of Death: Hall County, Nebraska
<br />'�>�; ,:
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<br />_�;,�,,.f,� • Name of Surviving Spouse: Florenco L. Krull
<br /> .. __�. _ ��`� �� Mwr��?�a; nctober 2. 1955.
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<br /> _ ,: sr�.��':, 2. The Affiant �s related to the Decedent as follaws:
<br /> ��;r�;r� eurvivinq spouse.
<br /> _-_����� 3. Therfs is no Federal Estate Tax, Nebraska Inheritance Tax or
<br /> -�`� Nebr�aka Est3te Tax that ia due bec2�use of Decedent's death.
<br /> --_�---�= 4. Title to the following describQd real estate is held by the
<br /> •�°�°°---- Decedgnt and the surviving spouse of �he Decedent in joint teMancy,
<br /> to-wit:
<br /> Th� North 52' of Lot Ono (1) , Block Twe�aty-fiva (25) ,
<br /> � Packer and Barr's Second Additfon, Grand Island, Hall -
<br /> County, Nebraskd.
<br /> - 5. As af the date of death, the real estate has a f�ir market
<br /> -- -- --- vaiue oP $72,268.00.
<br /> _. 6. Tlae DQaedent and Affiant were married as of date of de�th.
<br /> - There is no Isobraska Inharitance Tax lien by reason af Nebr.aska
<br /> - Revised Statiates Section 77-2003. There is no Nebraska gstate �ax
<br /> - --- -- _ lisn by reason of ATebraska Revised statutea Section 77-2102.
<br /> �:�'tt��i FURTHER I►FFIANT SAImH NOT.
<br /> ��_.���� �'�l-'�h .�c_. -4 fn ��it.u/`��
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<br /> _��ra���-`�'-" Florence ]L. Krull
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<br /> �F::-�;�� Subacribed and sworn to before me this day of February, -
<br /> *��r�!��':.�Tt� 199?.
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<br /> ,__.:,,.;,'�.',,;;4� � GEHERAlIfO1ARY�t�teof Nebnsl� No ary Publ c
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