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,M. , . .. • .�.. ,.. . .`_::v:.��;.�:�_ ,�„ ., . . .. _ ...��,::W�N Z�� . ,.;,�fN',,�,J.1�.':}}. .� l ' '� ,. .. ,' ., �•�f.tL��, , � _. �i: .y--.� I� ��`!�'•C'.� ..,., ..... •�•k4wYM,PJ --- --- - - -- _. . �":r",,5•?n�•s*:::,:`�,.�': . .. . •� __ • , . . � � AFFIDAVIT OF MARIrAL STATUS STA'1'E OF NEBRA9KA � 97— 1a'y8�`� ) �s. COUNTY OF HALL ) ' � C�MFS NOW, the undersigaod Afflaat, baing duly swarn� and deposes and says that the underslgaed lmew the Decedent and Is the surviving spouse of the Decade�t and that the foUowing iafomnatlon ia true and correct: 1. Name of Decodent: �� S•��' Date of Death: Masch 7, 1997 _ Domicile at Date of Death: Gcand Island, Hall Gouaty, Nebraslca Name of 5urviving Spouse: MARGARET E.HF.SSEL� Date of Marcisge: October 10. 1943 2. The Affiant is the surviving spouse of the Decedent. 3. There is no federal estate ta�c. Nebraslca inharitaaee tax or Nebraska estate tax. 4. Titla W the following-descclbed nal estate is hsld by th� Decedent and tbe surviv'�,n,�spouse of th�Decedeac in joint tenancy.to wlt: Lot Ni�e �9) in Giibert's S�bdlvision nf Hlock One (ly of Gilbcrt's Second Addidon to the Citp of Grand Island, Hall Gwnty. Nebraslc�� Lot Eight (8) in Block Sixtcen (1� ia H.O. Clark's Addidoa.W the City of Grand Islaa�d�Nebraska. eccordin8 to the recorclal plit ther�eof. The South Half (Sl/2) of the Northeast Quarta (NE1�4). SectiOn Four (4), � Townsl�p Eleven (11).North. Range Ten (10), West of the 6th P.M., �I�11 County�Nebraslca. L,ot Foucteea (14). Bloc�C (?ne (1) Brentwood Subdivision in the City of Grand Ialand�H�11 Couaty, Nebrusk�. 5. As of the date of death.t1�e real e�te had a f�ir�rket "+�lue of Four Hundred Thousac�d Dollars (5400�000.00). ��.� �.., .�. --_ .-�-- ..._.._- - �..��.�..�,�:,.z_ . --�.r_�.��, .-..._,_._ --