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'!.� . %---- _:�._._ �I� fi�� . _---�_ <br /> `�. � --_ ___- ^-__...,...._ .,. - <br /> � <br /> . �;+� � rn � , <br /> � � � sZ � � � � <br /> ,� � � v' \\� � .-�r. -'� � � <br /> � � � � ..� rrt � .•.. <br /> , � n� � "C fJ ' W <br /> :� <br /> �? � Q •" <br /> `r � f�7 T� :+. W <br /> � � �+i .0 ir� M <br /> •y � � i- tn 4 <br /> ! rrt r �� � <br /> \1�► m ' " = r Tr -� . <br /> _� � cn � <br /> ` �t ��, N 7: <br /> � �� '� `� Qa <br /> � <br /> � AFF2DI�VIT r <br /> � ST�TE aF NEBRl�.4KA j � <br /> I� ) ss. <p <br /> � COUNTY OF HALL ) \�' <br /> Q I►��iant, E� A. CoLl�t�i, aftar bwinq lirst duly sworn an onth, � <br /> depo�sea and states as rollows: <br /> 1. That 1�ffi�uat ia ttis aurviving spous� ot CLYpS A. COi�IAN, � <br /> who diad March 18, 1997, as shown by the cartitied copy af the <br /> Decedax�t�s death certificate attaahsd �ereta as Bxhibit "l�" and by <br /> thi.� x�ferenae incorpora,t�d herein; that 8xhibit "11" is t� csrtiliod <br /> ccpy o� th�e original Certifiaata ot Deattc on tile With the Bursau <br /> of vital Statistics, Depart�ent of Health, State of Nebreu�ka. <br /> Z. Tbat ]�ffiant and the said Decedent �rere husband and xils <br /> on tra� date of the De,cedent�s death on Harch 18, 1997, and wMrs on <br /> sa�9.d date the sole o�+ners aa joint tenents not t�nanta in ao�on, <br /> •-- �--�ati_a a..�t..va. <br /> Of tlle rHal eBTac� .i.eya3iy u�O�LiMOY :.o .....-�-..-- <br /> The Westerly Thirty-3'hree+ �n� Five-Tenths (i�133.5•) o! Lot <br /> Seven (7) and the Eagterly Forty-One �:d Five-Tenths <br /> (�!�1.5�) of Lot Bight (8) , �Ln Hloak Two (Z), in <br /> Xn3.akrehs's Fifth �+ddition to the City of Grand Ia�3and, <br /> �]a�l County, Nebraskn. <br /> 3. That by reason af the provisions of the Joint T�nanay <br /> Warranty Deed, Affiant became th@ sals owner of the abosce desaribad <br /> property un D�saedent•a death. <br /> 4. That this Affidavit i� qiven as evidence that pursuant to <br /> Neb.Rev.stat. s�ec�ion 77-2003, s�o inheritanc� �ax lien �rieinq due <br /> to the denth of the De�sdent cr,�n attach to the above c�escribed renl <br /> estat,e and that pursu•ant to Neb.Rev.5tat. saction 77-2012, no <br /> Nebraska estate t�t lien ariainq due Lcs the death of the Decadent <br /> can attrsch to the above descr�D�ed propsrty. <br /> FURTNER AF IANT SAYETH IdflT. <br /> Dated �. 1997• <br /> �_ �.l� !/� �i�:�'3 - � <br /> EI+M� A. COIKAN <br /> SUBS�RIk�ED in my presenae and sworn l�efore ma this � <br /> day of `Y�I.QAG� , 1997. <br /> ����'���b Nota Puy ic <br /> �.�CtllMrNeN1111,�Nb <br /> rro�a4►�n��e�r <br /> _� <br /> .� __ _ <br />