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�� <br />� <br />� <br />0 <br />..�� <br />� �� <br />N � <br />0 - <br />� <br />� �� <br />W � <br />�� <br />� <br />�� <br />�� <br />..�� <br />� <br />� <br />v0 <br />?� <br />� <br />� <br />� <br />1. <br />�ti <br />� <br />� <br />� <br />.7 <br />� <br />� <br />,_ <br />� <br />r <br />r <br />c� <br />0 <br />� <br />m <br />� <br />� <br />rn <br />� <br />0 <br />� <br />O ,. �`"' <br />m �.� <br />m <br />v <br />c,�. <br />Ai�"�IDl1�T OF MARITAL STATUS <br />STATE OF NEBRASKA <br />COUNTY OF HALL <br />� <br />_ � <br />� .• <br />� <br />�` <br />) ss: <br />) <br />r ..� <br />c'„ � C� Cfl <br />� � �-i <br />s � m <br />: 17 � <br />� o <br />_� <br />� <br />3 <br />CC` <br />F--� <br />Cr►? <br />O 'T1 <br />� Z <br />= R'1 <br />D � <br />r � <br />r b <br />� <br />� � <br />� <br />� <br />COMES NOW, the uraders�ed, being duty sworn, deposes and says that the uBdersigned knows the <br />Decedent and the surviving spouse of the Decedant and that the following information is true and conect: <br />1. Name of the Decedent: William L. Ganaoa <br />Date of Death: July i 8, 2008 <br />Domicile at Date of Death: Hall County, Nebraska <br />Name of Surviving Spouse: En'�Ca �. �Crannom (a.k.a. Erika 1. Gannon) <br />Date of Marriage: September 26,1969 <br />F� <br />k� <br />The Affiant, Erika I. Gannon {a.k.a. Erika J. Gannon), is the Surviving Spouse of the Decedent. <br />There is no Federat Estate Tasc, Nebraska Inheritance Tax or Nebraska Estate T� on this properiy. <br />4. Tit�e to ti�e �d�owia�g described real estate is held by the Decedent and the surviving Spouse of the <br />Decedemt i� joia�� tenancy, to wit: <br />Honse, outbailding and land at 3865 S. Engleman Road, Grand Island, NE 688011egally <br />descr�bed as: The Westerly One-Half of the Soathweat Qnarter of the Soathwest Qaarter <br />( W 1/2 SW 1/4 SW 1/4 ) of Seetion Thirty-Five (35�, Township Eleven (11) <br />North, Range Ten (10), West of the 6th P.M., conststing of 20 acres, more <br />or less, in Ha11 County, Nebraska. <br />5. As of the date of death, The real estate has a fair market value of $172,125.00 <br />6. The Decedent and Affiant were married as of the date of death. There is no Nebraska Inheritance Tax <br />liett by reason of Nebraska Revised Statutas Section 77-2003. There is no Nebraska Estate Ta1c lien <br />by reason of Nebraska Revised Statutes Section 77-2102. <br />FURT'HER Affiant saith not. <br />1 . <br />1l <br />�� �� <br />� <br />►' <br />' <br />__--- <br />�1-; �j l �,.,.. <br />Erika I. Gannon (a.k.a. . Gannon), Afl'iant <br />N <br />O <br />� <br />N <br />� <br />►-� <br />� <br />CJ'1 <br />� <br />u <br />u <br />� <br />� <br />� <br />�J,S� <br />Subscribed and swom to by Erika I. Gannon (a.k.a. Erika J. Gannon) before me, a notary public for the State <br />of Nebraska, on this oZ of y�C�.. , 2012. <br />N�1t��� <br />•���5'����: � ������ <br />►_ /���p� <br />�y�a0i411�t • WIYIIy�� ��S <br />�� �����LV1U <br />� � / <br />��l ,� � � l � <br />, : � � <br />