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m <br /> �� N 0� � <br /> mm ° �D m <br /> � � C�� �1 N Z f�i'1 N f�rl <br /> n, Oam � j� o � <br /> � <br /> o �DO Z �z OcDi� <br /> rn �{ O N yW OCZ/> <br /> W <br /> mo � � � rCDO WC <br /> �� � � � � � <br /> � O <br /> 0o W „ z <br /> 00 � � � <br /> � Z <br /> O <br /> AFFiDAVIT OF MARITA� STATUS <br /> STATE OF NE�RRSKA ) <br /> ) ss. <br /> COUNTY OF DOUGLAS ) <br /> Affiants 7homas S. Dinsdsaie and Lynn Dinsdale Marchese, after being duly sworn <br /> upon oath, do depose and state as follows: <br /> 1. That Gretchen Dinsdale, also known as Gretchen P. D'+nsdale ("Gretchen"), is <br /> the surviving spouse of John A. Dinsdale, also known as J.A. Dinsdale ("DecedenY'), who <br /> departed this life on November 25, 2010, as shown by the certified copy of the death certificate <br /> (with social security number redacted} attached hereto as Exhibit "A" and by this reference <br /> fncorporated herein. <br /> 2. That affiants are the children of Gretchen and Decedent. <br /> 3. That on the date of death, Gretchen and Decedent were the sole owners as <br /> joint tenants with rights of survivorship of that rea( estate located in Hali County, and fegally <br /> described as follows: <br /> Lot 7, Block 1, in Replat of Riverside Acres, an Addition to the City of <br /> Grand Island, Hall County, Nebraska <br /> 4. That by virtue of the survivorship of Gretchen, Gretchen became the sole owner <br /> of the above-described property. <br /> 5. That there is no Nebraska Inheritance Tax lien by reason of Nebraska Revised <br /> Statutes § 77-2003. <br /> FURTHER AFFIANTS SAYETH NOT. <br /> ;1;t� <br /> Dated this day of ��,Us� s ���1� , ��*v i �*�- <br /> �; <br /> ?:_ r� t, <br /> Y " ° , (t f� s <br /> ; � <br /> �— .�y"� r�` 5..,.�$ j;� ,�,iJ��X, � ._''# . ��+ , r. .� f� �, ' e :��:;;�: <br /> $i <br /> Thoinas S. Dinsdale �� � Lynn Din dale Marchese <br /> � � .y;�, -; .,, , <br /> SUBSCRIBED AND SWORN to before me on �'�Fi.�G.d!�� �ii + �1;1 t_ by <br /> Thomas S. Dinsdale and Lynn Dinsdale Marchese. `' <br /> __r� . _ <br /> --° G7 <br /> fiEt�tlNamRV.state�dN�urask� :' !��k!,`��y �,'� 9�; `���a . <br /> � t����ssaw�sHa,�r Notary Public <br /> � Ay G�nm.6�p.Jm.15,2014 <br /> Return to Sharon R. Kresha, 1700 Farnam St Ste 1500, Omaha, Nebraska 68102-2068. �OCSiio�ssas.2 <br />