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AFFIDAVIT OF
<br />SURVIVING SPOUSE 00
<br />STATE OF NEBRASKA )
<br />) ss:
<br />COUNTY OF BUFFALO )
<br />Affiant, Mary A. Harders, also known as Mary Harders, after being duly sworn upon
<br />oath, does depose and state as follows:
<br />1. That affiant is the surviving spouse of Ronald L. Harders, also known as Ronald
<br />Harders (hereinafter referred to as the "decedent"), who departed this life on May 28, 2018,
<br />as shown by the certified death certificate attached hereto as Exhibit "A" and by this
<br />reference incorporated herein.
<br />2. That on the date of death, the affiant and the decedent were the sole owners as
<br />joint tenants with rights of survivorship of that real property described as follows:
<br />An undivided one-half (Y2) interest in and to the South One-half of the
<br />Northwest Quarter (SY2NW1/.) and the North One-half of the Southwest Quarter
<br />(N':iSW%4) of Section Seven (7), Township Eleven (11), Range Eleven (11)West
<br />of the 6th P.M., Hall County, Nebraska; and
<br />An undivided one-half (%:) interest in and to the Northwest Quarter of the
<br />Northwest Quarter (NW'/.NW'/4) of Section Seven (7), Township Eleven (11)
<br />North, Range Eleven (11) West of the 6th P.M., Hall County, Nebraska,
<br />EXCEPTING a certain tract deeded to The State of Nebraska more particularly
<br />described in Warranty Deed recorded in Book 118, Page 565, AND EXCEPT
<br />Lot One (1), Prairie Creek View Subdivision, Hall County, Nebraska.
<br />3. That by virtue of the survivorship of affiant, affiant became the sole owner of the
<br />above-described property.
<br />4. That this affidavit is given as evidence that pursuant to Neb. Rev. Stat. §77-2003
<br />(Reissue 2009) no inheritance tax lien arising due to the death of the decedent can attach to
<br />the above-described real estate.
<br />5. That no federal estate tax return has or will be filed as the gross estate of the
<br />decedent was less than that amount necessary to require the filing of such a return pursuant
<br />to Internal Revenue Code §6018.
<br />Dated: February �, 2019.
<br />Mary . Harders
<br />SUBSCRIBED AND SWORN to before me on February L2,-, 2019.
<br />GENERAL NOTARY • State of Nebraska ~
<br />DAMON T. BAHENSKY �•
<br />My Comm. Exp, August 30, 2021 Notary Public
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<br />Once recorded, please return to:
<br />Parker, Grossart, Bahensky, Beucke, Bowman & Symington, L.L.P.
<br />PO Box 1600, Kearney, NE 68848-1600
<br />AFFIDAVIT OF
<br />SURVIVING SPOUSE 00
<br />STATE OF NEBRASKA )
<br />) ss:
<br />COUNTY OF BUFFALO )
<br />Affiant, Mary A. Harders, also known as Mary Harders, after being duly sworn upon
<br />oath, does depose and state as follows:
<br />1. That affiant is the surviving spouse of Ronald L. Harders, also known as Ronald
<br />Harders (hereinafter referred to as the "decedent"), who departed this life on May 28, 2018,
<br />as shown by the certified death certificate attached hereto as Exhibit "A" and by this
<br />reference incorporated herein.
<br />2. That on the date of death, the affiant and the decedent were the sole owners as
<br />joint tenants with rights of survivorship of that real property described as follows:
<br />An undivided one-half (Y2) interest in and to the South One-half of the
<br />Northwest Quarter (SY2NW1/.) and the North One-half of the Southwest Quarter
<br />(N':iSW%4) of Section Seven (7), Township Eleven (11), Range Eleven (11)West
<br />of the 6th P.M., Hall County, Nebraska; and
<br />An undivided one-half (%:) interest in and to the Northwest Quarter of the
<br />Northwest Quarter (NW'/.NW'/4) of Section Seven (7), Township Eleven (11)
<br />North, Range Eleven (11) West of the 6th P.M., Hall County, Nebraska,
<br />EXCEPTING a certain tract deeded to The State of Nebraska more particularly
<br />described in Warranty Deed recorded in Book 118, Page 565, AND EXCEPT
<br />Lot One (1), Prairie Creek View Subdivision, Hall County, Nebraska.
<br />3. That by virtue of the survivorship of affiant, affiant became the sole owner of the
<br />above-described property.
<br />4. That this affidavit is given as evidence that pursuant to Neb. Rev. Stat. §77-2003
<br />(Reissue 2009) no inheritance tax lien arising due to the death of the decedent can attach to
<br />the above-described real estate.
<br />5. That no federal estate tax return has or will be filed as the gross estate of the
<br />decedent was less than that amount necessary to require the filing of such a return pursuant
<br />to Internal Revenue Code §6018.
<br />Dated: February �, 2019.
<br />Mary . Harders
<br />SUBSCRIBED AND SWORN to before me on February L2,-, 2019.
<br />GENERAL NOTARY • State of Nebraska ~
<br />DAMON T. BAHENSKY �•
<br />My Comm. Exp, August 30, 2021 Notary Public
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